| Risk Factors
A rib fracture is a break in a rib bone. Bruised muscles and ligaments often happen with a rib fracture. With a rib fracture, the lungs and other organs can be injured. More than one rib fracture after a
can indicate serious internal injury.
Multiple Rib Fractures with Damage to Lung
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Rib fractures are caused by:
- A direct blow to the rib
- Crushing of the chest, such as in contact sports or a car accident
- Severe coughing incidents that can occur with lung problems or at high altitude
- Rib fractures in young children are often a sign of abuse
Factors that may increase your risk of breaking a rib include:
- Age: 65 years and older
- Difficulty doing activities of daily living
- Playing contact sports
- Having weak bones
Having a chronic
Extreme repetitive upper body activity, such as in:
- Throwing athletes
- Basketball players
- Weight lifters
Having an occupation involving a lot of overhead
- Having a history of rib or chest fracture
- Pain in the ribs or upper chest area
- Pain when coughing
- Swelling and bruising in the fracture area
- Severe local tenderness in the fracture area
- Internal bleeding
- Pain while breathing
The doctor will ask about your symptoms and how the injury occurred. Your chest, lungs, and back will be examined.
Images may be taken of your bodily structures. This can be done with:
Rest and do not do physical activity until the pain has gone away.
Your doctor may suggest wearing a chest binder around your ribs to protect them. The binder will also help you breathe properly. It is important to take some good breaths so that the lungs remain clear.
can develop after rib fractures if you are not breathing deeply enough. If you play contact sports, you may need to wear a rib cage protector for 6-8 weeks when you return to playing.
Your doctor may recommend that you take over-the-counter medication to help reduce inflammation and pain, such as ibuprofen.
As your ribs heal, a physical therapist can teach you breathing exercises. The therapist can also help you maintain
range of motion
in arm and shoulder joints.
Special injections with local anesthetic can temporarily relieve pain.
temporary epidural catheter
is used to place anesthetic near the spinal cord and nerves. This can help severe cases where the injury requires hospitalization.
Hospitalization is usually only needed if there are complications such as damage to organs in the chest.
Sometimes rib fractures cannot be prevented. To reduce your chance of fracturing a rib:
- Wear protective equipment, such as rib pads, when playing contact sports.
- Avoid over-training.
- Learn the proper technique for exercise and sporting activities.
Maintain strong bones by:
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Fractures. American Academy of Orthopaedic Surgeons website. Available at:
http://orthoinfo.aaos.org/topic.cfm?topic=A00097. Updated October 2012. Accessed August 26, 2013.
Gregoretti C, et al. Regional anesthesia in trauma patients.
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O'Kane J. Delayed complication of a rib fracture.
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1/4/2011 DynaMed's Systematic Literature Surveillance
https://dynamed.ebscohost.com/about/about-us: Barrett-Connor E, Nielson CM, Orwoll E, Bauer DC, Cauley JA; Osteoporotic Fractures in Men Study Group. Epidemiology of rib fractures in older men: Osteoporotic Fractures in Men (MrOS) prospective cohort study.
Last reviewed September 2013 by Michael Woods, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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