How long should one stay in bed with a rib fracture?

Written by Guan Yu Hua
Orthopedic Surgery
Updated on November 23, 2024
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Rib fractures are mostly caused by trauma, such as direct or indirect force. Radiographic examination can basically confirm the diagnosis. A single rib fracture generally requires no intervention or special treatment, just immobilization is sufficient. However, strict bed rest is necessary. Typically, immobilization for about four weeks is needed until callus formation occurs. During this period, you should avoid deep breathing, heavy breathing, or coughing, and stay away from cooking fumes and smokers. Such irritative coughing might cause pain. A rib fracture will likely also result in intercostal neuralgia, which can be very troublesome and prolong the pain. However, fractures generally fully heal within eight to ten months. They can gradually heal without issues, but it is best to rest in bed for a month.

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Written by Li Jie
Orthopedics
37sec home-news-image

Does a fracture hurt?

A fracture is an interruption in the continuity of a bone. After a fracture, there is significant bleeding at the site, along with bruising of the soft tissues nearby, including bleeding from blood vessels and bruising of muscles and tendons. Because these soft tissues are rich in nerves, the pain at the site of the fracture can be very severe. Pain is a primary symptom for patients with fractures. Other symptoms may include swelling, limitation of joint movement, potential deformities, and changes in the local shape. Pain, deformity, and limited function are the three common signs seen in patients with fractures.

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Written by Lv Yao
Orthopedics
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Rib fracture complications

Rib fractures often result from trauma and can involve a single fracture or multiple fractures in one rib. In severe cases, there might be multiple fractures across several ribs, causing a flail chest condition. Rib fractures initially lead to localized bleeding and swelling, making breathing difficult. This situation might also result in increased pleural effusion or hemothorax. In severe cases, it leads to significant breathing difficulties. Therefore, if a rib fracture occurs, it is advisable to visit the thoracic department of a formal hospital for medical consultation.

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Written by Na Hong Wei
Orthopedics
1min 25sec home-news-image

Nasal bone fracture, nasal septum fracture, what kind of injury is this?

What type of injury is a nasal bone fracture and a nasal septum fracture? According to the forensic appraisal regulations concerning the nasal area, there are three situations that can be identified as minor injuries and two situations that can be identified as slight injuries. The three situations for minor injuries are: first, comminuted fracture of the nasal bone; second, linear fracture of the nasal bone where the displacement is very obvious; third, nasal trauma that significantly changes the appearance and function of the nose, which can be identified as a minor injury. The two situations for slight injuries are: first, a simple, nondisplaced nasal bone fracture; second, nasal bleeding after trauma. Therefore, if a nasal bone fracture is combined with a nasal septum fracture, it should be a comminuted fracture and can be identified as a minor injury. If it is solely a nasal septum fracture, it depends on whether it is a comminuted fracture or whether the displacement is obvious. Additionally, the impact of the nasal septum fracture on nasal function must also be considered. Thus, nasal bone fractures and nasal septum fractures require specific analysis based on the details of the injury to determine the type of harm. A slight injury can definitely be determined, but whether it qualifies as a minor injury depends on the specific circumstances.

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Written by Lv Yao
Orthopedics
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How to exercise with a patellar fracture?

After a patella fracture, it is necessary to fix and immobilize the patella for some time. During the immobilization, knee joint stiffness may occur, affecting the flexion and extension movements of the knee. Therefore, while treating a patella fracture, it is also important to guide the patient in functional exercises. For example, during the early stages of immobilization, the patient can actively contract the quadriceps femoris and the triceps surae to prevent thrombosis. This muscle exercise can also help avoid muscle atrophy. Additionally, patients can be instructed to dorsally extend the ankle joint to strengthen the ankle pump training and avoid ankle stiffness. Once the fracture is stabilized, the patient can sit beside the bed and let the knee bend naturally. When close to the bed, the knee can bend up to ninety degrees. If natural bending is difficult, the healthy limb can be used to push the injured limb closer to the bed, allowing the knee to bend to ninety degrees. After reaching ninety degrees, it might be appropriate to use crutches for walking activities. If bending beyond ninety degrees is necessary, the patient should lie flat on the bed, hug the thigh of the injured limb with both hands, flex the hip joint, and then allow the knee joint to bend through gravity beyond ninety degrees, approaching the normal range.

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Written by Lv Yao
Orthopedics
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What should I do if I have a fracture?

When a fracture occurs, temporary immobilization is needed to alleviate local pain and prevent further fractures during transfer. If there is an open wound, it should be bandaged and isolated from the external environment to prevent infection. If there are injuries to vital organs, life-saving measures should be administered immediately, followed by treatment of the fracture. Therefore, appropriate immobilization is necessary when a fracture occurs.