- The term 'bruised rib' is sometimes used to describe an injury where the ribs are hurt, but they are not broken. In this case, it is not the bones that are involved. The pain of a bruised rib is actually from the strain or injury of the tissue, cartilage, and muscles of the chest wall.
- Slipping rib syndrome occurs when the cartilage on the lower ribs slips and moves, leading to pain in the chest or upper abdomen. Learn about its symptoms, causes, diagnosis, and complications.
- Clicking Ribs After Fall
- Fractured Ribs Clicking Sound Like
- Fractured Ribs Symptoms
- Fractured Ribs Clicking Sound Effect
It’s Dr. Parker again and in this post I’m going to talk about rib fractures. Rib fractures are a pretty common problem I see, and it’s not just the young dare-devil types! I often see folks in their 50s, 60s, 70s and 80s with multiple rib fractures. These are the result of a wide range of accidents – anything from falling off of a bench to getting bucked off of a horse. Of course, in Jackson in the winter time, skiers/snowboarders and snowmobilers are common recipients of a good ole’ fashioned butt kicking from mother nature.
Rib fractures can be mild to life threatening, depending on the severity of the injury and other associated injuries. I’m going to talk about common associated injuries in another post, so this one I’ll just stick to rib fractures.
Sep 04, 2020 A fractured rib refers to a break in one of the bones of the rib cage, or the break in the cartilage that forms the rib cage. Direct blow to the ribs, such as that resulting from a fall or car accident, is the most common reason for rib fractures. Dec 24, 2017 Slipping rib syndrome is a condition where the ribs slip away from their usual position. It occurs because the ligaments that help to hold the ribs in the correct place are pulled out of position.
Commonly, patients present with one or two non-displaced fractures (meaning the bones are still in the right place, they are just broken) and no other organ injury. This is the simplest form of rib fracture. The good news is, there is no surgery needed for something like this. The bad news is, there is no good way to splint the rib fractures. Some people may find some comfort in “taping the ribs or wearing a tight-fitting undergarment. If this works for you, great….if not….no big deal.
Our goal is to get you fairly comfortable using pain medication and avoid other complications commonly associated with rib fractures. The medication will not be able to take all of your pain away, but the main objective is to get you breathing and moving fairly easily. One of the main complications that can arise after rib fractures is pneumonia. When we have ribs fractured, we don’t want to take normal deep breaths. We often breathe much more shallow than normal. This lets the lung partially “collapse” in the bases and outer portion.
![Fractured Ribs Clicking Sound Fractured Ribs Clicking Sound](https://images.medicinenet.com/images/article/main_image/broken-rib.jpg)
(Quick anatomy lesson….the lung is made of millions of microscopic sacs which take the oxygen in the air, and put it into the blood. If not kept inflated normally, these microscopic sacs can collapse. When they collapse, they are a good place for bacteria to attach to and start multiplying thus, causing pneumonia).
So to prevent pneumonia after rib fractures, I like to give patients a good amount of narcotic pain medication for the first 3 or so days. This is the time when the pain peaks and starts to subside. If we can keep you comfortable and breathing normally, we can lower your chance of pneumonia. In addition to breathing normally, we generally have patients use a “spirometer”. This is a little plastic machine that helps you determine exactly how much (in millilitres) you are breathing in when you take a deep breath. This just helps you monitor the deep breaths and actually put a number on them, instead of guessing.
The downside to taking narcotic pain medication is that it can make people very constipated. This is why I start a stool softener with everyone who has rib fractures and is taking narcotics. I generally give patients Senokot twice daily to prevent constipation. Some patients may need a little extra to keep them regular, and in this case, I start Milk of Magnesia twice daily as well. You should continue to take stool softeners as long as you are still taking narcotics.
The other main complication that is associated with rib fractures is “Deep Venous Thrombosis” or DVT. A DVT is basically a blood clot that usually start somewhere in the lower extremities. The dangerous part about a DVT is that it can break loose and then “embolize” or “travel through the blood stream” to the lungs. This is called a “Pulmonary Embolism”, or PE. PE’s can be very small and virtually have no symptoms, or they can be very large and result in death. So, we definitely want to prevent against a DVT and PE while you are in the hospital. There are a couple reasons people get DVTs after rib fractures. It’s not necessarily the ribs being broken which is the problem, but that the patient has sustained a significant trauma. Just like when you cut your finger accidentally, the body will try to “stop the bleeding” by producing blood clots. In a significant trauma, where ribs are broken and maybe even some other organs are bruised (skin, muscle, spleen liver), the body will try to “stop the bleeding” by forming clots. The body will be in a “hypercoagulable state” (coagulate = blood clotting). So, we develop a hyper-clotting state after major trauma, or even surgery. Depending on the trauma, the elevation of the clotting status will be variable, but combine that will laying in a hospital bed for a couple of days (the blood then doesn’t circulate as well….or as fast as if you were up walking or running around) and now we have a pretty good set up for blood clots….or DVTs and subsequent PEs.
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So prevention measures consist of two things. First, we get you walking as soon as possible, and we thin your blood just a little bit to prevent excessive clotting. The walking prevents DVTs by keeping good blood flow and circulation. The slower the blood flow, the easier it is for your body to make clots, so the walking prevents against that. Second, is the blood thinner. It’s a little stronger than aspirin, and not quite as strong as Coumadin (if you are familiar). Everyone who sustains a significant trauma (including rib fractures) will receive this blood thinner while in the hospital. When you go home, we typically stop the blood thinner because you are generally more active at home than in the hospital. Those are the main complications we are trying to avoid with rib fractures, so when I come in and ask how your deep breathing and walking is going, you’ll know why.
![Pain Pain](https://matthewbonnan.files.wordpress.com/2013/10/matts-broken-rib.jpg)
Lastly, patients always want to know “when they can get back to normal activity”. Well, unfortunately the only thing that is going to heal those ribs is time. In general, bones take about 6-8 weeks to heal well. You, of course, will be feeling much better in about 1-2 weeks, but you should gradually increase your activity during those 6-8 weeks. It’s fairly normal to have a few good days followed by a really bad day (as far as pain is concerned). As long as you are improving week to week, you are on the right track.
I hope this has given you a little insight to the natural course of rib fractures and what to expect while you are in the hospital.
-Dr. Buck
-Dr. Buck
P.S. Please leave comments or questions for me below. Thanks!
The rib cage is one the most important parts of the human skeletal system. It protects many of the important organs of the body, and therefore, any kind of injury to the rib can be hazardous. Let us find out the possible symptoms of a fractured rib and how to take care of it.
To know the symptoms of a cracked rib, first we need to know a little about the ribs and what causes a cracked or fractured rib. Ribs are classified into three categories according to their location inside the body. The three categories are: upper ribs, middle ribs and lower ribs. The upper ribs are protected by the collarbone and shoulder blades. In case there is a cracked upper rib, it can hurt the aorta.
The middle ribs are more prone to injuries and cracked middle ribs can hurt your lungs to the extent that it may even puncture the lungs. The bottom ribs are also more susceptible to injuries and the broken ends can hurt or injure the internal organs, like, spleen, liver and kidneys.
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Symptoms of cracked rib depends upon the severity of the injury. Following are some of the common broken rib symptoms.
Clicking Ribs After Fall
● Chest Pain: Mild to severe pain is experienced in the affected region. Pain may also be observed at the time of coughing, sneezing or laughing. Fullness and squeezing pain in the chest are also symptoms of cracked rib.
● Breathing Problems: The person may not be able to breathe, as functioning of lungs may get affected due to the injured rib. This may lead to dizziness, fatigue, anxiety, restlessness and headache.
● Painful Breathing: Patient may experience pain while breathing due to the chest wall deformities that are caused as a result of cracked rib.
● Pain and Crepitus Movement: Cracking, popping or grinding sound may be observed at the site of injury. There are some tender spots that may develop around the chest area. Spreadsheet software.
As the ribs cover very sensitive part of the body like heart, lungs, spleen, etc., any harm to the ribs may be very dangerous. Following are some of the risks and symptoms of serious injury.
● Trauma of the Main Blood Vessels: If the upper rib is seriously injured, it may hurt the aorta which is one of the main artery of the human body. This may directly affect the functioning of heart.
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● Pneumothorax: Broken rib can puncture the chest wall which can change the pressure within the chest, and the lungs may collapse. Chest pain, coughing blood, difficulty in breathing are some of the symptoms of this condition.
Fractured Ribs Clicking Sound Like
● Splenic Rupture: Main function of the spleen is to filter old and damaged blood cell and to manufacture lymphocytes or white blood cells. Serious rib injury may result in splenic rupture which may result in severe internal bleeding.
Probable Causes of Cracked Ribs
Reasons for getting a rib fracture are many. Many rib fractures are followed by a sprain or tear developed in muscles or tendons, or even the ligaments which are intercostal. Broken or cracked ribs can hurt the blood vessels and other internal organs. Following are some of the probable causes behind cracked ribs.
Fractured Ribs Symptoms
- Bruising near the chest due to some sort of injury is one of the primary cause of cracked ribs. This may be due to an accident or a fight or playing sports, like, basketball, golf and rowing. Vehicular accidents may cause bruising in the rib cage area.
- People suffering from osteoporosis are more susceptible to fractures. In osteoporosis, the bone density decreases and bones become more fragile.
- Inflammation near the cartilage that connects the ribs to the breastbone is called costochondritis. This is another reason for cracked ribs.
- Pleura is a membrane in the chest cavity that surrounds each of the lungs. When this membrane has a swelling, it may lead to cracked rib.
- If a cancerous lesion develops in the rib area, there are chances of getting a cracked rib.
- Severe and prolonged coughing is also one of the causes of cracked rib, due to extended pressure on the rib cage.
Fractured Ribs Clicking Sound Effect
Cracked rib is a painful situation and one must take good care for full recovery. One must strictly avoid strenuous activities like workout and sports, as the injury may get aggravated. Applying ice packs is a good way of relieving pain. However, the most important treatment options are rest, and taking prescribed medicines. Cracked rib symptoms, once observed, must be taken seriously. And there should not be any delay in paying a visit to the doctor.