Dartmouth College Geisel School of Medicine, Hanover, New Hampshire.
Department of Orthopaedic Surgery, University of Minnesota, Regions Hospital, St. Paul, Minnesota.
JBJS Case Connect. 2022 Apr 27;12(2). doi: 10.2106/JBJS.CC.21.00631. eCollection 2022 Apr 1.
The case of an active 16-year-old adolescent girl who presented with rib malunion and 1 year of unremitting intercostal nerve pain after sustaining multiple rib fractures is presented. She underwent successful bony and soft-tissue decompression of her eighth and ninth intercostal nerves to relieve neurogenic symptoms.
When conservative treatment fails, chronic intercostal nerve pain due to chest wall trauma may be effectively managed with surgical bony decompression of the offending intercostal bundle(s). Anatomic knowledge of the intercostal nerve and a critical history and physical examination were critical for accurate diagnosis and surgical decompression of the patient's intercostal nerve.
本病例报告了一位活跃的 16 岁青春期少女，她因多发性肋骨骨折后肋骨畸形愈合和 1 年持续性肋间神经痛就诊。她成功地接受了第八和第九肋间神经的骨和软组织减压手术，以缓解神经性症状。
当保守治疗失败时，由于胸壁创伤引起的慢性肋间神经痛可以通过受累肋间束的手术骨减压来有效治疗。对肋间神经的解剖知识以及对病史和体格检查的批判性分析对于准确诊断和对患者肋间神经的手术减压至关重要。
