Up to 50% may be missed on a standard CXR with one series of 50 showing a pick-up of only 12%., but a standard CXR should be performed to detect complications such as pneumothorax, haemothorax or lung contusions.
In the past, some centres performed "rib series" to look more closely for fractures, but this is largely deprecated as this does not change management; uncomplicated rib fractures are managed conservatively.
Flail chest is usually apparent clinically.
Symptomatic. Regular analgesia.
Consider thoracic epidural or intercostal nerve blocks if regular maximal oral analgesia is not effective.
- ↑ Hanak V, Hartman TE, Ryu JH. Cough-induced rib fractures. Mayo Clinic proceedings. Mayo Clinic. 2005 Jul; 80(7):879-82.
- ↑ Greenwald LV, Baisden CE, Symbas PN. Rib fractures in coronary bypass patients: radionuclide detection. Radiology. 1983 Aug; 148(2):553-4.
- ↑ Griffith JF, Rainer TH, Ching AS, Law KL, Cocks RA, Metreweli C. Sonography compared with radiography in revealing acute rib fracture. AJR. American journal of roentgenology. 1999 Dec; 173(6):1603-9.
- ↑ Thompson BM, Finger W, Tonsfeldt D, Aprahamian C, Troiano P, Hendley G, Mateer J, Stueven H. Rib radiographs for trauma: useful or wasteful? Annals of emergency medicine. 1986 Mar; 15(3):261-5.
- ↑ DeLuca SA, Rhea JT, O'Malley TO. Radiographic evaluation of rib fractures. AJR. American journal of roentgenology. 1982 Jan; 138(1):91-2.