Institute for Sports Medicine Frankfurt Main

1. Risk kinds of sport:

Contact sports, kinds of combat sport, all kinds of sport with those falls are possible

2. Function:

Make possible for the respiration (thorax movement).

3. Injury mechanism:

- Tumbles of any kind
- Impacts or footsteps against the thorax
- Squeezing of the thorax Injury:
- Break of one or more ribs (rib series german type) or bruises within the torso range

4. Symptoms:

- Painful movement restriction of the torso, also in lying
- Effusion of blood
- described pressure pain
- Thorax compression pain
- Pain when the deep in or breathing out
- Pain when coughing
- Pain with movement one or both arms
- Muscle spannings within the torso range
- Pain between the shoulder blades
- Pain within the range of the breastbone or the ribs in front
- Pain in the kidney camp
Other pain causes:
- bony injury of the chest spinal column
- Volume disk incident
- Inflammation or - getting jammed nerves
- Bruise of the chest spinal column
- Illnesses of the shoulder joints
- Pulmonary embolism, cardiac infarct or other internal illnesses
- Break of the breastbone of the collarbone, or a shoulder blade

5. First measures:

- Indulgence

6. Diagnostics:

A physician should be visited, in order to exclude a being present from heavier injuries in each case. A broken rib with bad position can hurt the rib skin - Pneumothorax
- Roentgen of the ribs and the lung
- clinical investigation of the chest spinal column and the ribs

7. Therapy: (Caution, frequently lengthily!!!)

a) Conservative therapy
- muscle-relaxing medicines
- schmerzlindernde and abschwellend effective medicines
- Physiotherapie (under expert guidance and self-exercises after arrangement with the therapist)
- with strong pain injections to the points of pain
- with german types of several ribs, engmaschige control, since the lung can be hurt by the bone fragments
- flexible federation circular letter around the thorax
b) Operational therapy
- with rib series german types and complications (Pneumothorax) operational therapy

8. Physiotherapy / rehablitation:

- Manual therapy
- Stabilization
- Massage
- Heat's application
- Ultrasonic therapy
- Back school
- if necessary breath gymnastic
- Hydrotherapy

9. Prevention:

- not possible

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