The Radiographic Findings in Travelers with Chest Trauma Referred to a Tertiary Hospital in South Khorasan, Iran

Document Type : Original Article


1 Radiology Department, Faculty of Medicine, Birjand University of Medical Sciences, Birjand, Iran

2 Student Research Committee, Faculty of Medicine, Birjand University of Medical Sciences, Birjand, Iran

3 Health Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran


Introduction: Currently, trauma is the main reason of mortality among 1-44 years old people and the third common reason of death throughout all ages. The aim of this study is to examine the radiographic findings in chest trauma patients referring to the Imam Reza Hospital in Birjand during the years of 2013-2014.
Methods: The patients meeting the criteria for the entrance to the study were examined and the frequency of radiographic findings in conventional x-ray and CT scan in the mentioned patients was recorded. After data collection, they were introduced to the SPSS 15 software, in which descriptive statistics and suitable statistical tests were analyzed at α=0.05.
Results: Based on the results of this study, the most common radiologic finding in chest trauma patients was rib fracture (21.9%). Other radiologic findings, in order of prevalence, were: clavicle fracture (11.7%), pneumothorax (9.3%), spine fracture (7.6%), Hemothorax (6.3%), increased heart shadow (2.2%), wide mediastinum (1.9%), sternum fracture (1.7%), and pleural effusion (1.2%), respectively. There was a significant relationship between radiologic findings and the type of trauma (P<0.05).
Conclusion: We found that clavicle fracture, pneumothorax, spine fracture, and hemothorax are the most common findings followings in chest trauma. Based on the results, as the type of trauma (penetrating or blunt) can have a direct relationship with its resulting pathology, modification of sociocultural structures should be considered in this regard.


1.   Liman ST, Kuzucu A, Tastepe AI, Ulasan GN, Topcu S. Chest injury due to blunt trauma. Eur J Cardiothorac Surg. 2003;23(3):374-8
2.   Rodriguez RM, Hendey GW, Marek G, dery RA, Bjoring A. A pilot study to drive clinical variables for selective chest radiography in blunt trauma patients. Ann Emerg Med. 2006;47(5):415-8
3.   Kish G, Kozlof L, Joseph WK, Kevstian D. Indications for early thoracotomy in the management of chest trauma. Ann Thorac Surg. 1997;22:23-8
4.   Kohn MA, Hammel JM, Bretz SW, Stangby A. Trauma team activation criteria as predictors of patient disposition from the emergency department. Acad Emerg Med. 2004;11(1):1-9
5.   Newman RJ, Jones IS. A prospective study of 413 consecutive car occupants with chest injuries. J Trauma. 1984;24(2):129-35.
6.   Hegarty M, Brown GL, Richardson JD. Traumatic diaphragm hernia. Sheilds T, Locicero J, Pom R. General Thoracic Surgery. 5thed. Philadelphia: Lippincott Williams & Wilkins; 2004. p. 866-70.
7.   Blair E, Topuzulu C, Dean RS. Major chest trauma. CurrProblSurg 1962;2:69-73
8.   Krish MM, Sloan H. Blunt chest trauma: general principles of management .2nd edition, Boston, Little Broun 1997; p. 297-314
9.   Jackson AM, Ferreira AA. Thoracoscopy as an aid to the diagnosis of diaphragmatic injury in penetrating wounds of the left lower chest: a preliminary report. Injury. 1976;7:213-7.
10. Smith RS, Fry WR, Tsoi EK, Morabito DJ, Koehler RH, Reinganum SJ, et al. Preliminary report on videothoracoscopy in the evaluation and treatment of thoracic injury. Am J Surg. 1993;166:690-3.
11. Marnocha KE, Maglinte DD, Woods J, Peterson PC, Dolan PA, Nigh A, et al. Blunt chest trauma and suspected aortic rupture: reliability of chest radiograph findings. Ann Emerg Med. 1985;14(7):644-9
12. Kram HB, Appel PL, Wohlmuth DA, Shoemaker WC. Diagnosis of traumatic thoracic aortic rupture: a 10-year retrospective analysis. Ann Thorac Surg. 1989;47(2):282-6
13. Baumgarthner F, Sheppard B, Virigilio C, Esrig B, Harrier D, Nelson RJ, et al. Tracheal and main bronchial disruptions after blunt chest trauma: Presentation and management. Ann Thracsurg. 1990;50:569-74.
14. Cassada DC, Munyikwa MP, Moniz MP, Dieter RA, Schmann GF, Enderson BL. Acute injuries of the trachea and major bronchi: Importance of early diagnosis. 1990; p. 1563-67.
15. Haratian Z. Study of the prevalence of damages caused by chest trauma (penetrating or blunt) in the beast hospital of Air force 2001-2004. Med J Azad Univ. 2005;15(3):147-50. Persian
16. Ahmadi Amoli H, Zafarqandi M, Tavakoli H. Chest trauma: assessment of injury in 342 patients. J Tehran Univ Med Sci. 2007;66(11):831-4. Persian
17. Wicky S, Wintermark M, Schnyder P. Imaging of blunt chest trauma. Eur Radiol. 2000;10(10):1524-38.
18. Rasmussen OV, Brynitz S, Struve-Christensen E. Thoracic injuries. A review of 93 cases. Scand J Thorac Cardiovasc Surg. 1986;20(1):71-4.
19. Bijani M, Nikruz L, Naqizade M, Tavakol Z. study of people with chest trauma referred to Valiasr hospital in Fasa. J Fasa Univ Med Sci. 2013;3(3):285-9. Persian
20. Van Wagoner FH. Died in hospital; A three-year study of deaths following trauma. J Trauma. 1961;1:401-8.
21. Golestanha A, Jabarimoqadam Y. Assessment of radiologic findings of extremities in war injured patients. JAUMS. 2008;5(4):1419-22.
22. Shafinia R. Study of prevalence of radiologic findings in people with blunt chest trauma who refered to azzahra and kashani emergency sections in winter 2003. J Tehran Univ Med Sci. 1382;89(1):28. Persian
23. Stewart RM, Myers JG, Dent DL, Erms Gray GA, Villarreal R, et al. Seven hundred fifty three consecutive deaths in a trauma center: the argument for injury prevention. J Trauma. 2003;54(1):66-70.