I. Violence acting directly on the ribs can make the force at the rib bending inward fracture, before and after the extrusion of violence so that the rib body segment outward bending fracture, rib fracture occurs. Rib fractures usually occur in the 4th to 7th ribs, because the 4th to 7th ribs are longer and thinner, the 1st to 3rd ribs are not easy to fracture because of the clavicle and scapula protection, the 8th to 10th ribs through the rib cartilage and the sternum to form a rib arch, and the 11th to 12th ribs are the auxiliary ribs, which are shorter and more difficult to fracture with the other ribs free. Rib fractures are usually characterized by abnormal respiratory movements, chest deformity, local pain, and most of them are treated by surgery, and most of the patients have a good prognosis.
Two, direct or indirect violence is the main cause of rib fractures, such as blunt objects, falls, falls, impact, car accidents extrusion chest, as well as bullets, shrapnel strikes can cause rib fractures. When direct violence acts on the chest wall, the fractured end of the rib moves inward, easily piercing the chest wall and the pleura of the visceral layer, so that the air into the pleural cavity or subcutaneous, resulting in pneumothorax, such as puncturing the blood vessels can produce hemothorax or hemopneumothorax.
Third, indirect violence such as extrusion or fall injury, so that the thorax anterior and posterior direction of the extrusion, the pressure is transmitted to the middle of the sternum so that the fracture, the fracture end is often displaced outward, forming open rib fractures. The fracture end is often displaced outward, resulting in open rib fracture. It is mostly due to osteoporosis and softening of bone caused by tumor invasion of bone, which is easy to cause fracture when encountered with external force.
Four, more than 40% of chest injury patients have rib fractures, rib fractures account for 10% of all trauma, the elderly rib osteoporosis, brittle, easy to fracture. The broken end of rib fracture can stimulate the intercostal nerve to produce local pain, the chest wall can have deformity, and sometimes there is bone rubbing sound. Multiple fractures of multiple ribs with paradoxical movements during spontaneous respiration are called flail chest.
Fifth, rib fracture is often secondary to thoracic trauma, so patients with thoracic trauma should be aware of the possibility of rib fracture. Early detection, diagnosis and treatment of rib fracture is extremely important for controlling the development of the disease. If chest pain, dyspnea, abnormal respiratory movements, open chest fracture, etc. occur, you should immediately consult a doctor for further examination under the guidance of the doctor.