What Is a Displaced Fracture?

The diagnosis of fracture displacement is mainly based on the history of injury, clinical manifestations, and chest X-ray examination. Pain at the fracture site (indirect tenderness) by pressing the non-fractured part of the sternum or ribs (thoracic compression test), or positive direct tenderness at the rib fracture directly, or you can hear bone fricatives, feel the bone friction and Abnormal movement of ribs is of great diagnostic value. Most of the X-ray chest radiographs can show rib fractures. However, for rib cartilage fractures, "willow branch fractures", no fracture misalignment, or middle rib fractures on the chest radiograph because of the overlapping ribs on both sides, it is not easy to find. Performance to judge to avoid missed diagnosis. Rib fractures without concomitant injuries are called simple rib fractures. In addition to pleural and lung injury and the hemothorax or (and) pneumothorax caused by it, other chest injuries or injuries outside the chest are often combined, and special attention should be paid in the diagnosis. Fractures of the 1st or 2nd ribs are often associated with clavicle or scapula fractures, and may be accompanied by thoracic internal organs and large blood vessel damage, bronchial or tracheal rupture, or heart contusion, and often with craniocerebral injury; lower chest rib fractures may be accompanied by abdominal internal organ damage , Especially liver, spleen and kidney rupture, should also pay attention to combined spine and pelvic fractures. However, when the ribs below the 7th rib are fractured, due to the stimulation of the intercostal nerve at the fracture displacement, conductive abdominal pain occurs, and it should be distinguished from episodic abdominal pain caused by abdominal organ damage.

Displacement fracture

Right!

The diagnosis of fracture displacement is mainly based on the history of injury, clinical manifestations, and chest X-ray examination. Pain at the fracture site (indirect tenderness) by pressing the non-fractured part of the sternum or ribs (thoracic compression test), or positive direct tenderness at the rib fracture directly, or you can hear bone fricatives, feel the bone friction and Abnormal movement of ribs is of great diagnostic value. Most of the X-ray chest radiographs can show rib fractures. However, for rib cartilage fractures, "willow branch fractures", no fracture misalignment, or middle rib fractures on the chest radiograph because of the overlapping ribs on both sides, it is not easy to find. Performance to judge to avoid missed diagnosis. Rib fractures without concomitant injuries are called simple rib fractures. In addition to pleural and lung injury and the hemothorax or (and) pneumothorax caused by it, other chest injuries or injuries outside the chest are often combined, and special attention should be paid in the diagnosis. Fractures of the 1st or 2nd ribs are often associated with clavicle or scapula fractures, and may be accompanied by thoracic internal organs and large blood vessel damage, bronchial or tracheal rupture, or heart contusion, and often with craniocerebral injury; lower chest rib fractures may be accompanied by abdominal internal organ damage , Especially liver, spleen and kidney rupture, should also pay attention to combined spine and pelvic fractures. However, when the ribs below the 7th rib are fractured, due to the stimulation of the intercostal nerve at the fracture displacement, conductive abdominal pain occurs, and it should be distinguished from episodic abdominal pain caused by abdominal organ damage.