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November 1983

The Slipping Rib Syndrome

Author Affiliations

From the Department of Surgery, University of Medicine and Dentistry of New Jersey, Rutgers Medical School, Cooper Hospital/University Medical Center, Camden, NJ (Dr Spence); and the Department of Surgery, University of Pennsylvania School of Medicine, Philadelphia (Dr Rosato).

Arch Surg. 1983;118(11):1330-1332. doi:10.1001/archsurg.1983.01390110076016

• The slipping rib syndrome is a cause of upper abdominal pain that is not widely known, possibly because of failure of recognition rather than infrequent occurrence. The syndrome should be suspected when pain can be reproduced by a ribhooking maneuver. However, a thorough evaluation including intercostal nerve blocks is necessary both to eliminate coexistent gastrointestinal and psychiatric disorders as a cause of pain and to assure adequate treatment and a good prognosis. Patients with obvious slipping ribs appear to benefit from surgical excision.

(Arch Surg 1983;118:1330-1332)

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