slipped rib syndrome
Introduction
Introduction to slippage rib syndrome Spondylolisthesis syndrome is not uncommon in clinical practice but is easily overlooked. First described by Danse-colley in 1992, it was also named as slipping ribs, snapping ribs, intercostal syndrome, and traumatic intercostal neuritis. The real cause is currently unknown. Some people think that the intercostal nerve is stimulated by the adjacent ribs or costal cartilage. Some people think that it is related to indirect trauma such as excessive upper extremity lift and body rotation. basic knowledge Sickness ratio: 0.001-0.005% Susceptible people: no specific population Mode of infection: non-infectious Complications: muscle spasm
Cause
The cause of slippage rib syndrome
Cause:
The real cause is currently unknown. Some people think that the intercostal nerve is stimulated by the adjacent ribs or costal cartilage. Some people think that it is related to indirect trauma such as excessive upper extremity lift and body rotation.
Pathogenesis:
Due to the indirect effects of upper limbs and body movements, abnormal activities of the intercostal cartilage joints before the 8th, 9th, and 10th were caused.
Prevention
Spondylolisthesis prevention
Life restraint pays attention to rest, work and rest, life is orderly, and maintaining an optimistic, positive and upward attitude towards life is of great help in preventing diseases. Do the regularity of tea and rice, live daily, not overworked, open-minded, and develop good habits.
Complication
Spondylolisthesis complications Complications
Indirect effects of upper limbs and body movements lead to abnormal activities of the intercostal cartilage joints of the 8th, 9th, and 10th. The tactile sensation and intercostal tendon: the body can be found to have tactile decline along the intercostal nerve and the corresponding intercostal space. Tendons.
Symptom
Spondylolisthesis syndrome symptoms Common symptoms Dull pain in the shoulder area diffuse blunt ... Intercostal space may have tender heart tingling
Symptom
(1) Acupuncture-like pain: limited to the upper abdomen, especially when turning or turning waist, occasionally limited to dull pain under the costal margin and radiating to the back, drilling pain and burning pain.
(2) "Snap" sound: "click" sound can occur at the rib edge when the chest and waist are moving, or the patient can hear and feel the "click" sound.
2. Signs
(1) Tactile sensation and intercostal tendon: Physical examination revealed tactile decline along the intercostal nerve and corresponding intercostal tendon.
(2) "Hook-type technique" induces pain: the examiner pulls the cost of the ribs in front of the patient's ribs with a hook-shaped finger to cause pain.
(3) Card squeaking and friction: When you fix the lower edge of the patient's rib by hand and push forward or suddenly turn the body, you can hear the sound of the card or the friction.
Examine
Examination of spondy rib syndrome
There are no abnormalities in various routine tests such as blood routine, blood biochemistry, and enzymology. No abnormal findings were found on the electrocardiogram, chest and rib X-ray examination.
Diagnosis
Diagnosis and differentiation of spondylolisthesis syndrome
diagnosis
1. Clinical features: the body turns the acupuncture-like pain and "click" sound in the upper abdomen, the inter-costal muscles are reduced in touch and the traction pain induced by the "hook-type manipulation" is a feature of the disease.
2. The patient's self-conscious symptoms are heavy, and the indicators of the laboratory and auxiliary examination are normal. After excluding abdominal organ diseases, the disease should be considered.
Differential diagnosis
Patients with acupuncture-like pain in the upper abdomen, drilling pain, radiation pain, etc. should be confused with the pain of the primary abdominal disease, such as perforation of the digestive tract ulcer, cholecystitis, ascariasis.
