One or more fins can be broken by blunt chest injury.
Typically, rib fractures are a blunt force to the chest wall, eg. For example, by a braking movement at high speed, a baseball bat or a heavy crash, triggered; in elderly patients, however, sometimes even a small force (z. B. if one slips) is sufficient. If ? 2 adjacent ribs break at 2 separate locations, which openings lead into each fin to a flutter chest (chest flutter).
One or more fins can be broken by blunt chest injury. Typically, rib fractures are a blunt force to the chest wall, eg. For example, by a braking movement at high speed, a baseball bat or a heavy crash, triggered; in elderly patients, however, sometimes even a small force (z. B. if one slips) is sufficient. If ? 2 adjacent ribs break at 2 separate locations, which openings lead into each fin to a flutter chest (chest flutter). Tips and risks Minor injuries (z. B. after a fall) in the elderly can cause rib fractures with fatal consequences. Concurrent chest injuries can be the following: aortic, subclavian, or cardiac injuries: These injuries are rare, but can occur in accidents involving high speed, especially in fractures of the first and second rib. Spleen or abdominal injuries: fractures of the ribs of a 7-12 Pulmonary contusion injury or pneumothorax hemothorax Tracheobronchial injury (rare) complications Most complications arising from associated injuries. Isolated rib fractures are painful, but rarely lead to complications. However, a pain-related Even breathing can result in atelectasis or pneumonia, especially in the elderly or patients with multiple fractures. Thus, older patients have rib fractures a high mortality rate (up to 20%) young, healthy patients and those with one or two rib fractures often develop these complications. Symptoms and complaints The pain is strong, (z. B. when coughing or during deep breathing) Aggravated by trunk movements and keeps for several weeks. The ribs concerned are very sensitive; Sometimes the doctor can detect crepitus over the affected rib when the fracture segment moves during palpation. Diagnosis Usually, chest x-ray, the palpation of the chest wall can identify some broken bones. Some doctors see a clinical evaluation in healthy patients with minor trauma as appropriate. In patients with significant, blunt trauma, a chest x-ray (z. B. pneumothorax, pulmonary contusion) is routinely performed to exclude concomitant injuries. Many rib fractures are not visible on the chest X-ray; specific views of the ribs can be made, but the identification of all the broken ribs by X-rays is not usually necessary. Other studies are based on the associated injuries that appear clinically possible. Therapy analgesia “Pulmonary Toilet” The treatment usually requires opioid analgesics, although opioids also suppress breathing and may aggravate atelectasis. Some doctors prescribe NSAIDs simultaneously. In order to minimize pulmonary complications, patients should be aware of and regularly (eg. As hourly are awake during them), take a deep breath or cough. to keep the affected area with a flat hand or with the help of a pillow, so to splint in essence, can contribute to a reduction in pain during deep breathing or coughing. Hospitalization is required in patients with ? 3 fractures or heart failure as underlying disease. Immobilization such. For example, by association or tapes should be avoided; it narrows the chest and can lead to atelectasis and pneumonia. If patients despite oral or iv can not cough given analgesics or breathe deeply, epidural medication or intercostal nerve block may be taken into Bertracht. Important points morbidity resulting from more underlying lung, spleen or vascular injury or developing pneumonia due to splinting as from rib fractures in itself. Identification of all rib fractures using X-rays is not usually necessary. Pain can be severe and last for weeks, usually they require opioid analgesics. Bandage or tape should be avoided because they constrict the chest and can lead to atelectasis and pneumonia.