![]() © 2003 Lippincott Williams & Wilkins, Inc. Developing new therapies to accelerate pain relief and healing would substantially improve the outcome of patients with rib fractures. Rib fractures are a significant cause of pain and disability in patients with isolated thoracic injury and in patients with associated extrathoracic injuries. Patients with isolated rib fractures went back to work/usual activity at a mean of 51 ± 39 days compared with 91 ± 33 days in patients with associated extrathoracic injuries ( p < 0.01). Any rib fracture should warrant a thorough evaluation of any concomitant injury, including lungs, heart, kidney, spleen, liver, and neuro. As these fractures are quite painful, patients take. The ribs function to protect the underlying organs and structures of the thoracic cavity. The most common symptom of rib fractures is pain with touch, taking a deep breath, sneezing, or coughing. The total mean days lost from work/usual activity was 70 ± 41. Underneath each rib lies the intercostal nerve, artery, and veins which supply to blood supply and innervation. When compared with the chronically ill reference population of the RAND Medical Outcomes Study, our patients as a group were more disabled at 30 days ( p < 0.001) in all categories except emotional stability, where they showed equivalent disability, and in their perception of general health, where they were significantly less disabled ( p < 0.001). For patients with associated extrathoracic injuries, rib pain was equivalent to pain in the rest of the body at all intervals. ![]() Rib fractures are common and present in 10 of trauma admissions and with. Mean rib fracture pain was 3.5 ± 2.1 at 30 days and 1.0 ± 1.4 at 120 days. Keywords: Rib fracture surgical stabilization of rib fractures (SSRF) timing. Twenty-three patients had isolated rib fractures and 17 patients had associated extrathoracic injuries. Results:įorty patients with a mean of 2.7 ± 1.6 rib fractures were enrolled. Cancer that has spread to the bones of the rib cage can also predispose to the development of a rib fracture. Certain medical conditions, such as osteoporosis, weaken the bones and increase the risk of a rib fracture. The setting was a university-based Level I trauma center. Bone fractures, including fractures of the rib, are most commonly caused by trauma, such as fall or a motor vehicle accident. Disability at 30 days was assessed using the SF-36 Health Status Survey, and the total number of days lost from work/usual activity was recorded at day 120. Pain levels were assessed at days 1, 5, 30, and 120 after injury using a visual pain scale (0-10). Injured patients with a chest radiographic diagnosis of one or more rib fractures between June 1, 2001, and October 31, 2001, were asked to participate. The purpose of this study was to determine the magnitude and duration of pain and disability in patients with rib fractures treated using current standard therapy.
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