Slipping rib syndrome

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Obesity, Sleep & Internal medicine
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Slipping rib syndrome
Synonyms	Rib-tip syndrome, Clicking rib, Displaced rib cartilage
Pronounce	N/A
Specialty	Orthopedics, Rheumatology
Symptoms	Chest pain, Upper abdominal pain, Back pain, "popping" or "clicking" sensation
Complications	N/A
Onset	Any age, but more common in adults
Duration	Can be chronic or intermittent
Types	N/A
Causes	Hypermobile rib cartilage, trauma, repetitive motion
Risks	Athletes, Trauma, Hypermobility
Diagnosis	Physical examination, Hooking maneuver, Ultrasound, MRI
Differential diagnosis	Costochondritis, Tietze syndrome, Intercostal neuralgia
Prevention	N/A
Treatment	Physical therapy, Pain management, Surgery
Medication	NSAIDs, Analgesics
Prognosis	Generally good with treatment
Frequency	Rare
Deaths	N/A

Slipping rib syndrome is a medical condition where the ribs move out of their normal position, causing pain in the thoracic or abdominal region. This condition is also known as rib tip syndrome, twelfth rib syndrome, clicking rib, rib subluxation, or traumatic intercostal neuritis.

Symptoms

The main symptom of slipping rib syndrome is persistent pain in the lower chest or upper abdomen. This pain can be sharp, dull, or aching, and it may be accompanied by a clicking or popping sensation. Other symptoms can include difficulty breathing, discomfort when bending or twisting, and tenderness in the affected area.

Causes

Slipping rib syndrome can be caused by a variety of factors. These include physical trauma to the chest or abdomen, hypermobility of the ribs, degeneration of the cartilage or ligaments that hold the ribs in place, and certain medical conditions such as fibromyalgia or chronic fatigue syndrome.

Diagnosis

Diagnosis of slipping rib syndrome can be challenging, as the symptoms can mimic other conditions such as gallbladder disease, ulcers, or heart disease. Diagnosis typically involves a physical examination, during which the doctor may perform the hooking maneuver to reproduce the symptoms. Imaging tests such as X-rays, CT scans, or MRI scans may also be used to rule out other conditions.

Treatment

Treatment for slipping rib syndrome typically involves conservative measures such as pain management, physical therapy, and lifestyle modifications. In severe cases, surgical intervention may be necessary to reposition the displaced rib.

Slipping_rib_syndrome images

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  Anatomy of the ribs

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  Model demonstrating the hooking maneuver for slipping rib syndrome

See also

• Rib (anatomy)
• Thoracic diaphragm
• Intercostal muscles
• Costochondritis

References

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