Skip to main content
  • 1396 Accesses

Abstract

Blunt thoracic trauma is common in contact and collision sports though life-threatening injury is fortunately rare. Because of the potential complications of such trauma, all athletes with thoracic injury demand careful evaluation. Injuries may range from chest wall contusion to more serious conditions affecting the vital structures contained within the thoracic cavity, such as pneumothorax, pulmonary contusion, and blunt cardiac injury. The spectrum of clinical presentations may vary from subtle findings to hemodynamic collapse. A structured approach to ruling out life-threatening conditions is followed by more comprehensive evaluation on the sideline. Some athletes will require further hospital-based evaluation for imaging and other diagnostic testing. There are few well-established guidelines for returning to activity and sports after sustaining blunt thoracic trauma, and available recommendations are based on limited experience and case reports.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 189.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 249.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  1. McAdams TR, Deimel JF, Ferguson J, Beamer BS, Beaulieu CF. Chondral rib fractures in professional American football: two cases and current practice patterns among NFL team physicians. Orthop J Sports Med. 2016;4(2):2325967115627623.

    Article  Google Scholar 

  2. Turk F, Kurt AB, Saglam S. Evaluation by ultrasound of traumatic rib fractures missed by radiography. Emerg Radiol. 2010;17(6):473–7.

    Article  Google Scholar 

  3. Douglas RJ. Sternal fracture in an Australian rules footballer. Med J Aust. 2008;188(8):493–4.

    Article  Google Scholar 

  4. Culp B, Hurbanek JG, Novak J, McCamey KL, Flanigan DC. Acute traumatic sternum fracture in a female college hockey player. Orthopedics. 2010;33(9):683.

    Article  Google Scholar 

  5. Colosimo AJ, Byrne E, Heidt RS Jr, Carlonas RL, Wyatt H. Acute traumatic first-rib fracture in the contact athlete: a case report. Am J Sports Med. 2004;32(5):1310–2.

    Article  Google Scholar 

  6. Kizer KW, MacQuarrie MB. Pulmonary air leaks resulting from outdoor sports: a clinical series and literature review. Am J Sports Med. 1999;27(4):517–20.

    Article  CAS  Google Scholar 

  7. Wilkerson RG, Stone MB. Sensitivity of bedside ultrasound and supine anteroposterior chest radiographs for the identification of pneumothorax after blunt trauma. Acad Emerg Med. 2010;17(1):11–7.

    Article  Google Scholar 

  8. Levy AS, Bassett F, Lintner S, Speer K. Pulmonary barotraumas: diagnosis in American football players: three cases in three years. Am J Sports Med. 1996;24:227–9.

    Article  CAS  Google Scholar 

  9. Putukian M. Pneumothorax and pneumomediastinum. Clin Sports Med. 2004;23:443–54.

    Article  Google Scholar 

  10. Aerospace Medical Association Medical Guidelines Task Force. Medical guidelines for airline travel, 2nd edn. Aviat Space Environ Med. 2003;74(Suppl 5):A1–19.

    Google Scholar 

  11. Cheatham ML, Safcsak K. Air travel following traumatic pneumothorax: when is it safe? Am Surg. 1999;65(12):1160–4.

    CAS  PubMed  Google Scholar 

  12. Lively MW, Stone D. Pulmonary contusion in football players. Clin J Sport Med. 2006;16:177–8.

    Article  Google Scholar 

  13. Meese MA, Sebastianelli WJ. Pulmonary contusion secondary to blunt trauma in a collegiate football player. Clin J Sport Med. 1997;7:309–10.

    Article  CAS  Google Scholar 

  14. Dyste KH, Newkirk KM. Pneumomediastinum in a high school football player: a case report. J Athl Train. 1998;33(4):362–4.

    CAS  PubMed  PubMed Central  Google Scholar 

  15. Olson RP. Return to collision sport after pneumomediastinum. Curr Sports Med Rep. 2012;11(2):58–63.

    Article  Google Scholar 

  16. Rezende-Neto JB, Hoffmann J, Al Mahroos M, Tien H, Hsee LC, Spencer Netto F, et al. Occult pneumomediastinum in blunt chest trauma: clinical significance. Injury. 2010;41:40–3.

    Article  CAS  Google Scholar 

  17. Mascaro M, Trojian TH. Blunt cardiac contusions. Clin Sports Med. 2013;32:267–71.

    Article  Google Scholar 

  18. Marcolini EG, Keegan J. Blunt cardiac injury. Emerg Med Clin N Am. 2015;33:519–27.

    Article  Google Scholar 

  19. Link MS. Pathophysiology, prevention, and treatment of commotion cordis. Curr Cardiol Rep. 2014;16:495.

    Article  Google Scholar 

  20. Papagiannis J. Sudden death due to aortic pathology. Cardiol Young. 2017;27(S1):S36–42.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Jeffrey P. Feden .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2020 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Feden, J.P. (2020). Chest Trauma. In: Khodaee, M., Waterbrook, A., Gammons, M. (eds) Sports-related Fractures, Dislocations and Trauma. Springer, Cham. https://doi.org/10.1007/978-3-030-36790-9_41

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-36790-9_41

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-36789-3

  • Online ISBN: 978-3-030-36790-9

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics