Botulinum Toxin Treatment for Slipping Rib Syndrome

Pirali, Caterina; Santus, Gianna; Faletti, Sofia; Grandis, D. De

doi:10.1097/ajp.0b013e318278d497

Cited by 15 publications

(3 citation statements)

References 27 publications

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“…Existen autores que proponen medidas menos agresivas, como la inyección de toxina botulínica en los músculos intercostales 11 o inyecciones periódicas con agentes anestésicos locales 3 como tratamiento sintomático temporal. Estas medidas, aunque entrañan menos riesgos que la intervención radical, no han resultado tan eficaces como esta última.…”

Section: Discussionunclassified

Slipping rib syndrome. An aggressive but effective treatment

Temprano

González

Martín

et al. 2015

An Sist Sanit Navar

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REsUMEnEl síndrome de la costilla deslizante (SCD) es una entidad infrecuente, que exige un diagnóstico diferencial preciso incluyendo patología digestiva, cardiaca, respiratoria, infecciosa y músculo-esquelética torácica o abdominal.Se presenta el caso de dos niñas, en edad puberal, con dolor torácico incapacitante de varios meses de evolución y sin antecedente traumático. En la exploración existía un punto de dolor a la palpación de la parrilla costal y la "maniobra del gancho" era dolorosa. Se realizó una resección de los cartílagos costales, respetando el pericondrio. La evolución tras uno y cuatro años de seguimiento, fue satisfactoria sin com plicaciones y con resolución inmediata de la sinto matología.La cirugía de resección costal parece una opción muy agresiva, aunque con resultados muy satisfactorios. Un abordaje mínimamente invasivo podría ser mejor opción a considerar en el futuro.Palabras clave. Dolor torácico recurrente. Costocondritis. Síndrome de Tietze. Pediatría. Síndrome doloroso costal inferior.

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Section: Discussionunclassified

Slipping rib syndrome. An aggressive but effective treatment

Temprano

González

Martín

et al. 2015

An Sist Sanit Navar

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“…A local nerve block may also help with pre-operative planning by identifying the specific slipped rib that should be surgically corrected [7]. There has been a documented case report of a botulinum toxin injection with a shorter-term pain relief compared to a local nerve block [14].…”

Section: Non-surgical Treatmentmentioning

confidence: 99%

A Review of Slipping Rib Syndrome: Diagnostic and Treatment Updates to a Rare and Challenging Problem

Madeka,

Alaparthi,

Moreta

et al. 2023

JCM

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Slipping rib syndrome (SRS) is a disorder that occurs when one or more of the eighth through tenth ribs become abnormally mobile. SRS is a poorly understood condition leading to a significant delay in diagnosis and therapeutic management. History and a physical exam are usually sufficient for a diagnosis of SRS. The utility of dynamic ultrasounds has also been studied as a useful diagnostic tool. Multiple surgical techniques for SRS have been described within the literature. Cartilage rib excision (CRE) has been the most common technique utilized. However, the literature has shown a high rate of recurrence and associated risks with the procedure. More recently, minimally invasive rib fixation and costal cartilage excision with vertical rib plating have been shown as successful and safe alternative techniques. This may be an effective, alternative approach to CRE in adult and pediatric populations with SRS.

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“…To date, the definitive treatment consists in the surgical resection of the slipping rib cartilages. However, non-surgical alternatives are available today, such as botulinum toxin injection [ 3 ] or local anaesthetic block.…”

Section: Introductionmentioning

confidence: 99%

A new sign of the slipping rib syndrome?

Romano

Gavezzoli

Gallazzi

et al. 2021

Interactive CardioVascular and Thoracic Surgery

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The slipping rib syndrome is characterized by burning pain in the lower thorax and upper abdomen, often disabling, caused by hypermobility of the costal cartilage with entrapment of the intercostal nerve. The syndrome is often underdiagnosed. The diagnosis is clinical and the definitive treatment is surgical, with an excellent result for pain relief. Based on the observation of 4 cases undergoing rib resection for SRS, we noticed a new possible sign of the disease. Our patients showed less thickness of the ipsilateral rectus abdominis muscle on ultrasound of the abdomen. The aim of this study is to demonstrate this sign in the diagnosis of SRS, to make this disease more recognizable and treatable.

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Botulinum Toxin Treatment for Slipping Rib Syndrome

Abstract: To our knowledge botulinum toxin has never been proposed before for the treatment of SRS. We believe that it should be considered as a therapeutic option, especially where other medical treatments have failed or as an intermediate step before surgical intervention.

Cited by 15 publications

References 27 publications

Slipping rib syndrome. An aggressive but effective treatment

Slipping rib syndrome. An aggressive but effective treatment

A Review of Slipping Rib Syndrome: Diagnostic and Treatment Updates to a Rare and Challenging Problem

A new sign of the slipping rib syndrome?

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