Rib fractures are divided into several types.

Written by Wang Cheng Lin
Orthopedics
Updated on March 27, 2025
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The most common types of rib fractures in clinical practice are: The first is pathological fractures, the second is spontaneous rib fractures, the third is a single rib fracture, and the fourth is multiple rib fractures. Pathological rib fractures are due to inherent diseases, such as tumors leading to rib fractures. The second type, spontaneous fractures, occur due to intense activities or movements of the patient, such as severe coughing and sneezing, or sudden severe contraction of the chest muscles, causing the ribs to break due to tensile forces; this is called a spontaneous rib fracture. The third type is a single rib fracture, and the fourth type involves multiple rib fractures, both of which are commonly seen in rib fractures caused by trauma. These are the most common types of rib fractures currently seen in clinical practice.

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Written by Li Jie
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Will rib fractures swell?

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.

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How to recuperate from a rib fracture

After a rib fracture, it is suggested to pay attention to the following aspects in terms of care: Firstly, after a rib fracture, it is advisable to use a chest binder for protection, which generally needs to be fixed for about four to six weeks. Secondly, in terms of diet, it is important to enhance nutrition. Foods rich in high-quality protein, calcium, and vitamins should be consumed more frequently. These foods help provide nutrients for the recovery of the fracture and promote healing. At the same time, symptomatic medication treatment can be used. For example, anti-inflammatory and analgesic drugs, and traditional Chinese medicines that promote blood circulation and remove blood stasis can facilitate recovery. During the recovery period of the fracture, it is recommended to start rehabilitative exercises as soon as possible and encourage activities like coughing and expectorating to avoid complications such as obstructive pneumonia and lung collapse.

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Written by Lv Yao
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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.

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How to sleep with a rib fracture

Patients with rib fractures need to choose their resting positions based on their specific situations. If the fracture is on one side, the patient can rest in a lateral decubitus position on the healthy side to avoid stimulating and compressing the fractured area. The fractured side should not be used for side-lying as it can easily compress the fracture site, leading to displacement of the fracture ends, causing pain, and potentially affecting the healing and recovery of the fracture. In cases of fractures on both sides, it is recommended to adopt a supine position for sleeping, as side-lying can negatively impact the fractures and is not conducive to their recovery.

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Common sites of rib fractures

The most common sites for rib fractures are the fourth to tenth ribs, as they are more prone to fractures. The first to third ribs are relatively short and are protected by the scapula and clavicle. Additionally, the 11th and 12th ribs are quite mobile, making them less likely to fracture when subjected to external forces. Among the fourth to tenth ribs, the fourth to seventh ribs are the most susceptible to fractures, because their internal cartilage is relatively short, making these ribs the most likely to break when impacted.