肋骨滑动综合症

定义

肋骨滑动综合症 refers to pain in your lower chest or upper abdomen which may be present when your lower ribs move a little more than normal.

Your ribs are the bones in your chest that wrap around your upper body. They connect your breastbone to your spine.

选择的名字

Interchondral subluxation; Clicking rib syndrome; Slipping-rib-cartilage syndrome; Painful rib syndrome; Twelfth rib syndrome; Displaced ribs; Rib-tip syndrome; Rib subluxation; 胸部疼痛-slipping rib

原因

This syndrome usually occurs in 8th to 10th ribs (also known are false ribs) at the lower part of your rib cage. These ribs are not connected to the chest bone (sternum). Fibrous tissue (ligaments), connect these ribs to each other to help keep them stable. The relative weakness in the ligaments can allow the ribs to move a little more than normal and cause pain.

这种情况可能发生在以下情况:

• Injury to the chest while playing contact sports such as football, ice hockey, wrestling, and rugby
• 摔倒或胸部直接受伤
• Rapid twisting, pushing, or lifting motions, such as throwing a ball or swimming

When the ribs shift, they press on the surrounding muscles, nerves, and other tissues. This causes pain and inflammation in the area.

肋骨滑动综合症 can occur at any age, but it is more common in middle-aged adults. 女性可能比男性更容易受到影响.

症状

The condition usually occurs on one side. 很少，它可能发生在双方. 症状包括:

• Severe pain in the lower chest or upper abdomen. The pain may come and go and get better with time.
• A popping, clicking, or slipping sensation.
• Pain when applying pressure to the affected area.
• Coughing, laughing, lifting, twisting, and bending may make the pain worse.

考试和测试

The symptoms of slipping rib syndrome are similar to other medical conditions. This makes the condition difficult to diagnose.

Your health care provider will take your medical history and ask about your symptoms. 你会被问到以下问题:

• 疼痛是怎么开始的? 受伤了吗??
• 是什么让你更疼?
• 有什么东西能减轻疼痛吗?

Your provider will perform a physical exam. The hooking maneuver test may be done to confirm the diagnosis. 在这个测试中:

• 你会被要求仰面躺下.
• Your provider will hook their fingers under the lower ribs and pull them outward.
• Pain and a clicking sensation confirms the condition.

根据你的考试结果, x射线, 超声波, MRI or blood tests may be done to rule out other conditions.

治疗

疼痛通常会在几周内消失.

治疗的重点是减轻疼痛. 如果疼痛是轻微的, 你可以使用布洛芬, 或萘普生(萘普生), 萘普生)用于缓解疼痛. You can buy these pain medicines at the store.

• Talk with your provider before using these medicines if you have heart disease, 高血压, 肾脏疾病, 肝脏疾病, or have had stomach ulcers or internal bleeding in the past.
• 按照十大赌博平台排行榜建议的剂量服用. DO NOT take more than the amount recommended on the bottle. Carefully read the warnings on the label before taking any medicine.

Your provider may also prescribe pain medicines to relieve pain.

你可能会被要求:

• 在疼痛处加热或冰敷
• Avoid activities that makes the pain worse, such as heavy lifting, twisting, pushing, and pulling
• Wear a chest binder to stabilize the ribs
• 咨询物理治疗师

For severe pain, your provider may give you a 皮质类固醇注射 在疼痛的地方.

如果疼痛持续, surgery may be done to remove the cartilage and lower ribs, although it is not a commonly performed procedure.

前景(预测)

The pain often goes away completely over time, although the pain may become chronic. Injection or surgery may be required in some cases.

可能出现的并发症

并发症可能包括:

• 呼吸困难.
• 注射过程中可能会造成伤害 气胸.

There are usually no long-term complications.

何时联系医疗专业人员

You should contact your provider right away if you have:

• 你胸部受伤了
• Pain in your lower chest or upper abdomen
• 呼吸困难 or shortness of breath
• 日常活动疼痛

Call 911 or the local emergency number if:

• You have sudden crushing, squeezing, tightening, or pressure in your chest.
• Pain spreads (radiates) to your jaw, left arm, or between your shoulder blades.
• You have nausea, dizziness, sweating, a racing heart, or shortness of breath.

参考文献

Cupit GL, Dixit S, Chang CJ. 胸部和腹部受伤. In: Madden CC, Putukian M, McCarty EC, Young CC, eds. 奈特运动医学. 3日艾德. Philadelphia, PA: Elsevier; 2023:chap 52.

Kolinski JM. 胸部疼痛. In: Kliegman RM, Lye PS, Bordini BJ, Toth H, Basel D, eds. Nelson Pediatric Symptom-Based Diagnosis. 第二版. Philadelphia, PA: Elsevier; 2023:chap 8.

麦克马洪,勒. 肋骨滑动综合症: a review of evaluation, diagnosis and treatment. 儿科外科Semin. 2018;27(3):183-188. PMID: 30078490 pubmed.ncbi.nlm.国家卫生研究院.gov / 30078490 /.

Waldmann SD. 肋骨滑动综合症. 见:Waldmann SD编. 罕见疼痛综合征图谱. 第四版. Philadelphia, PA: Elsevier; 2020:chap 72.