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Flail chest is usually associated with significant pulmonary contusion, [15] and the contusion, rather than the chest wall injury, is often the main cause of respiratory failure in people with these injuries. [69] Other indications of thoracic trauma may be associated, including fracture of the sternum and bruising of the chest wall. [63]
Bruising is a type of acute soft tissue injury. Any type of injury that occurs to the body through sudden trauma, such as a fall, twist or blow to the body. A few examples of this type of injury would be sprains, strains and contusions.
A resuscitative thoracotomy is indicated when severe injuries within the thoracic cavity (such as hemorrhage) prevent the physiologic functions needed to sustain life.The injury may also affect a specific organ such as the heart, which can develop an air embolism or a cardiac tamponade (which prevents the heart from beating properly).
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] Rib fractures usually occur from a direct blow to the chest such as during a motor vehicle collision or from a crush injury.
Bruises often become more prominent as time lapses, resulting in additional size and swelling, and may grow to a large size over the course of the hours after the injury that caused the bruise was inflicted. Condition and type of tissue: In soft tissues, a larger area is bruised than would be in firmer tissue due to ease of blood to invade tissue.
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