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Related Concept Videos

Flail Chest-II01:26

Flail Chest-II

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Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
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The Thoracic Cage: Ribs01:20

The Thoracic Cage: Ribs

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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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Related Experiment Video

Updated: Dec 31, 2025

Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling
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Recurrent Slipping Rib Syndrome: Initial Experience with Vertical Rib Stabilization Using Bioabsorbable Plating.

Lisa E McMahon1

  • 1Phoenix Children's Hospital Chest Wall Program, Phoenix Children's Hospital, Phoenix, Arizona.

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
|January 3, 2020
PubMed
Summary

Slipping rib syndrome (SRS) causes chest pain. A new rib plating technique stabilizes hypermobile ribs, offering relief for patients with recurrent pain after initial surgery.

Keywords:
bioabsorbable platingrecurrent slipping rib syndromeslipping rib syndrome

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Area of Science:

  • Thoracic surgery
  • Orthopedic surgery
  • Pain management

Background:

  • Slipping rib syndrome (SRS) is an underdiagnosed cause of chest and abdominal pain.
  • Surgical cartilage excision offers relief but up to 25% of patients require reoperation due to persistent or recurrent pain.
  • Recurrent pain may stem from hypermobile bony ribs, not just cartilage subluxation.

Observation:

  • A retrospective review examined 3 patients with recurrent SRS and hypermobile bony ribs.
  • These patients underwent a novel procedure involving vertical bioabsorbable plating to stabilize the hypermobile ribs.
  • The plating aimed to prevent rib-on-rib movement, thus alleviating pain.

Findings:

  • All 3 patients tolerated the rib plating procedure well, with a mean hospital stay of 2.6 days.
  • At a mean follow-up of 7 months, all patients reported significant pain improvement.
  • Rib plating effectively stabilized hypermobile ribs, preserving the patient's anatomical rib cage.

Implications:

  • Rib plating presents a safe and novel treatment option for recurrent slipping rib syndrome pain.
  • This technique addresses hypermobile bony ribs, potentially improving outcomes for a subset of SRS patients.
  • Preserving the anatomical rib cage while stabilizing hypermobile ribs offers a new therapeutic avenue.