Radiology of Blunt Trauma of the Chest

In industrialized countries, traumas represent the third leading cause of death, after cardiovascular diseases and cancers. Thoracic structures are involved in up to 30% of blunt traumas. Knowledge of the various radiological patterns of blunt chest traum

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Diagnostic Imaging Editors: A. L. Baert, Leuven K. Sartor, Heidelberg J. E. Youker, Milwaukee

Springer-Verlag Berlin Heidelberg GmbH

P. Schnyder· M. Wintermark

Radiology of Blunt Trauma ofthe Chest Foreword by

A.L.Baert Preface by

G.Gamsu

With 114 Figures in 280 Separate Illustrations, Some in Color

Springer

PIERRE SCHNYDER, MD

Professor and Chairman MAX WINTERMARK, MD

Department of Diagnostic and Interventional Radiology University Hospital 1011 Lausanne Switzerland

Images on the Cover: Courtesy European New Car Assessment Programme (Euro NCAP), Brussels, Belgium Courtesy P. Dutoit, CEMCAV, Lausanne, Switzerland

MEDICAL RADIOLOGY· Diagnostic Imaging and Radiation Oncology Continuation of Handbuch der medizinischen Radiologie Encyclopedia of Medical Radiology

ISBN 978-3-642-63041-5 CIP data applied for Die Deutsche Bibliothek - CIP-Einheitsaufnahme Radiology of blunt trauma of the chest I P. Schnyder; M. Wintermark. With contributions by D. Bettex ... Foreword by A. L. Baert. Pref. by G. Gamsu. - Berlin; Heidelberg; New York; Barcelona; Hong Kong; London; Milan; Paris; Singapore; Tokyo: Springer,2000 (Medical radiology) ISBN 978-3-642-63041-5 ISBN 978-3-642-57182-4 (eBook) DOI 10.1007/978-3-642-57182-4 This work is subject to copyright. All rights are reserved, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilm or in any other way, and storage in data banks. Duplication of this publication or parts thereof is permitted only under the provisions of the German Copyright Law of September 9, 1965, in its current version, and permission for use must always be obtained from Springer-Verlag. Violations are liable for prosecution under the German Copyright Law. © Springer-Verlag Berlin Heidelberg 2000 Originally published by Springer-Verlag Berlin Heidelberg New York in 2000 Softcover reprint of the hardcover 1st edition 2000

The use of general descriptive names, registered names, trademarks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. Product liability: The publishers cannot guarantee the accuracy of any information about dosage and application contained in this book. In every individual case the user must check such information by consulting the relevant literature. Typesetting: Verlagsservice Teichmann, Mauer SPIN: 106426 64

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Foreword

During recent years important progress in intensive medicine methods has fundamentally changed the approach to and the management of acute chest trauma, which in developed countries is frequently related to road accidents, the number of which is still rising. It is important for the radiologist to become fully acquainted with the correct interpretation of findings on conventional radiographs as well as on CT. Appropriate and rapid therapeutic action in life-threatening si