Department of Radiology, Wellington Regional Hospital, Wellington, New Zealand.
J Med Imaging Radiat Oncol. 2022 Apr;66(3):409-410. doi: 10.1111/1754-9485.13247. Epub 2021 May 30.
Slipping rib syndrome (SRS) is an underdiagnosed condition that can lead to debilitating lower chest and upper abdominal pain (Am J Med Sci 2019; 357: 168). It is caused by hypermobility of the anterior ends of the costal cartilages of false ribs, allowing the eighth to tenth ribs to slip under the rib above, giving its name (Semin Pediatr Surg 2018; 27: 183). Failure to recognize this syndrome can expose patients to extensive and unnecessary investigations for unclear symptoms. Although more commonly reported in adults, SRS is a relatively uncommon but recognized cause of lower chest or upper abdomen pain in adolescence (Pediatr Anesth 2001; 11: 740). It is important for clinicians to familiarize themselves with and consider the diagnosis of SRS when assessing and managing adolescents with persistent thoracic pain. We present a case of a 14-year-old girl with unresolved thoracic pain for more than 4 years and was ultimately diagnosed with SRS.
滑动肋综合征（Slipping rib syndrome，SRS）是一种诊断不足的病症，可导致严重的下胸部和上腹部疼痛（Am J Med Sci 2019；357：168）。它是由假肋的肋软骨前端过度活动引起的，允许第 8 至 10 根肋骨在上面的肋骨下滑动，因此得名（Semin Pediatr Surg 2018；27：183）。未能识别这种综合征可能会使患者接受广泛而不必要的检查，以明确不明原因的症状。尽管 SRS 在成年人中更为常见，但它也是青少年下胸部或上腹部疼痛的一个相对少见但已被认识到的原因（Pediatr Anesth 2001；11：740）。对于评估和管理持续性胸痛的青少年，临床医生熟悉并考虑 SRS 的诊断非常重要。我们报告了一例 14 岁女孩，其胸部疼痛持续超过 4 年，最终被诊断为 SRS。
