42:
367:
497:. Some researchers classify slipping rib syndrome and twelfth rib syndrome into a group referred to as painful rib syndrome, others classify twelfth rib syndrome as a subtype of slipping rib syndrome, and some considering the two to be separate conditions altogether. The two disorders have different presentation and diagnostic criteria, such that a diagnosis for twelfth rib syndrome does not include the hooking maneuver and typically presents as
271:
692:, who described a chest pain associated with a "popping" or "clicking" sensation. The condition was originally named after him, Cyriax syndrome, but has used multiple names since then, including clicking rib syndrome, painful rib syndrome, interchondral subluxation, and displaced ribs. The name "slipping rib syndrome" was first used by surgeon
278:
The presentation of slipping rib syndrome varies for each individual and can present at one or both sides of the rib cage, with symptoms appearing primarily in the abdomen and back. Pain is most commonly presented as episodic and varies from a minor nuisance to severely impacting quality of life. It
649:
A more recent technique of rib stabilization with suturing, colloquially known as the Hansen Method after its creator, is used to bring the affected rib(s) to their normal anatomy. The method uses an orthopedic tape suture to tie the slipped rib around a higher, unaffected rib(s) to stabilize it.
645:
mobility. It was first used to treat individuals who have undergone previous resection surgeries but experienced a recurrence of symptoms. In this procedure, the ribs are stabilized using a bio-absorbable plate that is anchored onto a stable non-affected rib located above the affected rib(s). The
421:
or displacement of the cartilage; however, it has been said to be not much superior to that of a physical examination from an experienced physician, as a diagnosis is dependent on the technician's expertise and knowledge of the condition. A positive result of a dynamic ultrasound for slipping rib
671:
It is unclear whether SRS is more common in women as some studies report an equal gender distribution while others report the condition to occur more often in females. It has been suggested by some researchers that there is a hormonal connection between hormones and the increased ligament laxity
667:
clinic, with the prevalence being even higher for patients referred to the specialty clinic after multiple negative investigations. A separate study from 1993 found that slipping rib syndrome accounted for 3% of new referrals to a mixed specialty general medicine and gastroenterology clinic.
638:, intra-abdominal approach to treating the condition. The affected cartilage is excised from the sternocostal junction to the costochondral junction. It is to be noted that within studies that have performed these procedures, some individuals may experience recurrence of symptoms.
544:
Conservative measures are often the first forms of treatment offered to patients with slipping rib syndrome, especially those in which symptoms are minor. Often the patients will be reassured and recommended to limit activity, use ice, and take
658:
Slipping rib syndrome is considered to be underdiagnosed and frequently overlooked. Past literature has noted the condition to be rare or uncommon, but one 1980 study estimated SRS to have 1% of clinical diagnoses in new patients at a
621:
Costal cartilage removal, or excision, was first attempted in 1922 by Davies-Colley and has been the technique used by several surgeons since then. This method of surgical repair includes removal of the cartilage affected from the
609:
Surgical intervention is often performed in cases where other treatment modalities have failed to provide a solution. There are four types of surgical procedures noted in current literature: costal cartilage removal,
600:
agents have been commonly reported as a treatment to avoid surgical intervention. This minimally invasive intervention is seen as temporary, with repeated injections necessary to prevent the resurgence of symptoms.
294:
from the chest to the back, and may be reproducible by pressing on the affected rib(s). A dull, aching sensation has also been reported by some affected individuals. Certain postures or movements may exacerbate the
1957:
1942:
346:
Reported incidents, in which no history of traumatic impact to the chest wall has been described, are considered a gradual onset condition. Slipping rib syndrome may also result from the presence of a
343:. There have also been reports of slipping rib syndrome among other athletes, such as swimmers, which could plausibly result from repetitive upper body movements coupled with high physical demands.
462:
junctions most frequently involved, unlike slipping rib syndrome, which involves the lower rib cage. Tietze syndrome differs from these conditions as it is often associated with inflammation and
696:
and gained popularity, becoming the most commonly quoted term for the condition. Davies-Colley was also the first to describe an operation for slipping rib syndrome, a costal cartilage removal.
470:
joints, whereas individuals with slipping rib syndrome or costochondritis will exhibit no swelling. Tietze syndrome typically involves the second and third ribs and is usually a result of
960:
Kraychete DC, Tadeu
Tesseroli de Siqueira J, Batista Garcia J, Kimiko Sakata R, Maria Sousa Ă‚, Ciampi de Andrade D, Regina Mariotto Zakka T, Jacobsen Teixeira M (March 2017).
1778:
Cyriax EF (1919). "On various conditions that may simulate the referred pains of visceral disease, and a consideration of these from the point of view of cause and effect".
219:
in 1919; however, the condition is rarely recognized and frequently overlooked. A study estimated the prevalence of the condition to be 1% of clinical diagnoses in a
693:
259:
2584:
1216:
Van Tassel D, McMahon LE, Riemann M, Wong K, Barnes CE (May 2019). "Dynamic ultrasound in the evaluation of patients with suspected slipping rib syndrome".
434:
have also been utilized as a diagnostic method by noting the absence of pain following an injection to the intercostal nerves of the affected ribs.
569:, are other non-invasive methods that have been used to treat SRS, with the goal of these treatments typically being relief or symptom management.
1593:
McMahon LE (March 2020). "Recurrent
Slipping Rib Syndrome: Initial Experience with Vertical Rib Stabilization Using Bioabsorbable Plating".
417:
affected by SRS; however, they are often used to exclude other conditions. Dynamic ultrasound is occasionally used to evaluate the dynamic
327:. This observation could explain reports of the condition among athletes, as they are at increased risk for trauma, especially for certain
2024:
1325:
Zbojniewicz AM (September 2014). "US for diagnosis of musculoskeletal conditions in the young athlete: emphasis on dynamic assessment".
699:
The "hooking maneuver" was noted in 1977 by Heinz & Zavala to be useful for slipping rib syndrome as an accurate diagnostic method.
650:
This method is similar in concept to the aforementioned method of stabilization with plating; however, the suture is not bioabsorbable.
641:
An alternative technique known as rib stabilization with plating is used to prevent subluxation of the affected rib(s) while preserving
323:
of slipping rib syndrome are unclear, although several risk factors have been suggested. The condition often accompanies a history of
282:
One of the commonly reported symptoms of this condition is the sensation of "popping" or "clicking" of the lower ribs as a result of
2257:
1131:
1025:
2455:
1409:
Saltzman DA, Schmitz ML, Smith SD, Wagner CW, Jackson RJ, Harp S (November 2001). "The slipping rib syndrome in children".
454:, consisting of up to 30% of chest pain complaints in emergency departments. The pain is typically diffused with the upper
378:
of the affected rib being the most commonly utilized. A technique known as the "hooking maneuver" is commonly used amongst
550:
630:. Rib resection differentiates from costal cartilage removal as it removes a small bone portion of the affected rib(s).
1452:
Urits I, Noor N, Fackler N, Fortier L, Berger AA, Kassem H, Kaye AD, Colon MA, Miriyala S, Viswanath O (January 2021).
41:
562:
2318:
2017:
1890:
2252:
2287:
592:
have been used for individuals with moderate slipping rib syndrome. Nerve blocking injections consisting of
2467:
2282:
635:
589:
431:
1005:
536:
Treatment modalities for slipping rib syndrome range from conservative measures to surgical procedures.
2183:
2010:
189:
35:
Cyriax syndrome, clicking rib syndrome, painful rib syndrome, displaced ribs, interchondral subluxation
2423:
2277:
2211:
1951:
1162:
Mazzella A, Fournel L, Bobbio A, Janet-Vendroux A, Lococo F, Hamelin EC, et al. (January 2020).
2513:
2373:
2245:
2072:
1164:"Costal cartilage resection for the treatment of slipping rib syndrome (Cyriax syndrome) in adults"
394:(upward) direction, with a positive result when movement or pain is replicated during this action.
2538:
865:
McMahon LE (June 2018). "Slipping Rib
Syndrome: A review of evaluation, diagnosis and treatment".
2134:
2091:
1797:
Gregory PL, Biswas AC, Batt ME (2002). "Musculoskeletal problems of the chest wall in athletes".
1492:
450:, as they also involve the cartilage of the thoracic wall. Costochondritis is a common cause of
2148:
2061:
959:
681:
467:
355:
303:
lifting, bending, sitting, sports activities, and respiration. There have also been reports of
216:
125:
101:
1990:
2579:
2166:
2306:
2262:
1966:
1638:"Minimally Invasive Repair of Adult Slipped Rib Syndrome Without Costal Cartilage Excision"
672:
observed in females during pregnancy, though this theory has yet to be upheld or explored.
517:
486:
422:
syndrome requires an observed subluxation of the cartilage, which may be elicited with the
375:
169:
192:
are weakened or disrupted and have increased laxity, causing the costal cartilage tips to
8:
2472:
2221:
1454:"Treatment and Management of Twelfth Rib Syndrome: A Best Practices Comprehensive Review"
459:
455:
379:
287:
201:
2487:
2294:
2240:
1866:
1841:
1822:
1760:
1714:
1662:
1637:
1618:
1575:
1520:
1434:
1386:
1362:"Chest wall - underappreciated structure in sonography. Part II: Non-cancerous lesions"
1361:
1307:
1241:
1190:
1163:
1095:
1031:
1017:
890:
823:
790:
766:
570:
418:
391:
328:
296:
197:
118:
78:
67:
1748:
196:(partially dislocate). This results in pain or discomfort due to pinched or irritated
2033:
1910:
1906:
1871:
1814:
1810:
1752:
1718:
1706:
1667:
1653:
1622:
1610:
1567:
1559:
1512:
1473:
1465:
1426:
1422:
1391:
1342:
1299:
1291:
1233:
1195:
1137:
1127:
1099:
1087:
1079:
1035:
1021:
983:
942:
882:
878:
828:
810:
770:
758:
646:
plates are vertically placed onto the ribs and secured using non-absorbable sutures.
427:
423:
340:
228:
112:
54:
2482:
1826:
1764:
1524:
1438:
1311:
1245:
894:
581:
transdermal patches, which have been noted to provide temporary relief of symptoms.
2501:
2188:
1902:
1861:
1853:
1806:
1744:
1698:
1657:
1649:
1636:
Hansen AJ, Toker A, Hayanga J, Buenaventura P, Spear C, Abbas G (September 2020) .
1602:
1579:
1551:
1504:
1418:
1381:
1373:
1334:
1283:
1225:
1185:
1175:
1069:
1013:
973:
934:
874:
818:
802:
750:
664:
660:
597:
558:
320:
232:
224:
220:
63:
1271:
1058:"Sports Medicine-Related Breast and Chest Conditions-Update of Current Literature"
382:
to diagnose slipping rib syndrome. The examiner will hook their fingers under the
2433:
2415:
2394:
2368:
2337:
2272:
2198:
1287:
1074:
1057:
689:
447:
443:
324:
134:
130:
71:
59:
1508:
2548:
2330:
2325:
2267:
2124:
978:
961:
938:
754:
502:
291:
1555:
1229:
2573:
2102:
1914:
1563:
1469:
1295:
1141:
1083:
987:
814:
762:
738:
627:
521:
498:
383:
366:
150:
146:
16:
Pain in the false ribs due to the partial dislocation of the costal cartilage
1686:
1539:
1180:
2351:
2313:
2178:
2161:
2156:
2119:
2041:
1875:
1857:
1818:
1710:
1671:
1614:
1571:
1516:
1477:
1453:
1430:
1395:
1377:
1346:
1303:
1270:
Foley CM, Sugimoto D, Mooney DP, Meehan WP, Stracciolini A (January 2019).
1237:
1199:
1091:
946:
886:
513:
347:
205:
142:
105:
1756:
1702:
1606:
1121:
832:
806:
2129:
2077:
2002:
1985:
1338:
685:
631:
615:
611:
566:
525:
398:
283:
193:
154:
96:
1934:
925:
Turcios NL (March 2017). "Slipping Rib
Syndrome: An elusive diagnosis".
208:. The condition affects the 8th, 9th, and 10th ribs, referred to as the
2360:
2206:
2173:
2112:
2107:
1687:"Laparoscopic Treatment of Slipping Rib Syndrome in Pediatric Patients"
574:
554:
475:
451:
410:
227:
clinic, with a separate study finding it to be 3% in a mixed specialty
209:
165:
88:
1691:
1685:
Squillaro AI, Sanders K, Onwubiko C, Chang CJ, Kim S (November 2020).
1595:
1123:
Chest pain with normal coronary arteries: a multidisciplinary approach
2300:
1961:
578:
546:
471:
414:
351:
336:
84:
2050:
1161:
736:
509:
490:
479:
387:
374:
Diagnosing slipping rib syndrome is predominantly clinical, with a
304:
138:
1056:
Obourn PJ, Benoit J, Brady G, Campbell E, Rizzone K (March 2021).
1493:"Slipping Rib Syndrome: Solving the Mystery of the Shooting Pain"
737:
Beltsios ET, Adamou A, Kontou M, Panagiotopoulos N (April 2021).
623:
593:
494:
402:
173:
626:
to the boned portion of the rib, with or without preserving the
279:
has been reported that symptoms can last from minutes to hours.
2216:
1946:
1891:"Slipping Rib Syndrome: Diagnosis Using the "Hooking Maneuver""
1490:
1359:
642:
332:
308:
1635:
1491:
Fares M, Dimassi Z, Baydoun H, Musharrafieh U (October 2018).
618:
costal cartilage removal, and rib stabilization with plating.
358:
has also been suggested to be a possible further risk factor.
290:. Individuals with SRS report an intense, sharp pain that can
270:
2462:
1684:
489:
is similar to slipping rib syndrome; however, it affects the
463:
1215:
1010:
Interventional
Management of Chronic Visceral Pain Syndromes
1360:
Smereczyński A, Kołaczyk K, Bernatowicz E (December 2017).
1538:
Bonasso PC, Petrus SN, Smith SD, Jackson RJ (March 2018).
1408:
370:
The "hooking maneuver" being performed on a model skeleton
1537:
1269:
1055:
406:
258:. The term "slipping rib syndrome" was coined by surgeon
1451:
962:"Clinical evidence on visceral pain. Systematic review"
1119:
1735:
Wright JT (September 1980). "Slipping-rib syndrome".
680:
Slipping rib syndrome was first mentioned in 1919 by
1924:
1272:"Diagnosis and Treatment of Slipping Rib Syndrome"
739:"Surgical Management of the Slipping Rib Syndrome"
299:, such as stretching, reaching, coughing, sneezing
1796:
493:(11–12) which do not have any attachments to the
2571:
262:in 1922, which has been popularly quoted since.
2018:
1839:
1211:
1209:
442:Slipping rib syndrome is often confused with
215:Slipping rib syndrome was first described by
2585:Syndromes with musculoskeletal abnormalities
1497:The American Journal of the Medical Sciences
1120:Kaski JC, Eslick GD, Bairey Merz CN (2013).
1003:
791:"Painful rib syndrome--a review of 76 cases"
584:
212:, with the 10th rib most commonly affected.
1324:
732:
238:The condition has also been referred to as
83:"Popping" or "clicking" sensation in ribs,
2032:
2025:
2011:
1206:
1004:Ahmed HS, Shah KB, Pal DJ (January 2021).
788:
730:
728:
726:
724:
722:
720:
718:
716:
714:
712:
91:, aching pain, pain with activity/movement
1865:
1661:
1385:
1189:
1179:
1073:
977:
966:Sociedade Brasileira Para O Estudo da Dor
822:
437:
1402:
539:
466:of the costochondral, sternocostal, and
365:
269:
2258:Hypertrophic pulmonary osteoarthropathy
1790:
1592:
968:(in English and Brazilian Portuguese).
924:
864:
784:
782:
780:
709:
2572:
1777:
1771:
1734:
604:
508:Other differential diagnosis includes
2006:
1888:
1882:
1730:
1728:
1445:
1265:
1263:
1261:
1259:
1257:
1255:
49:Illustration of slipping rib syndrome
1586:
1540:"Sternocostal slipping rib syndrome"
1157:
1155:
1153:
1151:
1115:
1113:
1111:
1109:
1051:
1049:
1047:
1045:
999:
997:
920:
918:
916:
914:
912:
910:
908:
906:
904:
860:
858:
856:
854:
852:
850:
848:
846:
844:
842:
777:
551:nonsteroidal anti-inflammatory drugs
553:(NSAIDs). Further measures such as
528:, and hepatosplenic abnormalities.
13:
1725:
1484:
1276:Clinical Journal of Sport Medicine
1252:
1018:10.1016/B978-0-323-75775-1.00004-0
743:SN Comprehensive Clinical Medicine
555:osteopathic manipulation treatment
413:, are all unable to visualize the
14:
2596:
1148:
1106:
1042:
994:
901:
839:
1907:10.1001/jama.1977.03270350054023
1811:10.2165/00007256-200232040-00003
1654:10.1016/j.athoracsur.2020.02.081
1423:10.1046/j.1460-9592.2001.00754.x
879:10.1053/j.sempedsurg.2018.05.009
789:Scott EM, Scott BB (July 1993).
40:
2319:Infantile cortical hyperostosis
1833:
1678:
1629:
1544:Pediatric Surgery International
1531:
1353:
1318:
1062:Current Sports Medicine Reports
653:
573:are occasionally used, such as
314:
311:associated with the condition.
2253:Complex regional pain syndrome
1840:Davies-Colley R (March 1922).
1642:The Annals of Thoracic Surgery
1012:. Elsevier. pp. 157–161.
953:
927:Paediatric Respiratory Reviews
634:costal cartilage removal is a
188:) is a condition in which the
117:Physical examination, dynamic
1:
1749:10.1016/S0140-6736(80)90294-9
867:Seminars in Pediatric Surgery
702:
663:clinic and 5% at a specialty
590:Minimally invasive procedures
157:, hepatosplenic abnormalities
1288:10.1097/JSM.0000000000000506
1075:10.1249/JSR.0000000000000824
531:
361:
7:
1509:10.1016/j.amjms.2018.10.007
1168:Journal of Thoracic Disease
485:A condition referred to as
265:
10:
2601:
2456:Legg–Calvé–Perthes disease
1889:Heing GT (February 1977).
1366:Journal of Ultrasonography
1006:"Atypical Chest Wall Pain"
979:10.5935/1806-0013.20170014
939:10.1016/j.prrv.2016.05.003
755:10.1007/s42399-021-00886-4
675:
2524:
2498:
2441:
2432:
2424:Osteochondritis dissecans
2414:
2407:
2382:
2359:
2350:
2230:
2197:
2147:
2088:
2058:
2049:
2040:
1976:
1928:
1556:10.1007/s00383-017-4221-1
1230:10.1007/s00256-018-3133-z
585:Nerve blocking injections
432:Nerve blocking injections
252:interchondral subluxation
161:
124:
111:
95:
77:
53:
48:
39:
31:
26:
2468:Osgood–Schlatter disease
2374:Relapsing polychondritis
2246:Osteonecrosis of the jaw
2073:Osteitis fibrosa cystica
1126:. Springer. p. 13.
2184:Paget's disease of bone
2135:Vertebral osteomyelitis
1846:British Medical Journal
1181:10.21037/jtd.2019.07.83
274:Anatomy of the rib cage
190:interchondral ligaments
2034:Bone and joint disease
1858:10.1136/bmj.1.3194.432
1743:(8195 pt 1): 632–634.
1378:10.15557/JoU.2017.0040
682:Edgar Ferdinand Cyriax
563:chiropractic treatment
438:Differential diagnosis
430:, or other maneuvers.
371:
350:, such as an unstable
275:
217:Edgar Ferdinand Cyriax
126:Differential diagnosis
2514:Scheuermann's disease
2390:Slipping rib syndrome
2212:Hajdu–Cheney syndrome
1703:10.1089/lap.2020.0314
1607:10.1089/lap.2019.0519
807:10.1136/gut.34.7.1006
540:Conservative measures
380:medical professionals
369:
273:
244:clicking rib syndrome
182:Slipping rib syndrome
27:Slipping rib syndrome
2307:Aneurysmal bone cyst
2263:Nonossifying fibroma
1411:Pediatric Anesthesia
1339:10.1148/rg.345130151
694:Robert Davies-Colley
487:twelfth rib syndrome
376:physical examination
288:cartilaginous joints
260:Robert Davies-Colley
248:painful rib syndrome
605:Surgical procedures
571:Topical medications
329:full-contact sports
223:clinic and 5% in a
202:intercostal muscles
200:, straining of the
2539:Kienböck's disease
2295:Skeletal fluorosis
2241:Avascular necrosis
1977:External resources
1218:Skeletal Radiology
636:minimally invasive
505:, and groin pain.
386:, then pull in an
372:
276:
198:intercostal nerves
87:, abdominal pain,
68:orthopedic surgery
2567:
2566:
2563:
2562:
2559:
2558:
2403:
2402:
2346:
2345:
2278:Fibrous dysplasia
2143:
2142:
2000:
1999:
1697:(11): 1253–1256.
1133:978-1-4471-4838-8
1027:978-0-323-75775-1
341:American football
179:
178:
113:Diagnostic method
21:Medical condition
2592:
2529:
2505:
2473:Blount's disease
2446:
2439:
2438:
2412:
2411:
2357:
2356:
2222:Gorham's disease
2189:Hypophosphatasia
2096:
2066:
2056:
2055:
2047:
2046:
2027:
2020:
2013:
2004:
2003:
1926:
1925:
1919:
1918:
1886:
1880:
1879:
1869:
1837:
1831:
1830:
1794:
1788:
1787:
1775:
1769:
1768:
1732:
1723:
1722:
1682:
1676:
1675:
1665:
1648:(3): 1030–1035.
1633:
1627:
1626:
1590:
1584:
1583:
1535:
1529:
1528:
1488:
1482:
1481:
1449:
1443:
1442:
1406:
1400:
1399:
1389:
1357:
1351:
1350:
1333:(5): 1145–1162.
1322:
1316:
1315:
1267:
1250:
1249:
1213:
1204:
1203:
1193:
1183:
1159:
1146:
1145:
1117:
1104:
1103:
1077:
1053:
1040:
1039:
1001:
992:
991:
981:
957:
951:
950:
922:
899:
898:
862:
837:
836:
826:
786:
775:
774:
734:
665:gastroenterology
661:general medicine
598:local anesthetic
559:physical therapy
468:sternoclavicular
233:gastroenterology
229:general medicine
225:gastroenterology
221:general medicine
64:thoracic surgery
44:
24:
23:
2600:
2599:
2595:
2594:
2593:
2591:
2590:
2589:
2570:
2569:
2568:
2555:
2525:
2520:
2499:
2494:
2488:Sever's disease
2442:
2428:
2416:Osteochondritis
2399:
2395:Tietze syndrome
2378:
2369:Costochondritis
2342:
2338:Pycnodysostosis
2273:Stress fracture
2226:
2199:Bone resorption
2193:
2139:
2089:
2084:
2059:
2036:
2031:
2001:
1996:
1995:
1972:
1971:
1937:
1923:
1922:
1887:
1883:
1838:
1834:
1799:Sports Medicine
1795:
1791:
1776:
1772:
1733:
1726:
1683:
1679:
1634:
1630:
1591:
1587:
1536:
1532:
1489:
1485:
1450:
1446:
1407:
1403:
1372:(71): 275–280.
1358:
1354:
1323:
1319:
1268:
1253:
1214:
1207:
1160:
1149:
1134:
1118:
1107:
1054:
1043:
1028:
1002:
995:
958:
954:
923:
902:
863:
840:
787:
778:
735:
710:
705:
690:physiotherapist
678:
656:
607:
587:
547:pain medication
542:
534:
448:Tietze syndrome
444:costochondritis
440:
409:, and standard
364:
325:physical trauma
317:
268:
240:Cyriax syndrome
135:Tietze syndrome
131:Costochondritis
72:sports medicine
60:General surgery
22:
17:
12:
11:
5:
2598:
2588:
2587:
2582:
2565:
2564:
2561:
2560:
2557:
2556:
2554:
2553:
2552:
2551:
2549:Panner disease
2543:
2542:
2541:
2532:
2530:
2522:
2521:
2519:
2518:
2517:
2516:
2508:
2506:
2496:
2495:
2493:
2492:
2491:
2490:
2485:
2483:Köhler disease
2477:
2476:
2475:
2470:
2460:
2459:
2458:
2449:
2447:
2436:
2430:
2429:
2427:
2426:
2420:
2418:
2409:
2405:
2404:
2401:
2400:
2398:
2397:
2392:
2386:
2384:
2380:
2379:
2377:
2376:
2371:
2365:
2363:
2354:
2348:
2347:
2344:
2343:
2341:
2340:
2335:
2334:
2333:
2331:Melorheostosis
2326:Osteosclerosis
2323:
2322:
2321:
2311:
2310:
2309:
2297:
2292:
2291:
2290:
2285:
2275:
2270:
2268:Pseudarthrosis
2265:
2260:
2255:
2250:
2249:
2248:
2243:
2234:
2232:
2228:
2227:
2225:
2224:
2219:
2214:
2209:
2203:
2201:
2195:
2194:
2192:
2191:
2186:
2181:
2176:
2171:
2170:
2169:
2159:
2153:
2151:
2145:
2144:
2141:
2140:
2138:
2137:
2132:
2127:
2125:Brodie abscess
2122:
2117:
2116:
2115:
2110:
2099:
2097:
2086:
2085:
2083:
2082:
2081:
2080:
2069:
2067:
2053:
2044:
2038:
2037:
2030:
2029:
2022:
2015:
2007:
1998:
1997:
1994:
1993:
1981:
1980:
1978:
1974:
1973:
1970:
1969:
1954:
1938:
1933:
1932:
1930:
1929:Classification
1921:
1920:
1881:
1842:"SLIPPING RIB"
1832:
1805:(4): 235–250.
1789:
1770:
1724:
1677:
1628:
1601:(3): 334–337.
1585:
1530:
1483:
1464:(1): E45–E50.
1458:Pain Physician
1444:
1417:(6): 740–743.
1401:
1352:
1317:
1251:
1224:(5): 741–751.
1205:
1147:
1132:
1105:
1041:
1026:
993:
952:
900:
873:(3): 183–188.
838:
776:
749:(6): 1404–11.
707:
706:
704:
701:
688:physician and
677:
674:
655:
652:
606:
603:
586:
583:
541:
538:
533:
530:
439:
436:
390:(outward) and
363:
360:
354:. Generalized
316:
313:
267:
264:
256:displaced ribs
177:
176:
163:
159:
158:
128:
122:
121:
115:
109:
108:
99:
93:
92:
81:
75:
74:
57:
51:
50:
46:
45:
37:
36:
33:
29:
28:
20:
15:
9:
6:
4:
3:
2:
2597:
2586:
2583:
2581:
2578:
2577:
2575:
2550:
2547:
2546:
2544:
2540:
2537:
2536:
2534:
2533:
2531:
2528:
2523:
2515:
2512:
2511:
2510:
2509:
2507:
2504:
2503:
2497:
2489:
2486:
2484:
2481:
2480:
2478:
2474:
2471:
2469:
2466:
2465:
2464:
2461:
2457:
2454:
2453:
2451:
2450:
2448:
2445:
2440:
2437:
2435:
2431:
2425:
2422:
2421:
2419:
2417:
2413:
2410:
2406:
2396:
2393:
2391:
2388:
2387:
2385:
2381:
2375:
2372:
2370:
2367:
2366:
2364:
2362:
2358:
2355:
2353:
2349:
2339:
2336:
2332:
2329:
2328:
2327:
2324:
2320:
2317:
2316:
2315:
2312:
2308:
2305:
2304:
2303:
2302:
2298:
2296:
2293:
2289:
2286:
2284:
2281:
2280:
2279:
2276:
2274:
2271:
2269:
2266:
2264:
2261:
2259:
2256:
2254:
2251:
2247:
2244:
2242:
2239:
2238:
2236:
2235:
2233:
2229:
2223:
2220:
2218:
2215:
2213:
2210:
2208:
2205:
2204:
2202:
2200:
2196:
2190:
2187:
2185:
2182:
2180:
2177:
2175:
2172:
2168:
2165:
2164:
2163:
2160:
2158:
2155:
2154:
2152:
2150:
2146:
2136:
2133:
2131:
2128:
2126:
2123:
2121:
2118:
2114:
2111:
2109:
2106:
2105:
2104:
2103:Osteomyelitis
2101:
2100:
2098:
2095:
2093:
2087:
2079:
2076:
2075:
2074:
2071:
2070:
2068:
2065:
2063:
2057:
2054:
2052:
2048:
2045:
2043:
2039:
2035:
2028:
2023:
2021:
2016:
2014:
2009:
2008:
2005:
1992:
1988:
1987:
1983:
1982:
1979:
1975:
1968:
1964:
1963:
1959:
1955:
1953:
1949:
1948:
1944:
1940:
1939:
1936:
1931:
1927:
1916:
1912:
1908:
1904:
1900:
1896:
1892:
1885:
1877:
1873:
1868:
1863:
1859:
1855:
1852:(3194): 432.
1851:
1847:
1843:
1836:
1828:
1824:
1820:
1816:
1812:
1808:
1804:
1800:
1793:
1785:
1781:
1774:
1766:
1762:
1758:
1754:
1750:
1746:
1742:
1738:
1731:
1729:
1720:
1716:
1712:
1708:
1704:
1700:
1696:
1692:
1688:
1681:
1673:
1669:
1664:
1659:
1655:
1651:
1647:
1643:
1639:
1632:
1624:
1620:
1616:
1612:
1608:
1604:
1600:
1596:
1589:
1581:
1577:
1573:
1569:
1565:
1561:
1557:
1553:
1549:
1545:
1541:
1534:
1526:
1522:
1518:
1514:
1510:
1506:
1503:(2): 168–73.
1502:
1498:
1494:
1487:
1479:
1475:
1471:
1467:
1463:
1459:
1455:
1448:
1440:
1436:
1432:
1428:
1424:
1420:
1416:
1412:
1405:
1397:
1393:
1388:
1383:
1379:
1375:
1371:
1367:
1363:
1356:
1348:
1344:
1340:
1336:
1332:
1328:
1327:Radiographics
1321:
1313:
1309:
1305:
1301:
1297:
1293:
1289:
1285:
1281:
1277:
1273:
1266:
1264:
1262:
1260:
1258:
1256:
1247:
1243:
1239:
1235:
1231:
1227:
1223:
1219:
1212:
1210:
1201:
1197:
1192:
1187:
1182:
1177:
1173:
1169:
1165:
1158:
1156:
1154:
1152:
1143:
1139:
1135:
1129:
1125:
1124:
1116:
1114:
1112:
1110:
1101:
1097:
1093:
1089:
1085:
1081:
1076:
1071:
1067:
1063:
1059:
1052:
1050:
1048:
1046:
1037:
1033:
1029:
1023:
1019:
1015:
1011:
1007:
1000:
998:
989:
985:
980:
975:
971:
967:
963:
956:
948:
944:
940:
936:
932:
928:
921:
919:
917:
915:
913:
911:
909:
907:
905:
896:
892:
888:
884:
880:
876:
872:
868:
861:
859:
857:
855:
853:
851:
849:
847:
845:
843:
834:
830:
825:
820:
816:
812:
808:
804:
801:(7): 1006–8.
800:
796:
792:
785:
783:
781:
772:
768:
764:
760:
756:
752:
748:
744:
740:
733:
731:
729:
727:
725:
723:
721:
719:
717:
715:
713:
708:
700:
697:
695:
691:
687:
683:
673:
669:
666:
662:
651:
647:
644:
639:
637:
633:
629:
628:perichondrium
625:
619:
617:
613:
612:rib resection
602:
599:
595:
591:
582:
580:
576:
572:
568:
564:
560:
556:
552:
548:
537:
529:
527:
523:
522:cholecystitis
519:
518:gastric ulcer
515:
511:
506:
504:
500:
496:
492:
491:floating ribs
488:
483:
481:
477:
476:rheumatologic
473:
469:
465:
461:
457:
456:costochondral
453:
449:
445:
435:
433:
429:
425:
420:
416:
412:
408:
404:
400:
395:
393:
389:
385:
384:costal margin
381:
377:
368:
359:
357:
356:hypermobility
353:
349:
344:
342:
338:
334:
330:
326:
322:
312:
310:
306:
302:
298:
293:
289:
285:
280:
272:
263:
261:
257:
253:
249:
245:
241:
236:
234:
230:
226:
222:
218:
213:
211:
207:
203:
199:
195:
191:
187:
183:
175:
171:
167:
164:
160:
156:
152:
151:cholecystitis
148:
147:gastric ulcer
144:
140:
136:
132:
129:
127:
123:
120:
116:
114:
110:
107:
103:
102:Hypermobility
100:
98:
94:
90:
86:
82:
80:
76:
73:
69:
65:
61:
58:
56:
52:
47:
43:
38:
34:
30:
25:
19:
2580:Chest trauma
2526:
2500:
2443:
2389:
2314:Hyperostosis
2299:
2179:Osteomalacia
2162:Osteoporosis
2157:Bone density
2120:Sesamoiditis
2090:
2060:
2051:Inflammation
1984:
1956:
1941:
1898:
1894:
1884:
1849:
1845:
1835:
1802:
1798:
1792:
1783:
1780:Practitioner
1779:
1773:
1740:
1736:
1694:
1690:
1680:
1645:
1641:
1631:
1598:
1594:
1588:
1550:(3): 331–3.
1547:
1543:
1533:
1500:
1496:
1486:
1461:
1457:
1447:
1414:
1410:
1404:
1369:
1365:
1355:
1330:
1326:
1320:
1282:(1): 18–23.
1279:
1275:
1221:
1217:
1174:(1): 10–16.
1171:
1167:
1122:
1068:(3): 140–9.
1065:
1061:
1009:
972:(1): 65–71.
969:
965:
955:
930:
926:
870:
866:
798:
794:
746:
742:
698:
679:
670:
657:
654:Epidemiology
648:
640:
632:Laparoscopic
620:
616:laparoscopic
608:
588:
543:
535:
514:rib fracture
507:
484:
460:sternocostal
441:
396:
373:
348:birth defect
345:
318:
315:Risk factors
300:
281:
277:
255:
251:
247:
243:
239:
237:
214:
206:inflammation
185:
181:
180:
143:rib fracture
97:Risk factors
18:
2288:Polyostotic
2130:Periostitis
2078:Brown tumor
1986:MedlinePlus
567:acupuncture
526:esophagitis
482:processes.
399:radiographs
284:subluxation
155:esophagitis
32:Other names
2574:Categories
2361:Chondritis
2283:Monostotic
2237:Ischaemia
2207:Osteolysis
2174:Osteopenia
2113:Involucrum
2108:Sequestrum
1901:(8): 794.
703:References
686:orthopedic
575:Diclofenac
499:lower back
480:neoplastic
472:infectious
452:chest pain
411:ultrasound
210:false ribs
170:injections
166:Analgesics
119:ultrasound
89:chest pain
2301:bone cyst
2149:Metabolic
2092:infection
2062:endocrine
1915:0098-7484
1786:: 314–32.
1719:221844678
1623:209671289
1564:1437-9813
1470:2150-1149
1296:1050-642X
1142:832729043
1100:232103016
1084:1537-8918
1036:228871632
988:1806-0013
933:: 44–46.
815:0017-5749
771:233247861
763:2523-8973
594:steroidal
579:lidocaine
532:Treatment
503:abdominal
415:cartilage
362:Diagnosis
352:bifid rib
337:wrestling
194:subluxate
162:Treatment
85:back pain
55:Specialty
2408:Combined
2167:Juvenile
1876:20770640
1827:27093957
1819:11929353
1765:29220539
1711:32955995
1672:32330472
1615:31895629
1572:29214341
1525:54554663
1517:30509726
1478:33400437
1439:31701049
1431:11696155
1396:29375903
1347:25208273
1312:24736718
1304:29023277
1246:57448080
1238:30612161
1200:32055418
1092:33655995
947:27245407
895:51920821
887:30078490
577:gel and
549:such as
510:pleurisy
464:swelling
424:Valsalva
403:CT scans
392:superior
388:anterior
331:such as
305:vomiting
297:symptoms
266:Symptoms
235:clinic.
139:pleurisy
79:Symptoms
1967:M89.8X8
1867:2415737
1757:6107417
1663:7953350
1580:3386549
1387:5769668
1191:6995823
833:8344569
824:1374244
676:History
624:sternum
557:(OMT),
495:sternum
292:radiate
286:of the
174:surgery
2545:elbow
2535:wrist
2217:Ainhum
1991:007765
1952:FB82.Y
1913:
1874:
1864:
1825:
1817:
1763:
1755:
1737:Lancet
1717:
1709:
1670:
1660:
1621:
1613:
1578:
1570:
1562:
1523:
1515:
1476:
1468:
1437:
1429:
1394:
1384:
1345:
1310:
1302:
1294:
1244:
1236:
1198:
1188:
1140:
1130:
1098:
1090:
1082:
1034:
1024:
986:
945:
893:
885:
831:
821:
813:
769:
761:
643:thorax
565:, and
428:crunch
419:laxity
397:Plain
339:, and
333:hockey
321:causes
309:nausea
204:, and
106:trauma
2502:spine
2479:foot
2463:tibia
2434:Child
2383:Other
2352:Joint
2231:Other
1962:10-CM
1823:S2CID
1761:S2CID
1715:S2CID
1619:S2CID
1576:S2CID
1521:S2CID
1435:S2CID
1308:S2CID
1242:S2CID
1096:S2CID
1032:S2CID
891:S2CID
767:S2CID
684:, an
478:, or
254:, or
2527:arm:
2452:hip
2444:leg:
2042:Bone
1911:ISSN
1895:JAMA
1872:PMID
1815:PMID
1753:PMID
1707:PMID
1668:PMID
1611:PMID
1568:PMID
1560:ISSN
1513:PMID
1474:PMID
1466:ISSN
1427:PMID
1392:PMID
1343:PMID
1300:PMID
1292:ISSN
1234:PMID
1196:PMID
1138:OCLC
1128:ISBN
1088:PMID
1080:ISSN
1022:ISBN
984:ISSN
943:PMID
883:PMID
829:PMID
811:ISSN
759:ISSN
446:and
319:The
307:and
231:and
1958:ICD
1943:ICD
1903:doi
1899:237
1862:PMC
1854:doi
1807:doi
1784:102
1745:doi
1699:doi
1658:PMC
1650:doi
1646:110
1603:doi
1552:doi
1505:doi
1501:357
1419:doi
1382:PMC
1374:doi
1335:doi
1284:doi
1226:doi
1186:PMC
1176:doi
1070:doi
1014:doi
974:doi
935:doi
875:doi
819:PMC
803:doi
795:Gut
751:doi
596:or
458:or
407:MRI
186:SRS
2576::
1989::
1965::
1950::
1947:11
1909:.
1897:.
1893:.
1870:.
1860:.
1848:.
1844:.
1821:.
1813:.
1803:32
1801:.
1782:.
1759:.
1751:.
1739:.
1727:^
1713:.
1705:.
1695:30
1693:.
1689:.
1666:.
1656:.
1644:.
1640:.
1617:.
1609:.
1599:30
1597:.
1574:.
1566:.
1558:.
1548:34
1546:.
1542:.
1519:.
1511:.
1499:.
1495:.
1472:.
1462:24
1460:.
1456:.
1433:.
1425:.
1415:11
1413:.
1390:.
1380:.
1370:17
1368:.
1364:.
1341:.
1331:34
1329:.
1306:.
1298:.
1290:.
1280:29
1278:.
1274:.
1254:^
1240:.
1232:.
1222:48
1220:.
1208:^
1194:.
1184:.
1172:12
1170:.
1166:.
1150:^
1136:.
1108:^
1094:.
1086:.
1078:.
1066:20
1064:.
1060:.
1044:^
1030:.
1020:.
1008:.
996:^
982:.
970:18
964:.
941:.
931:22
929:.
903:^
889:.
881:.
871:27
869:.
841:^
827:.
817:.
809:.
799:34
797:.
793:.
779:^
765:.
757:.
745:.
741:.
711:^
614:,
561:,
524:,
520:,
516:,
512:,
501:,
474:,
426:,
405:,
401:,
335:,
250:,
246:,
242:,
172:,
168:,
153:,
149:,
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