Slipping Rib Syndrome

Heinz, George J.; Zavala, Donald C.

doi:10.1001/jama.1977.03270350054023

Cited by 86 publications

(21 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The slipping rib syndrome is an unusual but not rare cause of thoracic and abdominal pain in children, requiring clinical suspicion for diagnosis. Physical examination may reveal a positive ‘hooking manoeuvre’ (11), a reproduction of the pain event induced by the examiner curving his/her fingers under the costal margin and gently pulling superiorly and anteriorly, inducing subluxation of the offending cartilage. Although the ‘hooking manoeuvre’ can confirm clinical suspicion, children often are too fearful of the pain to relax their abdominal muscles sufficiently for the examiner to perform this test.…”

Section: Discussionmentioning

confidence: 99%

The slipping rib syndrome in children

Saltzman

Schmitz

Smith

et al. 2001

Pediatric Anesthesia

View full text Add to dashboard Cite

The slipping rib syndrome is an infrequent cause of thoracic and upper abdominal pain and is thought to arise from the inadequacy or rupture of the interchondral fibrous attachments of the anterior ribs. This disruption allows the costal cartilage tips to sublux, impinging on the intercostal nerves. Children with this entity are seldom described in the literature. We present a retrospective review of 12 children and young adults with slipping rib syndrome and a systematic approach for evaluation and treatment.

show abstract

Section: Discussionmentioning

confidence: 99%

The slipping rib syndrome in children

Saltzman

Schmitz

Smith

et al. 2001

Pediatric Anesthesia

View full text Add to dashboard Cite

show abstract

“…Other common differentials diagnoses for musculoskeletalrelated chest pain include thoracic spine pain, costovertebral joint pain, costochondritis, costosternal syndrome, sternalis syndrome, Tietze syndrome, rib-tip syndrome, and xiphoidalgia. [24][25][26][27][28][29][30] Musculoskeletal chest pain originates from the bony and soft tissue structures of the chest wall. 11 Functionally, the chest wall is a complex system that provides rigid protection to the vital organs and stability to the arm and shoulder, and offers flexibility to aid in respiration.…”

Section: Location Of Painmentioning

confidence: 99%

Presentation of Coronary Artery Disease in a Chiropractic Clinic: A Report of 2 Cases

Larson¹

2016

Journal of Chiropractic Medicine

View full text Add to dashboard Cite

Objective: The purpose of this report is to describe 2 patients with coronary artery disease presenting with musculoskeletal symptoms to a chiropractic clinic. Clinical Features: A 48-year-old male new patient had thoracic spine pain aggravated by physical exertion. A 61-year-old man under routine care for low back pain experienced a secondary complaint of acute chest pain during a reevaluation. Intervention and Outcome: In both cases, the patients were strongly encouraged to consult their medical physician and were subsequently diagnosed with coronary artery disease. Following their diagnoses, each patient underwent surgical angioplasty procedures with stenting. Conclusion: Patients may present for chiropractic care with what appears to be musculoskeletal chest pain when the pain may be generating from coronary artery disease necessitating medical and possibly emergency care.

show abstract

“…The pain starts acutely and remains intermittently for minutes with a sharp and stabbing quality; afterwards, the pain is usually described as a dull ache that in some cases can be confused with angina [ 62 ] . The diagnosis is clinical and based on the hooking maneuver that consists in curving the fi ngers of the examiner under the affected costal margin pulling gently the rib cage forward and upward, which will reproduce the pain and cause a characteristic "click" [ 63 ] . The treatment requires local anesthetic injections or blockage of the intercostal nerve.…”

Section: Ribs Slipping Rib Syndromementioning

confidence: 99%

Non-Cardiac Chest Pain of Non-Esophageal Origin

Almansa

Achem

2013

Chest Pain With Normal Coronary Arteries

View full text Add to dashboard Cite

Chest pain is a common clinical problem that can be caused by a broad spectrum of diseases other than coronary artery disease or acid re fl ux. The diagnosis of non cardiac, non esophageal chest pain can be challenging. The chronic occurrence of chest pain interferes with the daily life routine, mood and productivity of those affected by this condition and therefore implies an enormous socio-economic burden in the community. This chapter offers an overview of some of the most relevant conditions that need to be considered in the differential diagnosis of a patient presenting with chest pain, once that a cardiac and/or an esophageal origin of the symptom has been properly excluded.

show abstract

Slipping Rib Syndrome

Cited by 86 publications

References 7 publications

The slipping rib syndrome in children

The slipping rib syndrome in children

Presentation of Coronary Artery Disease in a Chiropractic Clinic: A Report of 2 Cases

Non-Cardiac Chest Pain of Non-Esophageal Origin

Contact Info

Product

Resources

About