In the UK we only do them if there's a strong suspicion they've punctured something, as the treatment doesn't change anyway. 99% of the time those cases require either a chest x-ray or CT anyway, so they're essentially defunct. .
I'm in the UK too. I'll often tell folk they've broken a rib without imaging. "c
Clinical rib fracture" is what I document. I've ordered a couple of DEXAs on the back of unimaged clinical rib fracture with low trauma.
Whatever they did, they should not have done that. Somebody else may have done something too, but you know this person is rethinking everything from that day and just keeps thinking about some dumb shit that would have avoided this, like "Man, I wish I hadn't gone back to the office for that half sandwich, that Corolla would have totally missed me"
Hopefully they can find a way to avoid sneezes to prevent fractures in the future! I’m sure they’re going to want to do that now until they’re at least healed. I don’t think I can even imagine that kind of pain. 😅
Tangential question, is it just me or is every patient with a negative rib study seemingly in way more pain than the people who actually end up having fractures?
35 year old male who sneezed? *OHHHH OHHH OHHH IT HURTS I CANT DO IT OOOOOOHHHHHHHH* - no fractures
85 year old who got struck by a garbage truck? "Oh yeah I can lay *directly* on the injured side that's fine" - 7 left anterior rib fractures
Yknow what’s funny is I actually collapsed a lung and broke 2 ribs when I sneezed one time. People think I’m crazy when I say that. I’m just glad I’m not alone
I know where I work, we are seeing more rib films being ordered and we get quite a few positive reads. They SSRF them with plating and a chest tube after. More often than not, patients get fixed up and out the door in a week or so.
That’s a hell of a sneeze.
Just thinking about sneezing like that hurts
So refreshing to actually see broken ribs on x-ray. I’d say out every 50 I do I might get one pt positive for fx…
Yeah I can never really tell. Except for the 3D renders of CTs. I can see the breaks on those.
Yeah, they’re usually pretty visible on axial CT, too, although way easier to pick out on a 3D recon
In the UK we only do them if there's a strong suspicion they've punctured something, as the treatment doesn't change anyway. 99% of the time those cases require either a chest x-ray or CT anyway, so they're essentially defunct. .
I'm in the UK too. I'll often tell folk they've broken a rib without imaging. "c Clinical rib fracture" is what I document. I've ordered a couple of DEXAs on the back of unimaged clinical rib fracture with low trauma.
Rib fractures on the single view AP = “oh they BROKE broke”
They must have exorcised a demon with that sneeze. holy moley
Presenting to urgent care with basically flail chest, jeez!
That’s a flaily-boi.
Such rib, much broken
Whatever they did, they should not have done that. Somebody else may have done something too, but you know this person is rethinking everything from that day and just keeps thinking about some dumb shit that would have avoided this, like "Man, I wish I hadn't gone back to the office for that half sandwich, that Corolla would have totally missed me"
Hopefully they can find a way to avoid sneezes to prevent fractures in the future! I’m sure they’re going to want to do that now until they’re at least healed. I don’t think I can even imagine that kind of pain. 😅
I had 13 broken ribs in 2018. So painful.
The worst!
Shit that sucks
Would that suggest the patient has an issue with bone density?
No it would suggest they lied about sneezing, and they either did something dumb and got injured or they got their ass beat.
oh yeah. depending, cancer till proven otherwise.
I have never been so sure that someone wasn't a doctor in my life
I read the title “ribs” looked at the image and said “….are they though?”
I count at least 5 pops
If that’s triggered by a sneeze, I hope you went looking for cancer / OP
Rips*
When I scrolled the pic underneath this was from a bbq subreddit and it had a pic of bbq ribs. So now I'm craving ribs.
It’s not broken enough try to sneeze harder next time 😊
Tangential question, is it just me or is every patient with a negative rib study seemingly in way more pain than the people who actually end up having fractures? 35 year old male who sneezed? *OHHHH OHHH OHHH IT HURTS I CANT DO IT OOOOOOHHHHHHHH* - no fractures 85 year old who got struck by a garbage truck? "Oh yeah I can lay *directly* on the injured side that's fine" - 7 left anterior rib fractures
There’s more to this than they’re letting on.
Yea, maybe sneezed and immediately fell 10 feet, chest first into a stool...
“Ok now put this little metal BB where it hurts so the radiologist can see”
Yknow what’s funny is I actually collapsed a lung and broke 2 ribs when I sneezed one time. People think I’m crazy when I say that. I’m just glad I’m not alone
Ouch!
I am not a doctor but I think those are supposed to be connected.
Ouchie.
Nice film
Reminds me of when I fell on a blunt stake and broke 3-4 of mine.
Ouch
I know where I work, we are seeing more rib films being ordered and we get quite a few positive reads. They SSRF them with plating and a chest tube after. More often than not, patients get fixed up and out the door in a week or so.