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A rib fracture is a break in a rib bone. [1] This typically results in chest pain that is worse with inspiration. [1] Bruising may occur at the site of the break. [3] When several ribs are broken in several places a flail chest results. [4] Potential complications include a pneumothorax, pulmonary contusion, and pneumonia. [2] [1]
Pulmonary laceration is a common result of penetrating trauma but may also be caused by blunt trauma; broken ribs may perforate the lung, or the tissue may be torn due to shearing forces [5] that result from different rates of acceleration or deceleration of different tissues of the lung. [6]
The constant motion of the ribs in the flail segment at the site of the fracture is extremely painful, and, untreated, the sharp broken edges of the ribs are likely to eventually puncture the pleural sac and lung, possibly causing a pneumothorax.
The rib cage’s function is to protect the organs in the chest, including the lungs and heart. In between the rib bones are the intercostal muscles, Vasudevan adds, which allow the chest to move.
The most common mechanism is the penetration of sharp bony points at a new rib fracture, which damages lung tissue. [18] Traumatic pneumothorax may also be observed in those exposed to blasts, even when there is no apparent injury to the chest. [9] Traumatic pneumothoraces may be classified as "open" or "closed".
Signs and symptoms include chest and abdominal pain, difficulty breathing, and decreased lung sounds. When a tear is discovered, surgery is needed to repair it. Injuries to the diaphragm are usually accompanied by other injuries, and they indicate that more severe injury may have occurred.
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