Knowledge

Rib fracture

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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
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There are different specialist rib fixation systems on the market. They have 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
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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
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Riley, B.; Malla, U.; Snels, N.; Mitchell, A.; Abi-Fares, C.; Basson, W.; Anstey, C.; White, L. (2020). "Erector spinae and serratus anterior blocks for the management of rib fractures: A retrospective exploratory matched study".
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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
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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 by
293:. They can also occur as a consequence of diseases such as cancer or rheumatoid arthritis. While for elderly individuals a fall can cause a rib fracture, in adults automobile accidents are a common event for such an injury. 241:
may be another option. While fractured ribs can be wrapped, this may increase complications. In those with a flail chest, surgery may improve outcomes. They are a common injury following trauma.
400:) 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. 842:
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".
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Mladenovic, Jordanna; Erskine, Ryan N.; Riley, Brooke; Mitchell, Andrew; Abi-fares, Catherine; Basson, Willem; Anstey, Chris; White, Leigh (2022-11-01).
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Master Techniques in Surgery: Thoracic Surgery: Transplantation, Tracheal Resections, Mediastinal Tumors, Extended Thoracic Resections
1514: 1128:"The association between erector spinae plane block timing and reduced rib fracture related respiratory complications: A cohort study" 601: 513: 371: 1284: 1106: 686:
Murphy CE, 4th; Raja, AS; Baumann, BM; Medak, AJ; Langdorf, MI; Nishijima, DK; Hendey, GW; Mower, WR; Rodriguez, RM (27 May 2017).
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Judet and/or sanchez plates/struts are a metal plate with strips that bend around the rib and then is further secured with sutures.
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Nerve blocks may be used to help with pain and reduce respiratory complications related to rib fractures. These include
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Wardhan, R (October 2013). "Assessment and management of rib fracture pain in geriatric population: an ode to old age".
424:. There is very little evidence to support the use of one nerve block over another on the basis of analgesia or safety. 2053: 392:. Flail chest and first rib fractures are high-energy injuries and should prompt investigation of damage to underlying 626:
Wanek, Sandra; Mayberry, John C (2004). "Blunt thoracic trauma: flail chest, pulmonary contusion, and blast injury".
795:"Operative management versus non-operative management of rib fractures in flail chest injuries: a systematic review" 2422: 1942: 1817: 421: 409: 2277: 2043: 1947: 1894: 750:
Brown, SD; Walters, MR (2012). "Patients with rib fractures: use of incentive spirometry volumes to guide care".
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White, L.; Riley, B.; Malla, U.; Snels, N.; Mitchell, A.; Abi-Fares, C.; Basson, W.; Anstey, C. (2020-08-15).
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White, L. D.; Riley, B.; Davis, K.; Thang, C.; Mitchell, A.; Abi-fares, C.; Basson, W.; Anstey, C. (2021).
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U-plates can also be used as they clamp on to the superior aspect of the ribs using locking screws.
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Fitzpatrick, D. C.; Denard, P. J.; Phelan, D.; Long, W. B.; Madey, S. M.; Bottlang, M. (2010).
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An X ray showing multiple old fractured ribs of the person's left side as marked by the oval
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Senekjian, L; Nirula, R (January 2017). "Rib Fracture Fixation: Indications and Outcomes".
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may occur at the site of the break. When several ribs are broken in several places a
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Rib fractures can occur with or without direct trauma during recreational activity.
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Dennis, BM; Bellister, SA; Guillamondegui, OD (October 2017). "Thoracic Trauma".
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Rib fractures usually occur from a direct blow to the chest such as during a
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bone. This typically results in chest pain that is worse with inspiration.
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Treatment options for internal fixation/repair of rib fractures include:
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Annals of Advances in Automotive Medicine / Annual Scientific Conference
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Emergency Medicine E-Book: Clinical Essentials (Expert Consult – Online)
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often pick up displaced fractures but often miss undisplaced fractures.
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de Jong, M. B.; Kokke, M. C.; Hietbrink, F.; Leenen, L. P. H. (2014).
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Brunner & Suddarth's Textbook of Canadian Medical-surgical Nursing
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This typically results in chest pain that is worse with inspiration.
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is an important part of treatment. This may include the use of
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Skeletal Trauma: Basic Science, Management, and Reconstruction
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Kent, Richard; Woods, William; Bostrom, Ola (2008-01-01).
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Illustration showing rib fracture at 3rd, 4th and 5th rib
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Schuurmans, J; Goslings, JC; Schepers, T (April 2017).
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is generally able to pick up both types of fractures.
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Potential complications include a 2430: 2416: 2408: 2208: 2030: 1805: 1791: 1783: 1643: 1350:The American Journal of Emergency Medicine 1303:The American Journal of Emergency Medicine 1279:. Oxford University Press. p. PT388. 957: 955: 495: 493: 377:Two broken ribs as seen on parasagittal CT 365:Right sided pneumothorax and rib fractures 80:Chest pain that is worse with breathing in 49: 32: 1609: 1489: 1424: 1206: 1071: 1022: 818: 621: 619: 617: 596:. Elsevier Health Sciences. p. 682. 565: 543: 541: 539: 537: 535: 533: 531: 529: 491: 489: 487: 485: 483: 481: 479: 477: 475: 473: 585: 583: 581: 579: 577: 1567:. Elsevier Health Scien. p. 1418. 469: 343: 728: 1276:Ultrasound Guided Regional Anesthesia 964:The Surgical Clinics of North America 7: 1900:Zygomaticomaxillary complex fracture 253:may occur at the site of the break. 940:from the original on 20 August 2015 301:Signs of a broken rib may include: 2293:Combined tibia and fibula fracture 1244:10.1097/01.aco.0000432516.93715.a7 663:PET-CT: Rare Findings and Diseases 25: 1232:Current Opinion in Anesthesiology 707:10.1016/j.annemergmed.2017.04.011 420:, erector spinae plane block and 1756: 1581:from the original on 2016-05-08. 1561:Browner, Bruce D. (2009-01-01). 1533:from the original on 12 May 2016 1115:from the original on 2016-06-29. 610:from the original on 2017-10-13. 522:from the original on 2017-10-13. 370: 358: 346: 1598:Scandinavian Journal of Surgery 388:will often require a period of 1968:Vertebral compression fracture 1144:10.1016/j.jclinane.2022.110940 1132:Journal of Clinical Anesthesia 314:Increasing shortness of breath 1: 640:10.1016/S0749-0704(03)00098-8 422:serratus anterior plane block 287:Cardiopulmonary resuscitation 1417:10.1213/ANE.0000000000005730 856:10.1302/0301-620X.98B8.37282 844:The Bone & Joint Journal 764:10.1097/JTN.0b013e31825629ee 695:Annals of Emergency Medicine 2605: 1943:Craniocervical instability 1513:Mathison, Douglas (2014). 1405:Anesthesia & Analgesia 1362:10.1016/j.ajem.2020.08.004 1315:10.1016/j.ajem.2020.01.007 1187:The Korean Journal of Pain 502:Mosby's Medical Dictionary 410:rhomboid intercostal block 153:Pain improves over 6 weeks 2278:Le Fort fracture of ankle 1948:Flexion teardrop fracture 1895:Le Fort fracture of skull 1519:. Walters-Kluwer Health. 1482:10.1007/s00068-010-0027-8 1199:10.3344/kjp.2019.32.2.129 1181:Ökmen, K (1 April 2019). 976:10.1016/j.suc.2017.06.009 891:10.1016/j.ccc.2016.08.009 811:10.1007/s00068-016-0721-2 752:Journal of Trauma Nursing 665:. Springer. p. 257. 661:Nanni, Christina (2012). 550:"Rib fracture management" 57: 48: 2468:Traumatic aortic rupture 1611:10.1177/1457496914531928 930:"Broken or bruised ribs" 758:(2): 89–91, quiz 92–03. 590:Adams, James G. (2012). 567:10.1093/bjaceaccp/mkv011 2553:Tracheobronchial injury 2519:lower respiratory tract 2124:Essex-Lopresti fracture 2054:Holstein–Lewis fracture 1064:10.1136/thx.2006.065144 204:motor vehicle collision 44:Broken rib, cracked rib 1938:Clay-shoveler fracture 1875:Basilar skull fracture 308:Swelling in chest area 2558:Diaphragmatic rupture 2473:Thoracic aorta injury 2302:Trimalleolar fracture 879:Critical Care Clinics 628:Critical Care Clinics 2548:Pulmonary laceration 2488:Myocardial contusion 2307:Bimalleolar fracture 2273:Maisonneuve fracture 390:assisted ventilation 311:Bruise in chest area 2543:Pulmonary contusion 1958:Holdsworth fracture 1885:Mandibular fracture 1852:Pathologic fracture 1842:Greenstick fracture 1837:Chalkstick fracture 418:paravertebral block 414:epidural anesthesia 339:pulmonary contusion 271:pulmonary contusion 193:pulmonary contusion 120:Based on symptoms, 91:Pulmonary contusion 27:Break in a rib bone 2507:Myocardial rupture 2453:circulatory system 2237:Toddler's fracture 2078:Monteggia fracture 1963:Jefferson fracture 1953:Hangman's fracture 1725:External resources 1058:(Suppl 1): i1–24. 305:Pain on inhalation 245:Signs and symptoms 69:Emergency medicine 2566: 2565: 2497:Cardiac tamponade 2405: 2404: 2358: 2357: 2283:Bosworth fracture 2232:Gosselin fracture 2191:Duverney fracture 2134: 2133: 2003:Shoulder fracture 1923:Cervical fracture 1832:Avulsion fracture 1751: 1750: 1526:978-1-46988-903-0 1356:(10): 2221–2223. 672:978-3-642-24698-2 458:Pulmonary hygiene 337:injuries such as 291:sternum fractures 229:(acetaminophen), 212:metastatic cancer 165: 164: 136:(acetaminophen), 116:Diagnostic method 30:Medical condition 16:(Redirected from 2596: 2538:Hemopneumothorax 2432: 2425: 2418: 2409: 2341:Femoral fracture 2331:Patella fracture 2264:Fibular fracture 2254:Tillaux fracture 2247:Plafond fracture 2209: 2064:Forearm fracture 2035:Humerus fracture 2031: 1993:Sternal fracture 1880:Blowout fracture 1818:cartilage damage 1807: 1800: 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1902: 1897: 1892: 1890:Nasal fracture 1887: 1882: 1877: 1871: 1869: 1863: 1862: 1860: 1859: 1854: 1849: 1844: 1839: 1834: 1828: 1826: 1822: 1821: 1812: 1810: 1809: 1802: 1795: 1787: 1762: 1755: 1754: 1753: 1749: 1748: 1745: 1744: 1729: 1728: 1726: 1722: 1721: 1718: 1717: 1706: 1695: 1676: 1656: 1651: 1650: 1648: 1647:Classification 1640: 1639:External links 1637: 1634: 1633: 1584: 1574:978-1416022206 1573: 1553: 1525: 1505: 1456: 1391: 1336: 1292: 1285: 1265: 1222: 1193:(2): 129–132. 1173: 1118: 1107: 1087: 1038: 989: 951: 921: 904: 869: 850:(8): 1119–25. 834: 785: 742: 701:(6): 904–909. 678: 671: 653: 613: 603:978-1455733941 602: 573: 525: 515:978-0323112581 514: 468: 467: 465: 462: 461: 460: 453: 450: 449: 448: 445: 441: 437: 429: 426: 405: 402: 384: 381: 380: 379: 376: 369: 367: 364: 357: 355: 352: 345: 319: 318: 315: 312: 309: 306: 298: 295: 282: 279: 258: 255: 246: 243: 210:. Coughing or 163: 162: 159: 155: 154: 151: 145: 144: 131: 125: 124: 118: 112: 111: 106: 102: 101: 88: 82: 81: 78: 72: 71: 66: 60: 59: 55: 54: 46: 45: 42: 38: 37: 29: 26: 24: 14: 13: 10: 9: 6: 4: 3: 2: 2601: 2590: 2587: 2585: 2582: 2580: 2577: 2576: 2574: 2559: 2556: 2554: 2551: 2549: 2546: 2544: 2541: 2539: 2536: 2534: 2531: 2529: 2526: 2525: 2523: 2520: 2514: 2508: 2505: 2503: 2500: 2498: 2495: 2493: 2489: 2486: 2484: 2480: 2479: 2474: 2471: 2470: 2469: 2466: 2464: 2460: 2459: 2457: 2454: 2448: 2444: 2440: 2433: 2428: 2426: 2421: 2419: 2414: 2413: 2410: 2398: 2395: 2393: 2390: 2388: 2385: 2383: 2380: 2378: 2375: 2373: 2370: 2369: 2367: 2365: 2364:Foot fracture 2361: 2351: 2348: 2347: 2345: 2342: 2338: 2332: 2329: 2328: 2326: 2323: 2322:Crus fracture 2319: 2313: 2310: 2308: 2305: 2303: 2300: 2299: 2297: 2294: 2290: 2284: 2281: 2279: 2276: 2274: 2271: 2270: 2268: 2265: 2261: 2255: 2252: 2248: 2245: 2244: 2243: 2240: 2238: 2235: 2233: 2230: 2228: 2225: 2223: 2220: 2219: 2217: 2214: 2210: 2207: 2203: 2197: 2194: 2192: 2189: 2188: 2186: 2184: 2180: 2174: 2173:Broken finger 2171: 2169: 2166: 2164: 2161: 2159: 2156: 2154: 2151: 2149: 2146: 2145: 2143: 2141: 2140:Hand fracture 2137: 2125: 2122: 2120: 2117: 2115: 2112: 2110: 2107: 2105: 2102: 2100: 2097: 2096: 2095: 2094:Distal radius 2091: 2088: 2084: 2083:Hume fracture 2081: 2079: 2076: 2075: 2074: 2073:Ulna fracture 2071: 2070: 2068: 2065: 2061: 2055: 2052: 2050: 2049:Supracondylar 2047: 2045: 2042: 2041: 2039: 2036: 2032: 2029: 2027: 2023: 2017: 2014: 2012: 2009: 2008: 2006: 2004: 2000: 1994: 1991: 1989: 1986: 1985: 1983: 1981: 1977: 1969: 1966: 1964: 1961: 1959: 1956: 1954: 1951: 1949: 1946: 1944: 1941: 1939: 1936: 1934: 1931: 1929: 1926: 1925: 1924: 1921: 1920: 1918: 1916: 1912: 1906: 1903: 1901: 1898: 1896: 1893: 1891: 1888: 1886: 1883: 1881: 1878: 1876: 1873: 1872: 1870: 1868: 1864: 1858: 1855: 1853: 1850: 1848: 1847:Open fracture 1845: 1843: 1840: 1838: 1835: 1833: 1830: 1829: 1827: 1823: 1819: 1815: 1808: 1803: 1801: 1796: 1794: 1789: 1788: 1785: 1777: 1776: 1775: 1769: 1765: 1743: 1740: 1736: 1735: 1731: 1730: 1727: 1723: 1716: 1712: 1711: 1707: 1705: 1701: 1700: 1696: 1694: 1690: 1686: 1685: 1681: 1677: 1675: 1671: 1667: 1666: 1662: 1658: 1657: 1654: 1649: 1645: 1638: 1629: 1625: 1621: 1617: 1612: 1607: 1604:(2): 120–25. 1603: 1599: 1595: 1588: 1585: 1580: 1576: 1570: 1566: 1565: 1557: 1554: 1551: 1547: 1546: 1532: 1528: 1522: 1518: 1517: 1509: 1506: 1501: 1497: 1492: 1487: 1483: 1479: 1476:(5): 427–33. 1475: 1471: 1467: 1460: 1457: 1452: 1448: 1444: 1440: 1436: 1432: 1427: 1422: 1418: 1414: 1410: 1406: 1402: 1395: 1392: 1387: 1383: 1379: 1375: 1371: 1367: 1363: 1359: 1355: 1351: 1347: 1340: 1337: 1332: 1328: 1324: 1320: 1316: 1312: 1308: 1304: 1296: 1293: 1288: 1286:9780190630478 1282: 1278: 1277: 1269: 1266: 1261: 1257: 1253: 1249: 1245: 1241: 1238:(5): 626–31. 1237: 1233: 1226: 1223: 1218: 1214: 1209: 1204: 1200: 1196: 1192: 1188: 1184: 1177: 1174: 1169: 1165: 1161: 1157: 1153: 1149: 1145: 1141: 1137: 1133: 1129: 1122: 1119: 1114: 1110: 1108:9780781799898 1104: 1100: 1099: 1091: 1088: 1083: 1079: 1074: 1069: 1065: 1061: 1057: 1053: 1049: 1042: 1039: 1034: 1030: 1025: 1020: 1016: 1012: 1008: 1004: 1000: 993: 990: 985: 981: 977: 973: 969: 965: 958: 956: 952: 939: 935: 931: 925: 922: 919: 915: 914: 908: 905: 900: 896: 892: 888: 885:(1): 153–65. 884: 880: 873: 870: 865: 861: 857: 853: 849: 845: 838: 835: 830: 826: 821: 816: 812: 808: 805:(2): 163–68. 804: 800: 796: 789: 786: 781: 777: 773: 769: 765: 761: 757: 753: 746: 743: 738: 732: 724: 720: 716: 712: 708: 704: 700: 696: 689: 682: 679: 674: 668: 664: 657: 654: 649: 645: 641: 637: 633: 629: 622: 620: 618: 614: 609: 605: 599: 595: 594: 586: 584: 582: 580: 578: 574: 568: 563: 559: 555: 554:BJA Education 551: 544: 542: 540: 538: 536: 534: 532: 530: 526: 521: 517: 511: 504: 503: 496: 494: 492: 490: 488: 486: 484: 482: 480: 478: 476: 474: 470: 463: 459: 456: 455: 451: 446: 442: 438: 435: 434: 433: 427: 425: 423: 419: 415: 411: 403: 401: 399: 395: 391: 382: 373: 368: 361: 356: 349: 344: 342: 340: 336: 330: 328: 324: 316: 313: 310: 307: 304: 303: 302: 296: 294: 292: 288: 280: 278: 276: 272: 268: 264: 257:Complications 256: 254: 252: 244: 242: 240: 236: 232: 228: 224: 220: 218: 213: 209: 205: 200: 198: 194: 190: 186: 182: 178: 174: 170: 160: 156: 152: 150: 146: 143: 139: 135: 132: 130: 126: 123: 119: 117: 113: 110: 107: 103: 100: 96: 92: 89: 87: 86:Complications 83: 79: 77: 73: 70: 67: 65: 61: 56: 52: 47: 43: 39: 34: 19: 2579:Chest trauma 2528:Pneumothorax 2481: 2461: 2441:, excluding 2439:Chest injury 2350:Hip fracture 2026:Arm fracture 1988:Rib fracture 1987: 1774:Rib fracture 1772: 1771: 1770:profile for 1767: 1732: 1708: 1697: 1678: 1659: 1601: 1597: 1587: 1563: 1556: 1550:Google Books 1545:Rib fracture 1543: 1535:. 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Retrieved 933: 924: 913:Rib Fracture 911: 907: 882: 878: 872: 847: 843: 837: 802: 798: 788: 755: 751: 745: 731:cite journal 698: 694: 681: 662: 656: 634:(1): 71–81. 631: 627: 592: 560:(1): 26–32. 557: 553: 501: 431: 407: 404:Nerve blocks 396:(e.g., lung 386: 331: 320: 300: 284: 267:pneumothorax 260: 248: 223:Pain control 221: 208:crush injury 201: 189:pneumothorax 169:rib fracture 168: 166: 109:Chest trauma 95:pneumothorax 36:Rib fracture 2450:Cardiac and 2109:Chauffeur's 327:CT scanning 263:flail chest 239:nerve block 227:paracetamol 185:flail chest 134:Paracetamol 41:Other names 2573:Categories 2533:Hemothorax 2397:Broken toe 1710:DiseasesDB 1138:: 110940. 464:References 206:or from a 129:Medication 18:Broken rib 2443:fractures 2392:Calcaneal 2382:Cuneiform 2158:Bennett's 1814:Fractures 1742:radio/609 1739:emerg/204 1734:eMedicine 1537:15 August 1451:237400070 1435:0003-2999 1386:221328812 1370:0735-6757 1331:210194417 1168:251206240 1152:0952-8180 1015:1943-2461 1009:: 73–84. 944:15 August 918:eMedicine 398:contusion 383:Treatment 297:Diagnosis 275:pneumonia 197:pneumonia 158:Frequency 149:Prognosis 99:pneumonia 64:Specialty 2589:Injuries 2521:injuries 2516:Lung and 2463:vascular 2455:injuries 2372:Lisfranc 2148:Scaphoid 2119:Barton's 2099:Galeazzi 2044:Proximal 2016:Scapular 2011:Clavicle 1628:11113635 1620:24782038 1579:Archived 1531:Archived 1500:21841954 1443:34473654 1378:32843243 1323:31932127 1260:35082310 1252:23995061 1217:31091512 1160:35917775 1113:Archived 1082:16936230 1033:19026224 984:28958357 938:Archived 936:. 2015. 899:27894495 864:27482027 829:27572897 780:45547470 772:22673074 723:23442272 715:28559032 648:14979330 608:Archived 520:Archived 506:(E-Book) 452:See also 444:section. 335:thoracic 251:Bruising 181:Bruising 76:Symptoms 2168:Busch's 2163:Boxer's 2153:Rolando 2114:Smith's 2104:Colles' 1825:General 1764:Scholia 1704:D012253 1491:3150812 1208:6549589 1073:2080754 1024:3256783 820:5378742 428:Surgery 394:viscera 235:opioids 142:opioids 1766:has a 1626:  1618:  1571:  1523:  1498:  1488:  1449:  1441:  1433:  1384:  1376:  1368:  1329:  1321:  1283:  1258:  1250:  1215:  1205:  1166:  1158:  1150:  1105:  1080:  1070:  1052:Thorax 1031:  1021:  1013:  982:  934:NHS.UK 897:  862:  827:  817:  778:  770:  721:  713:  669:  646:  600:  512:  440:screw. 323:X-rays 321:Plain 281:Causes 273:, and 231:NSAIDs 195:, and 161:Common 138:NSAIDs 105:Causes 2483:heart 2387:March 2377:Jones 1768:topic 1715:11553 1693:807.1 1689:807.0 1674:S22.4 1670:S22.3 1624:S2CID 1447:S2CID 1382:S2CID 1327:S2CID 1256:S2CID 1164:S2CID 776:S2CID 719:S2CID 691:(PDF) 233:, or 175:in a 173:break 171:is a 1980:Ribs 1867:Head 1816:and 1699:MeSH 1684:9-CM 1616:PMID 1569:ISBN 1539:2015 1521:ISBN 1496:PMID 1439:PMID 1431:ISSN 1374:PMID 1366:ISSN 1319:PMID 1281:ISBN 1248:PMID 1213:PMID 1156:PMID 1148:ISSN 1103:ISBN 1078:PMID 1029:PMID 1011:ISSN 980:PMID 946:2015 895:PMID 860:PMID 848:98-B 825:PMID 768:PMID 737:link 711:PMID 667:ISBN 644:PMID 598:ISBN 510:ISBN 237:. A 2205:Leg 1680:ICD 1661:ICD 1606:doi 1602:103 1548:at 1486:PMC 1478:doi 1421:hdl 1413:doi 1409:133 1358:doi 1311:doi 1240:doi 1203:PMC 1195:doi 1140:doi 1068:PMC 1060:doi 1019:PMC 972:doi 916:at 887:doi 852:doi 815:PMC 807:doi 760:doi 703:doi 636:doi 562:doi 177:rib 2575:: 1737:: 1713:: 1702:: 1691:, 1687:: 1668:: 1665:10 1622:. 1614:. 1600:. 1596:. 1577:. 1529:. 1494:. 1484:. 1474:36 1472:. 1468:. 1445:. 1437:. 1429:. 1419:. 1407:. 1403:. 1380:. 1372:. 1364:. 1354:38 1352:. 1348:. 1325:. 1317:. 1307:38 1305:. 1254:. 1246:. 1236:26 1234:. 1211:. 1201:. 1191:32 1189:. 1185:. 1162:. 1154:. 1146:. 1136:82 1134:. 1130:. 1111:. 1076:. 1066:. 1056:61 1054:. 1050:. 1027:. 1017:. 1007:52 1005:. 1001:. 978:. 968:97 966:. 954:^ 932:. 893:. 883:33 881:. 858:. 846:. 823:. 813:. 803:43 801:. 797:. 774:. 766:. 756:19 754:. 733:}} 729:{{ 717:. 709:. 699:70 697:. 693:. 642:. 632:20 630:. 616:^ 606:. 576:^ 558:16 556:. 552:. 528:^ 518:. 472:^ 416:, 412:, 277:. 269:, 219:. 199:. 191:, 167:A 140:, 97:, 93:, 2490:/ 2485:: 2465:: 2431:e 2424:t 2417:v 2343:: 2324:: 2295:: 2266:: 2215:: 2092:/ 2066:: 2037:: 1806:e 1799:t 1792:v 1778:. 1682:- 1672:- 1663:- 1653:D 1630:. 1608:: 1541:. 1502:. 1480:: 1453:. 1423:: 1415:: 1388:. 1360:: 1333:. 1313:: 1289:. 1262:. 1242:: 1219:. 1197:: 1170:. 1142:: 1084:. 1062:: 1035:. 986:. 974:: 948:. 901:. 889:: 866:. 854:: 831:. 809:: 782:. 762:: 739:) 725:. 705:: 675:. 650:. 638:: 570:. 564:: 20:)

Index

Broken rib

Specialty
Emergency medicine
Symptoms
Complications
Pulmonary contusion
pneumothorax
pneumonia
Chest trauma
Diagnostic method
medical imaging
Medication
Paracetamol
NSAIDs
opioids
Prognosis
break
rib
Bruising
flail chest
pneumothorax
pulmonary contusion
pneumonia
motor vehicle collision
crush injury
metastatic cancer
medical imaging
Pain control
paracetamol

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