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Thorax

doi: 10.1097/BOT.0000000000001071
Supplement Article

Anatomical location: Thorax 16

Bone: Thorax, Rib*

The ribs are identified as follows:

Right side = 16.1.__.

Left side = 16.2.__.

Rib number = 1 to 12

→ The body side and rib number are added to the code (between dots ._._. after the bone code. Example: Left second rib is 16.2.2.

Bone.left or right.rib number.location

CV

CV

Location: Rib, posterior end segment 16.__.__.1

CV

CV

Qualifications are optional and applied to the fracture code where the asterisk is located as a lower-case letter within rounded brackets. More than one qualification can be applied for a given fracture classification, separated by a comma. For a more detailed explanation, see the compendium introduction.

Location: Rib, shaft 16.__.__.2

CV

CV

Location: Rib, anterior end segment 16.__.__.3

CV

CV

Coding of multiple fractures

Use a separate code for each fractured rib.

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Thorax—Sternum

Bone: Thorax, Sternum 16.3._.

CV

CV

Location: Sternum, manubrium fracture 16.3.1

CV

CV

Location: Sternum, body fracture 16.3.2.

CV

CV

Example: Simple fracture of sternal body 16.3.2.A

Location: Sternum, xiphoid fracture 16.3.3.

CV

CV

Universal fracture modifiers for the thorax section only

• Universal modifiers may be added to the end of the fracture code within squared brackets [1]

• Multiple universal modifiers may be contained within the same set of squared brackets and separated by a comma and no space [1,2,3,etc]

  • 1 Lung contusion
  • 2 Pneumothorax
  • 3 Hemothorax
  • 4 Cardiac injury
  • 5 Great vessel injury
  • 6 Intercostal artery injury
  • 7 Soft tissue injury

Qualifications are optional and applied to the fracture code where the asterisk is located as a lower-case letter within rounded brackets. More than one qualification can be applied for a given fracture classification, separated by a comma. For a more detailed explanation, see the compendium introduction.

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Acknowledgements

The Thoracic segment classification has been developed with the collaboration of the AO Foundation TK Thoracic Surgery Expert Group. The members are:

Michael Bemelman, MD; St Elisabeth Hospital, Department of Surgery and Trauma, Hilvarenbeekseweg 60, 5022 GC, Tilburg, Netherlands.

Edward A Black, FRCS; Cardiothoracic Department, PO Box 1006, Al Ain, United Arab Emirates.

Mario Gasparri, MD; SSM Health, St Mary’s Madison, Division of Thoracic Surgery; 700 S Park Street, Madison, WI 53715, USA.

Arthur T Martella, MD; University of Pennsylvania, School of Medicine, Department of Cardiothoracic Surgery; MOB 824 Main Street, Suite 302, Phoenixville, PA 19460, USA.

Fredric M Pieracci, MD/MPH, FACS; Associate Professor of Surgery, University of Colorado Denver SOM, 777 Bannock Street, Denver, CO 80204, USA.

Stefan Schulz-Drost, MD, PhD, FEBS.EmSurg; Senior Surgeon, Unfallkrankenhaus Berlin, Department of Trauma and Orthopedic Surgery, Warener Strasse 7, 12683 Berlin, and University Hospital Erlangen, Department of Trauma Surgery, Krankenhausstrasse 12, 91054 Erlangen, Germany.

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