RibXcar

Is «clack» enough?

Why the fracture sound is not enough without the ultrasound guidance that confirms the gesture.

The «clack» is the sound heard when the rib fractures; this study shows that hearing it is not enough on its own: rib remodeling needs ultrasound guidance to confirm the fracture is the correct one, within the work of Dr. Raúl Manzaneda Cipriani.

The publication

The study is titled “Is ‘Clack’ Enough? Rib Remodeling Guided by Ultrasound”, published in PRS Global Open (2024). It is available at its official source: doi.org/10.1097/GOX.0000000000005843.

Why it matters

It reinforces the core principle of the technique: not operating blind. Real-time ultrasound lets the surgeon see the bony plane and confirm the fracture type, rather than relying on an auditory cue alone. It complements the safety evidence of rib remodeling.

Frequently asked questions

What is the «clack» in rib remodeling?

It is the sound produced when the rib fractures. The study shows it is not enough as the only cue: ultrasound guidance is needed to confirm the correct fracture.

Where is it published?

In PRS Global Open (2024). The DOI is linked on this page.

Keep exploring the evidence

Rib remodeling (RibXcar) →
All the scientific evidence →
The foundational study (e5499) →

This page is informational and cites published, verifiable evidence. It does not replace medical consultation: every case must be evaluated by a qualified plastic surgeon.