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Related Concept Videos

Flail Chest-I01:24

Flail Chest-I

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Overview of Flail Chest
Flail chest is a severe and potentially life-threatening condition characterized by the fracture of three or more adjacent ribs in multiple places. It is most commonly caused by direct impacts and trauma, such as motor vehicle accidents or injuries from a steering wheel impact. It can also occur due to falls in elderly individuals with osteoporosis, or assaults involving sharp objects.
Pathophysiology
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The Thoracic Cage: Ribs01:20

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Ribs are curved, flattened bones forming the thoracic cavity wall with the thoracic muscles. There are 12 pairs of thoracic ribs. The posterior ends of all the ribs articulate with the T1–T12 thoracic vertebrae. In contrast,the anterior ends of most ribs attach to the sternum via their costal cartilages.
Parts of a Typical Rib
A typical rib has a head, neck, and body. The posterior end of the rib is called the head, followed by a narrow neck. The head articulates primarily with the costal...
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The Thoracic Cage: Sternum01:17

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The thoracic or rib cage forms the body's thorax (chest) portion. Its primary function in the body is to protect vital organs in the thoracic cavity, such as the heart and the lungs. It consists of 12 pairs of ribs with their costal cartilages and the sternum. The ribs are anchored posteriorly to the 12 thoracic vertebrae (T1-T12).
The sternum is the elongated bony structure on the anterior side of the thoracic cage. It consists of three parts: the manubrium, the body, and the xiphoid...
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Pericarditis II: Clinical Features and Diagnostic Tests01:19

Pericarditis II: Clinical Features and Diagnostic Tests

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Pericarditis is distinguished by inflammation of the pericardium, the fibrous sac that encases the heart. It can be acute, lasting less than six weeks, or chronic, persisting for over three months. Understanding its clinical manifestations and diagnostic findings is crucial for timely and effective management.Clinical ManifestationsWhile pericarditis can be asymptomatic, it usually presents with characteristic symptoms such as:Chest Pain: The most characteristic symptom of pericarditis is chest...
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Angina II: Classification01:27

Angina II: Classification

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Angina, also known as angina pectoris, is a chest pain resulting from diminished blood flow to the heart muscle and is often a symptom of coronary artery disease. Angina presents several variants with distinctive attributes, etiologies, and therapeutic approaches. The main types of angina include stable, unstable, variant (Prinzmetal's), microvascular, intractable, and silent ischemia.Stable angina is caused by atherosclerosis, which leads to the formation of plaques that narrow the coronary...
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Chronic Obstructive Pulmonary Disease-III: Symptoms and Complications.01:25

Chronic Obstructive Pulmonary Disease-III: Symptoms and Complications.

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Understanding the variety of primary symptoms and systemic complications that characterize chronic obstructive pulmonary disease (COPD) is crucial for healthcare professionals.
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Updated: Feb 17, 2026

Transaxillary First Rib Resection for Treatment of the Thoracic Outlet Syndrome
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Sternocostal slipping rib syndrome.

Patrick C Bonasso1, Shannon N Petrus2, Samuel D Smith2

  • 1Division of Pediatric Surgery, University of Arkansas for Medical Sciences, 1 Children's Way, Slot 837, Little Rock, AR, 72202, USA. pcbonasso@uams.edu.

Pediatric Surgery International
|December 8, 2017
PubMed
Summary

Symptomatic sternocostal slipping rib syndrome (SCSRS), a rare variant of slipping rib syndrome (SRS), can be effectively treated by excising the affected cartilage. Early diagnosis relies on high suspicion during physical examination.

Keywords:
Slipping rib syndromeSternocostal slipping rib syndrome

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Area of Science:

  • Thoracic surgery
  • Pediatric surgery
  • Gastroenterology

Background:

  • Slipping rib syndrome (SRS) is a condition affecting the lower ribs.
  • It can be subclassified based on the anatomical location of the affected ribs.
  • Sternocostal slipping rib syndrome (SCSRS) is a less common variant.

Purpose of the Study:

  • To describe the experience with three patients suffering from symptomatic sternocostal slipping rib syndrome (SCSRS).
  • To highlight SCSRS as a distinct and less common variant of SRS.

Main Methods:

  • Retrospective review of patients with SRS from 1988 to 2016.
  • Focus on the clinical presentation, diagnosis, and treatment of SCSRS cases.

Main Results:

  • Three patients with SCSRS were identified and operated on from a cohort of 44 SRS patients.
  • Patients presented with sternocostal junction pain, tenderness, and popping sensations.
  • Mean age at onset was 14.3 years, with a mean diagnostic delay of 1.3 years.
  • All patients achieved complete symptom resolution after surgical excision of the affected cartilage.

Conclusions:

  • Early diagnosis of SCSRS requires a high index of suspicion based on patient history and physical examination.
  • Localized excision of the symptomatic costal cartilage is an effective treatment for SCSRS.