Treatment of Adult Traumatic Rib Fractures With Percutaneous Cryoneurolysis

Inclusion Criteria:

   - Patients 18 to 64 years with any acute rib fracture between rib 3 and rib 9

   - Pain score equal to or greater than 5 with deep inspiration

   - Presenting and admitted to Stanford Adult Emergency Department, having a trauma
   consult, and being admitted to the trauma floors of Stanford Healthcare (SHC) for
   their inpatient stay

Exclusion Criteria:

   - Radiographic evidence of metastasis to ribs

   - Glasgow Coma Scale (GCS) score <13

   - Patients undergoing SSRF (Surgical stabilization of rib fractures)

   - Rib fractures located < 3cm from spinous process

   - Coagulopathy (INR >1.5, Plt < 100)

   - Other factors precluding cryoneurolysis at the attending's discretion

   - If only ribs broken are 1,2 or 10,11,12

   - Inability to be positioned for the procedure

   - If the patient has the following conditions that the manufacturer of the Iovera device
   advises AGAINST using the device if present: Cryoglobulinemia, Paroxysmal cold
   hemoglobinuria, Cold urticaria, Raynaud's disease, open and/or infected wounds at or
   near the treatment site.