How long to stay in bed with a rib fracture?

Written by Zhang Ying Peng
Orthopedics
Updated on November 24, 2024
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Rib fractures are very common clinically. After a rib fracture, it is necessary to rest in bed, immobilize, and reduce activity, otherwise excessive pulling of the ribs will cause pain. Generally, the bed rest period is about 10-14 days. Generally, after two weeks of treatment, the ribs will form fibrous connections and no longer cause severe pain. After two weeks, appropriate activity out of bed can be resumed. At the same time, oral antibiotics can be taken to prevent infection, as well as medications that promote blood circulation and remove blood stasis to enhance the absorption of the hematoma.

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Orthopedics
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How to care for a patellar fracture

A patellar fracture occurs, the first step is to immobilize the patellofemoral joint. During treatment, the primary goal is to prevent the formation of lower limb thrombosis. Therefore, early on, patients can be actively guided to contract the quadriceps and calf triceps muscles, while also performing dorsiflexion and flexion exercises of the ankle joint to avoid ankle stiffness. As the condition stabilizes, a cushion can be placed under the knee joint to allow for active flexion of the knee. If the fracture has stabilized, the patient can sit at the edge of the bed and let the knee naturally flex downward. If there is difficulty, the healthy limb can be used to help push and squeeze the injured limb to achieve a flexion close to ninety degrees. Patients can also lie in bed, hug their thighs with both hands, and flex the knee joint beyond ninety degrees to enhance this type of knee exercise.

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Written by Li Jie
Orthopedics
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Does a rib fracture hurt?

The rib area is rich in nerves, and the human body has a total of 24 ribs, so there are more than 20 intercostal nerves. Therefore, the local pain is very obvious after a rib fracture. The pain may become apparent with breathing and movements of the thoracic cage. Sometimes, especially when changing body positions, the pain can be very significant. Occasionally, coughing, sneezing, or performing other actions that increase abdominal pressure can cause marked pain. Thus, the pain from a rib fracture is quite pronounced and very severe.

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Written by Na Hong Wei
Orthopedics
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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 Li Xin
Pediatric Orthopedics
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What does a fracture feel like?

The feeling of a fracture, first and foremost, the most important clinical manifestation is pain. Of course, the intensity of the pain is related to the type of fracture. Generally, incomplete fractures or greenstick fractures are not as painful, but if the fracture is displaced, comminuted, or other types, the pain is more pronounced. The second manifestation is swelling; the area of the fracture will show obvious swelling and become quite enlarged. The third is tenderness, which means that touching or pressing on the area will result in noticeable pain. Fourth, there is a significant restriction of movement in the joints adjacent to the fracture site.

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Does a fracture hurt?

Fractures refer to the disruption of the continuity and integrity of the bone, which can lead to symptoms such as localized pain, swelling, deformity, and even limited mobility. Therefore, pain is a primary symptom of fractures. Due to the displacement of fracture ends and the irritation of nerves around the periosteum, severe pain can occur. After a fracture, it is important to immobilize the affected area to avoid exacerbating the symptoms during transportation or movement, and immobilization can also help reduce localized pain.