John Edwards
Northern General Hospital Cardiothoracic Centre, USA
Publications
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Research Article
Disruption Junction: A Chest Wall Injury Society Survey on Costal Margin Rupture, Intercostal, Diaphragmatic, And Abdominal Wall Hernia Diagnosis and Management
Author(s): Mark Kryskow*, Mathieu Wijffels, Evert Eriksson, Joseph Forrester, Peter Cole, Andrew Doben, Zachary Bauman, Thomas White, SarahAnn Whitbeck and John Edwards
Background: Costal margin rupture (CMR), intercostal hernia (IH), diaphragm rupture (DR) non-union fracture (NURF) are poorly described and management remains unclear. CT analysis is recognized as essential for identifying CMR/IH/DR/NURFs. We hypothesized 1) CT recognition of these injuries is variable and, 2) debate exists regarding the non-operative and operative management. Methods: We utilized the Chest Wall Injury Society (CWIS) Thoracic Injury Correlation Collaboration (TICC) to survey surgeons. Practice demographics were collected; 9 cases, all with standard 3-view CT were shown. Diagnoses were determined by surgical treatment and defined the gold standard. Participants were asked to 1.) identify the presence of CMR, IH, DR, or NURF and, 2.) select combined surgical/nonsurgical approaches. Results: The TICC .. Read More»