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A rib fracture is a break in a rib bone. [1] This typically results in chest pain that is worse with inspiration. [1] Bruising may occur at the site of the break. [3] When several ribs are broken in several places a flail chest results. [4] Potential complications include a pneumothorax, pulmonary contusion, and pneumonia. [2] [1]
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).
Heat or ice compresses may also be used for treatment. [6] Outpatient follow-up may also be a form of treatment for costochondritis. Manual therapy methods such as myofascial release, muscle energy techniques, balanced ligamentous tension (BLT), rib mobilization techniques, and stretching exercises may be used. Additionally, educating the ...
For the condition to occur, generally there must be a significant force applied over a large surface of the thorax to create the multiple anterior and posterior rib fractures. Rollover and crushing injuries most commonly break ribs at only one point, whereas for flail chest to occur a significant impact is required, breaking the ribs in two or ...
Rib fracture: Rib fractures often cause pain that intensifies with deep breathing, leading people to breathe shallowly to minimize discomfort, especially after trauma. In individuals with a history of cancer, rib metastases should be considered if symptoms like tenderness, weight loss, fatigue, and reduced appetite are present. [31]
A chest X-ray showing right sided (seen on the left of the picture) pulmonary contusion associated with rib fractures and subcutaneous emphysema Chest X-ray is the most common method used for diagnosis, [ 37 ] and may be used to confirm a diagnosis already made using clinical signs . [ 20 ]