What are the symptoms of a rib fracture?

Written by Na Hong Wei
Orthopedics
Updated on January 14, 2025
00:00
00:00

Symptoms of rib fractures include, firstly, there is usually a clear history of trauma, either from direct impact or from falling and the ribs making contact with the ground, etc.

Secondly, the main symptoms of a rib fracture include three points:

The first is local deformity. If it is a single rib fracture, this deformity is generally not easy to detect. However, after multiple rib fractures, this deformity becomes readily apparent, and you can see that the chest cage is abnormal, with a caved-in appearance. Moreover, in cases like flail chest, breathing is also abnormal. Normally, when inhaling, the ribs should expand outward, but if flail chest occurs, the chest cage appears to expand inward during inhalation; therefore, such a condition often requires surgical treatment, otherwise the consequences are very serious.

The second symptom is friction sound and bone rubbing sensation. Some people, after fracturing a rib, during deep breathing or activity, hear cracking sounds from within. This occurs because the continuity and integrity are disrupted by the fracture, and then during breathing or during movement, there is friction between the bones.

The third point is abnormal movement, which occurs at locations without joints, resembling joint movements. Normally, a person has 12 ribs on each side. If the continuity and integrity of the ribs are not damaged, there should be no abnormal movement; that is, pressing on the ribs should not cause sensations similar to joint movements at places where there are no joints.

Therefore, the symptoms of a rib fracture include three points: the first point being local deformity; the second, bone friction sounds and sensations; and the third, abnormal movement. If any of these three symptoms are present, it is generally indicative of a rib fracture.

Other Voices

doctor image
home-news-image
Written by Guan Jing Tao
Orthopedics
50sec home-news-image

How to sleep with a rib fracture

For rib fractures requiring bed rest, wearing a chest brace for protection is advisable. During the initial 2 to 4 weeks, sleeping positions should be such that they do not cause pain. In cases of multiple rib fractures, pain might occur irrespective of whether the patient is lying on their back or side. Therefore, there are no special requirements for sleeping positions; it should be whatever position causes the least pain locally. A chest brace can also be used to help minimize the pain caused by friction between the fractured ends of the bones. In addition, it is recommended to consume foods rich in calcium and take oral bone-healing calcium supplements to promote fracture healing, as this is the fundamental way to alleviate pain.

doctor image
home-news-image
Written by Cheng Bin
Orthopedics
45sec home-news-image

Symptoms of rib fracture and pneumothorax

Patients who have suffered a rib fracture typically experience localized pain which affects their ability to turn, bend, or perform normal movements such as breathing and coughing. If the rib fracture is accompanied by a pneumothorax, symptoms like chest tightness and breathlessness often occur. Diagnosing a rib fracture with pneumothorax requires an assessment of the patient's clinical symptoms along with various supportive examinations. For example, a chest CT scan can confirm the presence of a pneumothorax and determine the severity of the condition. In cases where the pneumothorax is severe and the lung compression exceeds one-third, it is necessary to actively pursue thoracic closed drainage surgery as treatment.

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 Lv Yao
Orthopedics
35sec home-news-image

Do rib fractures require surgery?

If there is a fracture of a single rib or a single spot with minor displacement, conservative treatment can be chosen without the need for surgery. However, if multiple ribs are fractured in multiple sections, it affects breathing, clinically known as flail chest. This condition can cause severe pain and breathing difficulties, and possibly fluid accumulation in the chest cavity. In such cases, surgery is required to reposition and stabilize the fractures, facilitating recovery. Therefore, whether surgery is needed should be based on the analysis of the injury.

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.