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A rib fracture is a in a bone. This typically results in chest pain that is worse with breathing in. May occur at the site of the break. When several ribs are broken in several places a results. Potential complications include a, and.
Rib fractures usually occur from a direct blows to the chest such as during a or from a. Coughing or may also result in a broken rib. The middle ribs are most commonly fractured. Fractures of the first or second ribs are more likely to be associated with complications. Diagnosis can be made based on symptoms and supported. Is an important part of treatment.
This may include the use of (acetaminophen),. A may be another option. While fractured ribs have been wrapped, this may increase complications. In those with a flail chest, surgery may improve outcomes.
They are a common injury following trauma. Right sided pneumothorax and rib fractures Signs one may have a broken rib are:.
Pain on inhalation. Swelling in chest area. Bruise in chest area. Increasing shortness of breath. Coughing up blood (rib may have damaged lung) Because children have more flexible chest walls than adults do, their ribs are more likely to bend than to break; therefore the presence of rib fractures in children is evidence of a significant amount of force and may indicate severe injuries such as.
Rib fractures are also a sign of more serious injury in elderly people. Treatment There is no specific treatment for rib fractures, but various supportive measures can be taken.
In simple rib fractures, pain can lead to reduced movement and cough suppression; this can contribute to formation of secondary chest infection. Flail chest is a potentially life-threatening injury and will often require a period of. Flail chest and first rib fractures are high-energy injuries and should prompt investigation of damage to underlying (e.g., lung ) or remotely (e.g., cervical spine injury). Spontaneous fractures in athletes generally require a cessation of the cause, e.g., time off rowing, while maintaining cardiovascular fitness.
Treatment options for internal fixation/repair of rib fractures include:. Judet and/or sanchez plates/struts are a metal plate with strips that bend around the rib and then is further secured with sutures. Synthes matrixrib fixation system has two options: a precontoured metal plate that uses screws to secure the plate to the rib; and/or an intramedullary splint which is tunneled into the rib and secured with a set screw. Anterior locking plates are metal plates that have holes for screws throughout the plate. The plate is positioned over the rib and screwed into the bone at the desired position.
The plates may be bent to match the contour of the section. U-plates can also be used as they clamp on to the superior aspect of the ribs using locking screws.
See also. References. ^ (E-Book). Elsevier Health Sciences. From the original on 2017-10-13. ^ May, L; Hillermann, C; Patil, S (January 2016).
'Rib fracture management'. BJA Education. 16 (1): 26–32. ^ Adams, James G. Elsevier Health Sciences.
From the original on 2017-10-13. ^ Wanek, Sandra; Mayberry, John C (2004). 'Blunt thoracic trauma: flail chest, pulmonary contusion, and blast injury'. Critical Care Clinics. 20 (1): 71–81.
Nanni, Christina (2012). PET-CT: Rare Findings and Diseases. Murphy CE, 4th; Raja, AS; Baumann, BM; Medak, AJ; Langdorf, MI; Nishijima, DK; Hendey, GW; Mower, WR; Rodriguez, RM (27 May 2017). 'Rib Fracture Diagnosis in the Panscan Era'. Annals of emergency medicine. Brown, SD; Walters, MR (2012).
'Patients with rib fractures: use of incentive spirometry volumes to guide care'. Journal of trauma nursing: the official journal of the Society of Trauma Nurses. 19 (2): 89–91; quiz 92–03. Schuurmans, J; Goslings, JC; Schepers, T (April 2017).
'Operative management versus non-operative management of rib fractures in flail chest injuries: a systematic review'. European journal of trauma and emergency surgery: official publication of the European Trauma Society. 43 (2): 163–68. Coughlin, TA; Ng, JW; Rollins, KE; Forward, DP; Ollivere, BJ (August 2016). 'Management of rib fractures in traumatic flail chest: a meta-analysis of randomised controlled trials'. The bone & joint journal. 98–B (8): 1119–25.
Senekjian, L; Nirula, R (January 2017). 'Rib Fracture Fixation: Indications and Outcomes'. Critical care clinics. 33 (1): 153–65. From the original on 20 August 2015. Retrieved 15 August 2015. Kent, Richard; Woods, William; Bostrom, Ola (2008-01-01).
Annals of Advances in Automotive Medicine / Annual Scientific Conference. 52: 73–84. Morice, A H; McGarvey, L; Pavord, I (2006). 61 (Suppl 1): i1–24. Paul, Pauline; Williams, Beverly (2009-01-01).
Lippincott Williams & Wil. From the original on 2016-06-29. Fitzpatrick, D.
C.; Denard, P. J.; Phelan, D.; Long, W. B.; Madey, S.
M.; Bottlang, M. European Journal of Trauma and Emergency Surgery. 36 (5): 427–33. Mathison, Douglas (2014). Walters-Kluwer Health.
From the original on 12 May 2016. Retrieved 15 August 2015. At.
Browner, Bruce D. Elsevier Health Scien. From the original on 2016-05-08.
de Jong, M. B.; Kokke, M.
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C.; Hietbrink, F.; Leenen, L. 'Surgical Management of Rib Fractures: Strategies and Literature Review'. Scandinavian Journal of Surgery. 103 (2): 120–25. External links Classification.