Faculty of Medicine, American University of Beirut, Beirut, Lebanon; Neuroscience Research Center, Faculty of Medical Sciences, Lebanese University, Beirut, Lebanon.
Faculty of Medicine, American University of Beirut, Beirut, Lebanon.
Am J Med Sci. 2019 Feb;357(2):168-173. doi: 10.1016/j.amjms.2018.10.007. Epub 2018 Oct 23.
Slipping rib syndrome is an often unrecognized and underdiagnosed condition caused by the increased mobility of the anterior ends of the costal cartilages of the false ribs. Patients usually present with severe intermittent abdominal pain that is exacerbated by various physical movements. Diagnosis of slipping rib syndrome is mainly clinical and can be confirmed by a physical examination technique termed the "Hooking Maneuver." Treatment includes conservative therapy, intercostal nerve block and surgical operation. Hence, the management and care plan of each patient must be individualized as per the presenting symptoms and medical history. Early recognition and prompt intervention necessitate that physicians be more aware of the symptomatology and prognosis of this condition. This study presents a rare case of a patient with slipping rib syndrome and offers medical insight to the clinical diagnosis and therapeutic modalities of this condition, in light of the current existing literature.
滑动肋综合征是一种常被忽视和诊断不足的疾病，由假肋的肋软骨前端活动度增加引起。患者通常表现为严重的间歇性腹痛，各种身体运动可使疼痛加剧。滑动肋综合征的诊断主要基于临床，可通过一种称为“挂钩手法”的体格检查技术来确诊。治疗包括保守治疗、肋间神经阻滞和手术。因此，根据患者的症状和病史，必须为每位患者制定个体化的管理和护理计划。早期识别和及时干预需要医生更加了解这种疾病的症状和预后。本研究报告了一例滑动肋综合征患者的罕见病例，并根据现有文献，为该疾病的临床诊断和治疗方法提供了医学见解。
