Rattling of the chest bones with pain when lifting the chest may be caused by the following reasons: i. There may be an injury related to the sternum. For example, the patient has suffered a direct blow to the thorax in the past, which may cause a fracture of the sternum. When the patient does chest-raising activities, the abnormal activity of the fracture end may cause abnormal sound, which induces severe pain due to pulling on the fracture end. Such pain may be significantly aggravated during the patient’s deep breathing, coughing or rising. Second, it may be caused by costochondritis. The patient’s rib cartilage in the thorax may show similar symptoms due to aseptic inflammation caused by factors such as cold or trauma. Third, it may be a lesion related to the sternoclavicular joint, for example, the patient has a dislocation of the sternoclavicular joint or a fracture here, which may cause a strange sound and pain during similar activities.