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RadioGraphics, Vol 11, 23-36, Copyright © 1991 by Radiological Society of North America

ARTICLES

Seat belt injuries: radiologic findings and clinical correlation

CW Hayes, WF Conway, JW Walsh, L Coppage and AS Gervin
Department of Radiology, Medical College of Virginia/Virginia Commonwealth University, Richmond 23298.

The seat belt syndrome consists of skeletal, soft-tissue, and visceral injuries associated with use of two- and three-point restraints in patients involved in motor vehicle accidents. Skin abrasions of the neck, chest, and abdomen--the classic seat belt sign--indicate internal injury in 30% of cases. Neck abrasions are associated with injuries to the carotid artery, larynx, and cervical spine; chest abrasions, with fractures of the sternum, ribs, and clavicles and injuries to the heart and thoracic aorta; and abdominal abrasions, with mesenteric tears, bowel perforation and hematoma, Chance fractures, and injuries to the abdominal aorta. The seat belt sign should prompt a diligent search for related injuries.


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