[2][1] Rib fractures usually occur from a direct blow to the chest such as during a motor vehicle collision or from a crush injury.

Cardiopulmonary resuscitation (CPR) has also been known to cause thoracic injury, including but not limited to rib and sternum fractures.

While for elderly individuals a fall can cause a rib fracture, in adults automobile accidents are a common event for such an injury.

In simple rib fractures, pain can lead to reduced movement and cough suppression; this can contribute to formation of secondary chest infection.

Spontaneous fractures in athletes generally require a cessation of the cause, e.g., time off rowing, while maintaining cardiovascular fitness.

[medical citation needed] Nerve blocks may be used to help with pain and reduce respiratory complications related to rib fractures.