Rib trauma - Costal contusion

Very low urgency
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All blows of a certain intensity, a fall or traffic accident may harm the rib cage (ribs, spine, sternum, scapula, etc.) and the vital organs protected inside. Symptoms and treatment vary depending on if the chest wall is affected or any internal organs have been injured. Generally, all chest trauma is associated with a potential life-threatening risk until additional tests are performed in a hospital that either rule the risk out or confirm it.
Bibliographic references
  1. Eric Legome, MD. Initial evaluation and management of blunt thoracic trauma in adults. UpToDate. Mar 29, 2016.
  2. Eric Legome, MD. Jean M Hammel, MD. Initial evaluation and management of chest wall trauma in adults. UpToDate. Sep 10, 2016.
  3. Fox N, Schwartz D, Salazar JH, et al. Evaluation and management of blunt traumatic aortic injury: a practice management guideline from the Eastern Association for the Surgery of Trauma. J Trauma Acute Care Surg 2015; 78:136.
  4. Mowery NT, Gunter OL, Collier BR, et al. Practice management guidelines for management of hemothorax and occult pneumothorax. J Trauma 2011; 70:510.
  5. Kea B, Gamarallage R, Vairamuthu H, et al. What is the clinical significance of chest CT when the chest x-ray result is normal in patients with blunt trauma. Am J Emerg Med 2013; 31:1268.
Author
Dr. Oscar Garcia-Esquirol
Copyright
© TeckelMedical 2026

Symptoms

    Chest pain increases when touched


    Bruises and/or wounds on chest


    Chest pain increases with movement


    Chest pain


    Ribcage pain

Symptoms to watch out for

The bruise does not disappear and/or worsens after 1 week
Pain that does not subside with analgesics.
Inability to move the extremity

Self-care

Take over-the-counter pain relievers or anti-inflammatories.
Apply local cold to the injured area 3 times a day to reduce inflammation.
Avoid sudden movements.