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Rib fractures usually occur from a direct blow to the chest such as during a motor vehicle collision or from a crush injury. [2] [1] Coughing or metastatic cancer may also result in a broken rib. [1] The middle ribs are most commonly fractured. [5] [1] Fractures of the first or second ribs are more likely to be associated with complications. [6]
Flail chest typically occurs when three or more adjacent ribs are fractured in two or more places, allowing that segment of the thoracic wall to displace and move independently of the rest of the chest wall. Flail chest can also occur when ribs are fractured proximally in conjunction with disarticulation of costal cartilages distally. For the ...
It can feel like a fracture, and it can cause pain for weeks, but the rib bone is not broken” says Vasudevan. Less commonly, right rib pain can be a sign of a stress fracture or full-on bone break.
Pulmonary laceration is a common result of penetrating trauma but may also be caused by blunt trauma; broken ribs may perforate the lung, or the tissue may be torn due to shearing forces [5] that result from different rates of acceleration or deceleration of different tissues of the lung. [6]
Management is a mixture of medical (eg pain relief, respiratory support, chest drainage and antibiotics), non-medical (physiotherapy and rehabilitation) and surgical (fixation of rib fractures if appropriate and operative treatment of cardiac, lung, airway, diaphragm and oesophageal injuries).
Sternal fractures may also accompany rib fractures and are high-energy enough injuries to cause bronchial tears (ruptures of the bronchioles). [6] They may hinder breathing. [6] Due to the associated injuries, the mortality rate for people with sternal fracture is high, at an estimated 25–45%. [1]
Efforts to revive a baby girl did not cause her “multiplicity” of rib fractures, a murder trial jury has been told. Prosecutors say Laura Langley, 37, inflicted “terrible injuries” as she ...
An x-ray revealed the child had “several fractured ribs in different stages of healing and multiple bruises throughout the victim’s torso, consistent with child neglect and/or child abuse.”