Peterson Laurie L, Cavanaugh Daniel G
Department of Pediatrics, Marshfield Clinic-Chippewa Center, 2655 County Highway 1, Chippewa Falls, WI 54729, USA.
Med Sci Sports Exerc. 2003 Oct;35(10):1634-7. doi: 10.1249/01.MSS.0000089249.00206.04.
Blunt chest trauma can occur in a variety of sports, and lead to rib fractures and less commonly known and diagnosed injuries. We report the case of a 14-yr-old student athlete who was speared (helmet tackled) in a practice scrimmage sustaining a painful injury that eluded diagnosis and treatment for more than 2 yr.
The case history of pain treatments and radiological evaluations is presented.
Ultimately, a definitive diagnosis of "slipping rib syndrome" was achieved through a simple clinical manipulation (the hooking maneuver), combined with a history of symptomatic relief provided with costochondral blockade. Surgical resection of the slipping rib provided total resolution of the problem.
Very few clinicians are aware either of the syndrome or the maneuver used to diagnose this condition. Although spearing has been outlawed in American football for years, it remains a commonplace occurrence, and sports physicians should be aware of the potential consequences to the victim as well as those to the perpetrator.
钝性胸部创伤可发生于多种体育运动中，会导致肋骨骨折以及一些鲜为人知且难以诊断的损伤。我们报告一例14岁学生运动员的病例，该患者在一次练习赛中被用头盔铲球动作铲中，遭受了疼痛性损伤，在长达两年多的时间里一直未得到诊断和治疗。
介绍疼痛治疗及影像学评估的病例史。
最终，通过一种简单的临床手法（钩拉动作），结合肋软骨阻滞缓解症状的病史，确诊为“肋软骨滑综合征”。切除滑脱的肋骨使问题完全解决。
很少有临床医生了解这种综合征或用于诊断该病症的手法。尽管美式橄榄球中用头盔铲球的动作多年前就已被禁止，但此类情况仍很常见，运动医学医生应意识到这对受害者以及实施者可能造成的后果。
