Will rib fractures swell?

Written by Li Jie
Orthopedics
Updated on September 04, 2024
00:00
00:00

Generally, swelling after a localized fracture is due to damage to the blood vessels in the area of the fracture. The bleeding that follows accumulates under the skin at the fracture site, causing obvious swelling. However, rib fractures are somewhat unique because after a rib fracture, the bleeding generally occurs internally, meaning the blood enters the chest cavity, leading to accumulation of blood and fluids within the chest. Generally, the blood does not accumulate under the skin. Therefore, rib fractures typically do not exhibit obvious swelling. There might be some local swelling, but it is usually not prominent. If not examined closely, it is generally not noticeable that there is significant swelling at the site of a rib fracture.

Other Voices

doctor image
home-news-image
Written by Na Hong Wei
Orthopedics
1min 12sec home-news-image

Is a rib fracture serious?

Whether a rib fracture is serious depends mainly on the extent of the fracture and the damage to the surrounding tissues. Generally, a single rib fracture or a non-displaced rib fracture is not serious and requires conservative treatment. However, if there are multiple rib fractures occurring at once, breaking several ribs, including possibly the sixth rib, the consequences can be very serious because it may result in a flail chest. Secondly, a rib fracture can potentially damage surrounding structures such as the pleura, lung tissue, and blood vessels, resulting in conditions such as pneumothorax, pleural effusion, and even active hemothorax, which must be promptly treated to avoid life-threatening situations. Thirdly, if a rib fracture heals in a deformed manner and is not treated, it can compress blood vessels and nerves, causing a persistent type of intercostal neuralgia even after healing. Apart from the local deformity, this situation often stimulates the intercostal nerves and may require surgical intervention. Therefore, the severity of a rib fracture depends mainly on the degree of the fracture and its aftermath, and typically requires assessment by a professional doctor.

doctor image
home-news-image
Written by Wang Cheng Lin
Orthopedics
48sec home-news-image

Hazards of Rib Fractures

The most severe case of rib fracture is what we call the occurrence of pneumothorax. Pneumothorax is caused by the puncture of the pleural cavity due to the fractured end, resulting in pneumothorax or hemothorax compressing the lung tissue, causing severe systemic respiratory and circulatory disorders. Severe pneumothorax can directly endanger life; this is the most serious harm of rib fractures. However, generally speaking, it is rare for a rib fracture to result in severe pneumothorax; most cases involve only a small amount of effusion or a small amount of air accumulation. Thus, generally, the harm from rib fractures is not very significant; the most severe harm is causing severe pneumothorax, affecting the overall respiratory and circulatory functions, and endangering life.

doctor image
home-news-image
Written by Li Jie
Orthopedics
33sec home-news-image

Can you move with a rib fracture?

After a rib fracture, the patient's limbs can still move, and movement of the limbs should generally not pose major problems. However, excessive movement can sometimes cause pain, as well as movement and displacement at the fracture ends. Therefore, it is generally advised that after a rib fracture, the patient should primarily rest and minimize movement, especially within the first two weeks of the acute phase, where bed rest is strongly recommended. Avoid strenuous activities, although some gentle exercise can be appropriate, but vigorous physical labor is not advised.

doctor image
home-news-image
Written by Lv Yao
Orthopedics
35sec home-news-image

Does a rib fracture hurt?

Rib fractures are generally caused by trauma, resulting in localized pain and restricted respiratory movements. In severe cases, there may be blood or fluid accumulation inside the chest cavity, or even respiratory distress, presenting symptoms similar to flail chest. Therefore, when a rib fracture occurs, the pain is very severe because the ribs are an important part of the thoracic cage, which is a crucial structure during respiratory movements. Thus, during breathing, the pain from a rib fracture can be quite intense.

doctor image
home-news-image
Written by Lv Yao
Orthopedics
53sec home-news-image

Can you move with a rib fracture?

The rib has suffered a fracture. Depending on the displacement of the fracture, whether it's a single rib or multiple ribs in multiple locations, and whether breathing is affected or there is a presence of blood or fluid in the chest cavity, a comprehensive analysis is required. If the fracture is a single rib or multiple ribs with hairline fractures, it is possible to move around, but rest is also important to avoid turning a stable fracture into one with significant displacement. If there are fractures in multiple ribs at multiple locations and a large amount of blood or fluid in the chest cavity, along with flail chest that significantly impacts breathing, it is not recommended to continue activities. Rest should be prioritized, and, if necessary, joint cavity puncture drainage may be performed to relieve symptoms.