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User:Bcobb3/Lateral and Anterior/Posterior Rib Compression Tests

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The Rib Compression Test is commonly used to determine if there is a rib fracture or injury. When the rib cage is compressed either from anterior to posterior forces or from lateral forces, pain could implicate several possible injuries.

Lateral and Anterior/Posterior Rib Compression Tests

Purpose

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The purpose of this test is to determine if a patient has a rib fracture. Compression from the examiner will cause a deformation of the rib cage, which will result in pain if a frature is present.

Procedure

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Patient should be seated or standing, while the examiner places hands on opposite sides of the rib cage. The examiner then applies a compressive force to the rib cage both anterior to posterior and to the lateral sides.

Mechanism

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The rib cage is being compressed.

Results

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If there is pain in the rib cage during compression, there could be a possible fracture, contusion, or costochondral separation.

Adverse Effects (or "legal issues")

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This test is contraindicated if there is potential lung trauma.

References

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Starkey, Chad, Sara D. Brown, Jeffrey L. Ryan, Chad Starkey, and Chad Starkey. "Empty Can TEst." Orthopedic and Athletic Injury Examination Handbook. Philadelphia: F.A. Davis, 2010. 449. Print. Konin, Jeff G. "Lateral and Anterior/Posterior Rib Compression Tests." Special Tests for Orthopedic Examination. Thorofare, NY: SLACK, 2006. 138-39. Print

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  • Compression Test (This link provides a demonstration of the rib compression test).