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Related Concept Videos

Flail Chest-II01:26

Flail Chest-II

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Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
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Pneumothorax-II01:27

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Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
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Pulmonary Function Tests01:25

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Pulmonary Function Tests (PFTs)
Pulmonary Function Tests are crucial diagnostic tools for assessing respiratory function, particularly in patients with chronic respiratory disorders. They comprehensively evaluate lung volumes, ventilatory function, breathing mechanics, diffusion, and gas exchange. These tests help diagnose pulmonary diseases and play a significant role in monitoring disease progression, evaluating disability, and assessing response to therapy.
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In terms of human respiration, the act of expelling air, known as exhalation (or expiration), operates on the principle of pressure gradients. During expiration, the pressure within the lungs exceeds that of the surrounding atmosphere. Under normal conditions, quiet breathing involves passive exhalation and is free of muscular contractions. This is because the exhalation process is driven by the natural elastic recoil of the lungs and chest wall, both of which have an inherent tendency to...
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Flail Chest-I01:24

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Overview of Flail Chest
Flail chest is a severe and potentially life-threatening condition characterized by the fracture of three or more adjacent ribs in multiple places. It is most commonly caused by direct impacts and trauma, such as motor vehicle accidents or injuries from a steering wheel impact. It can also occur due to falls in elderly individuals with osteoporosis, or assaults involving sharp objects.
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The Thoracic Cage: Ribs01:20

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Ribs are curved, flattened bones forming the thoracic cavity wall with the thoracic muscles. There are 12 pairs of thoracic ribs. The posterior ends of all the ribs articulate with the T1–T12 thoracic vertebrae. In contrast,the anterior ends of most ribs attach to the sternum via their costal cartilages.
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Simple X-ray versus ultrasonography examination in blunt chest trauma: effective tools of accurate diagnosis and considerations for rib fractures.

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Updated: Dec 26, 2025

A Surgical Procedure for Resecting the Mouse Rib: A Model for Large-Scale Long Bone Repair
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When will pulmonary function recover after rib fracture?

Eun Gu Hwang1, Yunjung Lee2

  • 1Department of Thoracic and Cardiovascular Surgery, Myongji Hospital, College of Medicine, Hanyang University, Goyang, Korea.

Journal of Exercise Rehabilitation
|March 13, 2020
PubMed
Summary

Pulmonary function tests (PFTs) improve after rib fracture, with chronic obstructive pulmonary disease impacting recovery. This study offers insights into the physiological recovery and prognosis following rib fractures.

Keywords:
Pulmonary function testRecoveryRib fracture

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Area of Science:

  • Pulmonary Medicine
  • Thoracic Surgery
  • Physiology

Background:

  • Rib fractures often heal with conservative treatment, but assessing physiological recovery, specifically pulmonary function, remains challenging.
  • While pain is manageable with medication, objective measures of lung function post-injury are not routinely evaluated.

Purpose of the Study:

  • To investigate factors influencing the recovery of pulmonary function tests (PFTs) after rib fracture.
  • To analyze serial changes in PFT parameters over two months following rib fracture.

Main Methods:

  • Retrospective review of medical records for 60 patients with rib fractures (August 2015 - January 2018).
  • Evaluation of potential influencing factors: age, chronic obstructive pulmonary disease (COPD), number of fractures, and intercostal nerve block.
  • Serial PFT measurements (Forced Vital Capacity [FVC], Forced Expiratory Volume in 1 second [FEV1], Total Lung Capacity [TLC], Vital Capacity [VC]) at initial, 1-month, and 2-month intervals.

Main Results:

  • PFTs demonstrated improvement in FVC and FEV1 over two months, and improvements in TLC and VC within one month.
  • Chronic obstructive pulmonary disease (COPD) was identified as a significant factor affecting FEV1 recovery at one month.
  • Age, number of fractures, and intercostal nerve block were not found to be significant predictors of PFT changes.

Conclusions:

  • Pulmonary function gradually improves in the two months following rib fracture.
  • COPD negatively impacts early FEV1 recovery, highlighting the need for targeted management.
  • This study provides evidence for the physiological recovery trajectory and prognosis in patients with rib fractures.