Related Experiment Video
Updated: Feb 7, 2026
06:57
Transaxillary First Rib Resection for Treatment of the Thoracic Outlet Syndrome
Published on: September 13, 2020
4.1K
Slipping Rib Syndrome in a Female Adult with Longstanding Intractable Upper Abdominal Pain
Noman Ahmed Jang Khan1, Saba Waseem1, Saad Ullah1
1Department of Internal Medicine, Conemaugh Memorial Medical Center, Temple University, Johnstown, PA, USA.
Case Reports in Medicine
|July 31, 2018
Summary
Slipping rib syndrome, a rare cause of chest pain, is often missed. Early diagnosis through clinical examination, like the hooking maneuver, is key to avoiding prolonged pain and unnecessary tests.
Area of Science:
- Medical diagnostics
- Orthopedics
- Pain management
Background:
- Slipping rib syndrome is a rare condition causing abdominal and lower chest pain.
- It often leads to delayed diagnosis and prolonged suffering due to low awareness.
Observation:
- A 52-year-old female presented with a 3-year history of recurrent, sharp lower chest and subcostal pain.
- Previous treatments and imaging (CT, MRI, X-rays) were inconclusive.
- A positive hooking maneuver suggested slipping rib syndrome.
Findings:
- Dynamic flow ultrasound revealed slipping of the lowest ribs (floating ribs 8-12), consistent with slipping rib syndrome.
- This syndrome results from hypermobility of the floating ribs.
- Diagnosis is primarily clinical, with the hooking maneuver being a key diagnostic aid.
Implications:
- Increased awareness of slipping rib syndrome among healthcare professionals is crucial for early recognition.
- Prompt diagnosis and treatment can prevent unnecessary investigations and chronic pain.
- Conservative management is often effective, with nerve blocks and surgery as options for refractory cases.
Related Concept Videos
01:09Rolling Without Slipping
5.3K
People have observed the rolling motion without slipping ever since the invention of the wheel. For example, one can look at the interaction between a car's tires and the surface of the road. If the driver presses the accelerator to the floor so that the tires spin without the car moving forward, there must be kinetic friction between the wheels and the road's surface. If the driver slowly presses the accelerator, causing the car to move forward, the tires roll without slipping. It is...
5.3K
01:14Rolling With Slipping
8.0K
Rolling with slipping is a physical phenomenon that occurs when a rolling object experiences both rotational and linear motion but also experiences frictional forces that cause slipping. This phenomenon can occur in various situations, such as when a tire rolls on a wet road or a ball rolls on a rough surface.
An object's rolling motion is characterized by its rotation around its axis, while linear motion refers to the object's translational motion along a surface. Frictional forces can...
An object's rolling motion is characterized by its rotation around its axis, while linear motion refers to the object's translational motion along a surface. Frictional forces can...
8.0K
01:20The Thoracic Cage: Ribs
8.9K
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...
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...
8.9K
01:28Infertility in Females
4.9K
Female infertility is defined as the inability to conceive after a year of regular, unprotected intercourse and affects about 10–15% of couples worldwide. The primary cause of female infertility is ovulatory disorders, which hinder the release of eggs. These disorders can be classified as hypothalamic amenorrhea, polycystic ovarian syndrome (PCOS), premature ovarian failure, and hyperprolactinemic anovulation disorders.
Endometriosis, a condition characterized by abnormal growth of...
Endometriosis, a condition characterized by abnormal growth of...
4.9K
01:25Abdominal Aorta
2.4K
Once the aorta traverses the diaphragmatic plane at the aortic hiatus, it is known as the abdominal aorta. This anatomical structure is positioned leftward of the spinal column, encased within a cocoon of adipose tissue behind the peritoneal cavity. It terminates at the L4 vertebra, where it splits into the common iliac arteries. Prior to this bifurcation, the abdominal aorta gives rise to several vital branches.
The celiac trunk, a singular artery, divides into the left gastric artery, which...
The celiac trunk, a singular artery, divides into the left gastric artery, which...
2.4K
01:15External Female Genitals
34.3K
The vulva encompasses the external structures of the female reproductive system. At the forefront is the monpubis, a cushion of fatty tissue atop the pubic bone. Once puberty sets in, this area typically grows hair. Extending from just behind the mons pubis are the labia majora (labia = 'lips'; majora = 'larger'), which are larger skin fs olds coated with hair. Nestled within are the labia minora (labia = 'lips'; minora = 'smaller'), which are thinner, more...
34.3K