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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]
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 ...
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).
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]
A cancerous rib may be removed to stop the cancer from spreading. [1] Rib bone material may be used for a bone graft. [1] The excess pressure of thoracic outlet syndrome may be reduced by rib removal. [1] Major surgery to the thoracic cavity, such as open heart surgery, may require removal of ribs to allow access to the organ being operated on. [1]
It is a medical emergency and may require immediate treatment without further investigations (see Treatment section). [ 15 ] [ 16 ] The most common findings in people with tension pneumothorax are chest pain and respiratory distress, often with an increased heart rate ( tachycardia ) and rapid breathing ( tachypnea ) in the initial stages.
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Early fracture immobilisation and fixation helps to prevent further soft tissue injury and promotes wound and bone healing. This is especially important in the treatment of intraarticular fractures where early fixation allows early joint motion to prevent joint stiffness. Fracture management depends on the person's overall well-being, fracture ...