There are different specialist rib fixation systems on the market.Judet and/or sanchez plates/struts are a metal plate with strips that bend around the rib and then is further secured with sutures.Treatment options for internal fixation/repair of rib fractures include: There is very little evidence to support the use of one nerve block over another on the basis of analgesia or safety. These include rhomboid intercostal block, epidural anesthesia, paravertebral block, erector spinae plane block and serratus anterior plane block. Nerve blocks may be used to help with pain and reduce respiratory complications related to rib fractures. Spontaneous fractures in athletes generally require a cessation of the cause, e.g., time off rowing, while maintaining cardiovascular fitness. Flail chest and first rib fractures are high-energy injuries and should prompt investigation of damage to underlying viscera (e.g., lung contusion) or remotely (e.g., cervical spine injury). Flail chest is a potentially life-threatening injury and will often require a period of assisted ventilation. In simple rib fractures, pain can lead to reduced movement and cough suppression this can contribute to formation of secondary chest infection. There is no specific treatment for rib fractures, but various supportive measures can be taken. Two broken ribs as seen on parasagittal CT Rib fractures are also a sign of more serious injury in elderly people. īecause 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 thoracic injuries such as pulmonary contusion. CT scanning is generally able to pick up both types of fractures. Plain X-rays often pick up displaced fractures but often miss undisplaced fractures. Coughing up blood (rib may have damaged lung).While for elderly individuals a fall can cause a rib fracture, in adults automobile accidents are a common event for such an injury. They can also occur as a consequence of diseases such as cancer or rheumatoid arthritis. Cardiopulmonary resuscitation (CPR) has also been known to cause thoracic injury, including but not limited to rib and sternum fractures. Rib fractures can occur with or without direct trauma during recreational activity. Potential complications include a pneumothorax, pulmonary contusion, and pneumonia. ![]() ![]() When several ribs are broken in several places a flail chest results. Bruising may occur at the site of the break. This typically results in chest pain that is worse with inspiration. They are a common injury following trauma. In those with a flail chest, surgery may improve outcomes. While fractured ribs can be wrapped, this may increase complications. This may include the use of paracetamol (acetaminophen), NSAIDs, or opioids. Pain control is an important part of treatment. Diagnosis can be made based on symptoms and supported by medical imaging. Fractures of the first or second ribs are more likely to be associated with complications. The middle ribs are most commonly fractured. Coughing or metastatic cancer may also result in a broken rib. Rib fractures usually occur from a direct blow to the chest such as during a motor vehicle collision or from a crush injury. Paracetamol (acetaminophen), NSAIDs, opioids Ī rib fracture is a break in a rib bone. Pulmonary contusion, pneumothorax, pneumonia ![]() An X ray showing multiple old fractured ribs of the person's left side as marked by the oval.Ĭhest pain that is worse with breathing in
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