first rib fracture

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first rib fracture

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first rib fracture - March 4, 2008 12:49:28 PM

Kaden

Posts: 346
Joined: June 17, 2007
Status: offline

For those who have seen this injury what are typical liting and motion precautions for cervical and shoulder if any.

Have a gal 2 weeks s/p first rib fracture secondary to MVA. Only info on the script was shoulder pan with arm movement but no suggestions on protection/guidlines for rehab.

Any suggestions. I seem to get this a lot with fracture care - that is no communication. IMO the MD needs to be communicating restrictions based on healing of fracture - am I wrong on this.

Post #: 1

RE: first rib fracture - March 4, 2008 3:44:55 PM

kiwi PT

Posts: 75
Joined: December 2, 2007
From: MI, USA (dreaming of New Zealand)
Status: offline

It is never the broken rib that causes the pain. Never. It lies in the muscle. Sorry I couldn't resist. I hope people quickly return to the serious postings instead of the recent "distractions"

I can't help with specifics, but I have had similar frusterations. I had a patient from a trauma surgeon who had a grain elevator fall on her pinning her between it and her tractor with ribs 3-5 fracture and lung puncture. It was impossible to get anyone from his office to return my calls on lifting or other restrictions (just happy she was still breathing I guess) and she wanted to go back to working on the farm ASAP.

What kind of pain is your patient in and what other functional issues is she having"

Kyle PT

_____________________________

"I have never let my schooling interfere with my education."
Mark Twain

(in reply to Kaden)

Post #: 2