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Injuries

Leg Stress Fracture, Tibia
Liver Injury
Neck Dislocation
Neck Fracture
Neck Sprain
Neck Strain
Nose Injury
Pelvis Strain, Hip-Trunk
Pelvis Strain, Ischium
Perineum Contusion
Rib Dislocation
Rib Fracture
Rib Sprain
Rib Strain
Shoulder-Blade (Scapula) Bursitis
Shoulder-Blade (Scapula) Contusion
Shoulder-Blade Fracture, Acromion
Shoulder-Blade (Scapula) Fracture, Coracoid Process
Shoulder-Blade (Scapula) Fracture, Glenoid Fossa
Shoulder-Blade (Scapula) Fracture, Neck
Shoulder-Blade (Scapula) Strain
Shoulder Bursitis, Gleno-Humeral
Shoulder Bursitis, Subacromial
Shoulder Contusion
Shoulder Dislocation
Shoulder Sprain, Acromio-Clavicular
Shoulder Sprain, Gleno-Humeral
Shoulder Strain
Shoulder Tendinitis & Tenosynovitis
Skin Abrasion
Skin Laceration
Skin Puncture Wound
Spine Fracture, Lower Thoracic & Lumber Region
Spine Fracture, Sacrum
Spine Fracture, Tailbone
Spine Stress-Fracture, Neck or Back
Spleen Rupture
Thigh-Bone Fracture
Thigh Contusion
Thigh Hematoma
Thigh Injury, Hamstring
Thigh Strain, Quadriceps
Thigh Strain
Thumb Fracture
Thumb Sprain
Toe Dislocation
Toe Exostosis
Toe Fracture
Tooth Injury & loss
Wrist Contusion
Wrist Dislocation, Lunate
Wrist Dislocation, Radius or Ulna
Wrist Ganglion
Wrist Sprain
Wrist Strain
Wrist Tenosynovitis


Rib Dislocation

Injury and displacement of a rib where it joins the sternum (breastbone) or
spinal column. Dislocation means the rib and adjoining bones no longer touch each other.

Subluxation is a minor dislocation in which the joint surfaces still touch, but not in normal relation to each other.

Body Parts Involved

  • Rib and sternum or spinal column.
  • Ligaments attaching ribs to the sternum or spinal column.
  • Soft tissue surrounding the dislocation or subluxation site, including periosteum (covering to bone), nerves, tendons, blood vessels and
    connective tissue.

Causes

  • Direct blow to the ribs.
  • End result of a severe rib sprain.

Signs & Symptoms

  • Excruciating pain at the time of injury.
  • Loss of function of the injured rib, causing breathing difficulty.
  • Severe pain when moving.
  • Visible deformity (lump) if the dislocated bones have locked in the dislocated position. Bones may spontaneously reposition themselves and leave no deformity, but damage is the same.
  • Tenderness over the dislocation.
  • Swelling and bruising over the rib.
  • Pain when taking a deep breath, coughing or laughing.
  • Numbness or paralysis of other ribs below the dislocation or subluxation from pressure, pinching or cutting of blood vessels or nerves.

Treatment

Note:- Follow your doctor's instructions. These instructions are supplemental.

First Aid

  • Use instructions for R.I.C.E., the first letters of rest, ice, compression and elevation(If possible).
  • The doctor may manipulate the dislocated rib to return it to its normal position. Manipulation should be done within 6 hours, if possible. After
    that time, internal bleeding and displacement of body fluids may lead to shock. Also, many tissues lose their elasticity and become difficult
    to return to a normal position.

Continuing Care

  • At home:
  • Use an ice pack 3 or 4 times a day. Wrap ice chips or cubes in a plastic bag, and wrap the bag in a moist towel. Place it over the injured
    area for 20 minutes at a time.
  • After 48 hours, apply heat instead of ice if it feels better. Use heat lamps, hot soaks, hot showers, heating pads, or heat liniments and ointments.
  • Take whirlpool treatments, if available.
  • Wrap the injured chest with an elasticized bandage between treatments.
  • Massage gently and often to provide comfort and decrease swelling.

Medication

  • Your doctor may prescribe:
  • General anesthesia or muscle relaxants to make joint manipulation possible.
  • Acetaminophen to relieve moderate pain.
  • Narcotic pain relievers for severe pain.
  • Stool softeners alter manipulation to prevent constipation due to decreased activity.
  • Antibiotics to fight infection if surgery is necessary.

Home Diet

  • Drink only water before manipulation or surgery to correct the dislocation. Solid food in your stomach makes vomiting while under general anesthesia more hazardous.
  • During recovery, eat a well-balanced diet that includes extra protein, such as meat, fish, poultry, cheese, milk and eggs. Increase fiber and fluid intake to prevent constipation that may result from decreased activity.
  • Your doctor may suggest vitamin and mineral supplements to promote healing.

Diagnostic Measures

  • Your own observation of symptoms.
  • Medical history and exam by a doctor.
  • X-rays of the chest and spine.
Prevention Tips
  • Build your overall strength and muscle tone with a long-term conditioning program appropriate for your sport.
  • Warm up adequately before physical activity.
  • After healing, wear protective devices, such as wrapped elastic bandages or a special rib vest, to prevent reinjury during participation in
    contact sports.
  • Consider avoiding contact sports if treatment is unsuccessful in restoring strong, normal rib connections.

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