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The slipping rib syndrome.

E K Spence, E F Rosato

Archives of Surgery (Chicago, Ill. : 1960)

|November 1, 1983

Summary

This summary is machine-generated.

Slipping rib syndrome causes upper abdominal pain and is often missed. Suspect this condition when pain is triggered by a rib-hooking maneuver, with surgery benefiting some patients.

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Area of Science:

Gastroenterology
Thoracic Surgery
Pain Management

Background:

Slipping rib syndrome (SRS) is an underdiagnosed cause of upper abdominal pain.
It may be overlooked due to difficulties in diagnosis rather than rarity.

Observation:

Pain can often be reproduced by a specific rib-hooking maneuver.
A comprehensive diagnostic approach is essential.

Findings:

Intercostal nerve blocks are crucial for diagnosis and treatment planning.
These blocks help rule out other gastrointestinal and psychiatric conditions.
Surgical excision of affected ribs shows benefit in patients with clear-cut SRS.

Implications:

Improved diagnostic criteria and awareness can lead to earlier recognition of SRS.

Timely diagnosis and treatment, including nerve blocks and surgery, can improve patient prognosis.

This highlights the importance of considering musculoskeletal causes for abdominal pain.