Chest Wall Injury

Lucas McDuffie, Leigh Selesner, MD

Introduction

Thoracic trauma in children, though rare, is a significant contributor to morbidity and mortality in pediatric trauma patients [1]. The thoracic cage – including the ribs, sternum, scapula, and clavicle – provides critical protection to vital organs such as the heart, lungs, and great vessels. Fractures of these bony structures typically reflect the application of considerable force and are frequently associated with serious intrathoracic injuries [2]. Pediatric patients present with unique considerations due to their anatomical and physiological differences from adults, including a more compliant chest wall that can mask underlying injury in the absence of external fractures [3]. Early recognition and appropriate management are essential to improving outcomes in this population [1].

see also Thoracic and Cardiovascular Trauma, Penetrating Thoracic and Mediastinal Injury

Content this topic is referenced in SCORE Thoracic Trauma overview

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Last updated: June 1, 2026