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[5] [1] Fractures of the first or second ribs are more likely to be associated with complications. [6] Diagnosis can be made based on symptoms and supported by medical imaging. [3] Pain control is an important part of treatment. [7] This may include the use of paracetamol (acetaminophen), NSAIDs, or opioids. [2] A nerve block may be another ...
Diaphragmatic rupture (also called diaphragmatic injury or tear) is a tear of the diaphragm, the muscle across the bottom of the ribcage that plays a crucial role in breathing. Most commonly, acquired diaphragmatic tears result from physical trauma .
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 ...
Costochondritis, also known as chest wall pain syndrome or costosternal syndrome, is a benign inflammation of the upper costochondral (rib to cartilage) and sternocostal (cartilage to sternum) joints. 90% of patients are affected in multiple ribs on a single side, typically at the 2nd to 5th ribs. [1]
Signs and symptoms include crepitus (a crunching sound made when broken bone ends rub together), [1] pain, tenderness, bruising, and swelling over the fracture site. [4] The fracture may visibly move when the person breathes, and it may be bent or deformed, [4] potentially forming a "step" at the junction of the broken bone ends that is detectable by palpation. [3]
Twelfth rib syndrome, also known as rib tip syndrome, is a painful condition that occurs as a result of highly mobile floating ribs. It commonly presents as pain that may be felt in the lower back or lower abdominal region as a result of the 11th or 12th mobile rib irritating the surrounding tissues and nervous systems.
Treatment is usually weekly or bi-weekly, and up to 6 sessions may be necessary to relieve tenderness in the area. [4] The most invasive method for treating iliocostal friction syndrome is the surgical resection of the floating ribs, [2] which excises the outer two-thirds of the rib while the individual is under anesthesia. [3]
Conservative measures are often the first forms of treatment offered to patients with slipping rib syndrome, especially those in which symptoms are minor. [16] Often the patients will be reassured and recommended to limit activity, use ice, and take pain medication such as nonsteroidal anti-inflammatory drugs (NSAIDs). [ 4 ]