Dynamic ultrasound in the evaluation of patients with suspected slipping rib syndrome

  title={Dynamic ultrasound in the evaluation of patients with suspected slipping rib syndrome},
  author={Dane Van Tassel and Lisa E. McMahon and Monique C. Riemann and Kevin Wong and Craig E. Barnes},
  journal={Skeletal Radiology},
ObjectiveSlipping rib syndrome (SRS) affects adolescents and young adults. [] Key Method It is our intent to describe the development of a reproducible protocol for imaging in patients with SRS.Materials and MethodsRetrospective review of suspected SRS patients from March 2017 to April 2018. A total of 46 patients were evaluated. Focused history and imaging was performed at the site of pain. Images of the ribs were obtained in the parasagittal plane at rest and with dynamic maneuvers.

Slipping rib syndrome: A clinical and dynamic-sonographic entity: A serial cases report.

Examining each case by dynamic ultrasound to determine their ultrasound characteristics and analyze the clinical features of patients with SRS in order to better manage and follow-up them up concluded that this syndrome is an underdiagnosed syndrome.

The use of dynamic ultrasound in the diagnosis of slipping rib syndrome

Report of three cases in which dynamic ultrasound is successfully used to target pathological ribs for therapeutic surgery when SRS is clinically suspected and dynamic ultrasound in the hands of an experienced operator is themost reliablemodality in the diagnosis of SRS.

A Comprehensive Review of Slipping Rib Syndrome: Treatment and Management.

Slipping rib syndrome is a rare cause of chest pain that could be perceived as local or diffuse pain and initial treatment is symptomatic and anti-inflammatory, and definitive treatment remains surgical.

Recurrent Slipping Rib Syndrome: Initial Experience with Vertical Rib Stabilization Using Bioabsorbable Plating.

  • L. McMahon
  • Medicine
    Journal of laparoendoscopic & advanced surgical techniques. Part A
  • 2019
Rib plating allows stabilization of hypermobile ribs, while preserving the patient's anatomical rib cage, and is a safe treatment for recurrent pain after the initial procedure, in patients with recurrent slipping rib symptoms.

Counting ribs and thoracic levels under ultrasound: a systematized technical protocol for both posterior and anterior approaches

This technical report systematize an ultrasound-guided protocol for counting ribs and thoracic levels for both posterior and anterior approaches, which does not require level confirmation by fluoroscopy and hopes to create an effective educational resource to support physicians from any specialty background as they engage in point-of-care ultrasound applications in the thorACic region.

Slipping rib syndrome: A neglected cause of hypochondrial pain

  • Y. Kamal
  • Medicine
    Formosan Journal of Surgery
  • 2019
Surgical resection of the anterior end of the free-floating right 10th rib was performed in a 27-year-old female with chronic right hypochondrial pain after extensive imaging studies and laboratory investigations failed to determine the underlying cause of pain.

ACR Appropriateness Criteria® Nontraumatic Chest Wall Pain.



Diagnosis and Treatment of Slipping Rib Syndrome

Most athletes with slipping rib syndrome were active females with insidious onset of unilateral pain, a high prevalence of hypermobility and prolonged pain, and the hooking maneuver was underused.

US for diagnosis of musculoskeletal conditions in the young athlete: emphasis on dynamic assessment.

  • Andrew M. Zbojniewicz
  • Medicine
    Radiographics : a review publication of the Radiological Society of North America, Inc
  • 2014
The dynamic capability of US is ideal for diagnosis of many conditions that affect the musculoskeletal system of the young athlete, many of which would be difficult or impossible to identify with use of other imaging modalities.

Slipping Rib Syndrome in a Collegiate Swimmer: A Case Report.

It is important for clinicians and team physicians to familiarize themselves with and consider the diagnosis of slipping rib syndrome when assessing and managing individuals with persistent abdominal and/or thoracic pain.

Two years of debilitating pain in a football spearing victim: slipping rib syndrome.

The case of a 14-yr-old student athlete who was speared in a practice scrimmage sustaining a painful injury that eluded diagnosis and treatment for more than 2 yr is reported.

Painful rib syndrome--a review of 76 cases.

Systematic firm palpation of the costal margin in recommended in all patients presenting with pain in the lower chest or upper abdomen, and reproduction of the pain on pressing the tender spot is recommended.

Keep your eyes on the ribs: the spectrum of normal variants and diseases that involve the ribs.

  • A. GuttentagJ. Salwen
  • Medicine
    Radiographics : a review publication of the Radiological Society of North America, Inc
  • 1999
A variety of normal variants or pathologic conditions of the ribs may be overlooked at chest radiography if the ribs are not evaluated carefully. Rib lesions may simulate pulmonary disease as well.

Slipping Rib Syndrome as a Cause of Chest Pain in Children

It is suggested that slipping rib syndrome should be considered by physicians when evaluating children with a complaint of chest pain because the condition can be easily diagnosed on physical examination and therefore may save some patients from an unnecessary cardiac or gastroentestinal evaluation.

Slipping rib syndrome in childhood.

Slipping rib syndrome: an infrequently recognized entity in children: a report of three cases and review of the literature.

Slipping rib syndrome is a sprain disorder produced by trauma to the costal cartilages of the 8th, 9th, and 10th ribs that is frequently confused with intraabdominal disorders.

Surgical treatment of the ‘slipping rib syndrome’

This review seeks to draw attention to the existence of the ‘slipping rib syndrome’ as a not uncommon clinical entity. It is characterized by trunk pain in a radicular distribution, often related to