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Costo-iliac impingement syndrome
The Journal of Bone and Joint Surgery. British Volume
|January 1, 1985
Summary
This study describes a syndrome where the lowest rib irritates the iliac crest, causing back and loin pain. Surgical removal of the affected rib relieved symptoms in all six patients, preventing recurrence.
Area of Science:
- Orthopedics
- Pain Management
- Surgical Techniques
Background:
- Chronic back and loin pain can significantly impact quality of life.
- Understanding the anatomical causes of such pain is crucial for effective treatment.
Observation:
- Six patients presented with back and loin pain attributed to impingement of the lowest rib against the iliac crest.
- These patients also exhibited significant height loss and, in five cases, vertebral osteoporosis.
Findings:
- Subperiosteal resection of the outer two-thirds of the affected (twelfth) rib successfully relieved pain in all six patients.
- One patient also required resection of the eleventh rib.
- Symptomatic relief was sustained for 5 to 34 months postoperatively without recurrence.
Implications:
- This surgical approach offers a potential solution for patients suffering from rib-iliac crest impingement syndrome.
- It highlights the importance of considering lower rib anomalies in the differential diagnosis of chronic back pain.