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Rib fractures usually occur from a direct blow to the chest such as during a motor vehicle collision or from a crush injury. [2] [1] Coughing or metastatic cancer may also result in a broken rib. [1] The middle ribs are most commonly fractured. [5] [1] Fractures of the first or second ribs are more likely to be associated with complications. [6]
Type 3, which are caused by punctures from fractured ribs, occur in the area near the chest wall underlying the broken rib. [18] Also called rib penetration lacerations, type 3 lacerations tend to be small [1] and accompanied by pneumothorax. [18] Commonly, more than one type 3 laceration will occur. [19]
Since the diaphragm is in constant motion with respiration, and because it is under tension, lacerations will not heal on their own. [10] The injury usually becomes larger with time if not repaired. [2] The main goals of surgery are to repair any injuries to the diaphragm and to move any herniated abdominal organs back to their original place. [12]
A sternal fracture is a fracture of the sternum (the breastbone), located in the center of the chest.The injury, which occurs in 5–8% of people who experience significant blunt chest trauma, may occur in vehicle accidents, when the still-moving chest strikes a steering wheel or dashboard [1] or is injured by a seatbelt.
This is most common in long bones such as the femur. [10] Delayed union: healing times vary depending on the location of a fracture and the age of a patient. Delayed union is characterised by 'persistence of the fracture line and a scarcity or absence of callus formation' on x-ray. Healing is still occurring but at a much slower rate than ...
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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 ...
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