The surgical procedures for SRS involve stabilizing the rib(s) that cause damaged or irritated intercostal nerves and surrounding areas.
The condition was originally described in 1919 by Edgar Ferdinand Cyriax, a British orthopedic surgeon who proposed that downstream branches of the nerve were aggravated by disrupted ribs.
The first documented treatment of the condition is credited to Eleanor Davies-Colley, the first female fellow in the history of the Royal College of Surgeons; in 1922, she published cases of two female patients whom she treated by resection of the mobile cartilage of the tenth rib, providing immediate symptomatic relief.
The latest publication (2023), “A Review of Slipping Rib Syndrome: Diagnostic and Treatment Updates to a Rare and Challenging Problem.” shows SRS is a poorly understood diagnosis resulting in significantly delayed and unnecessary diagnostic tests. Early and accurate diagnosis coupled with timely referral to a surgical provider with expertise in SRS is the most important aspect of treatment.
Surgical techniques to treat SRS are continuously evolving to improve long-term, post-operative pain relief and recurrence. Currently, SRS recurrence is not well-delineated; further research is necessary to determine the risk factors that may increase the chance of recurrence.
The latest surgical techniques have been updated to include suturing, plating, and combined techniques. These procedures are tailored to each patient's specific needs, ensuring the best possible outcome. - You can download or read below for publications on SRS procedures.
It's important to understand that medical professionals tailor treatment plans based on their expertise and each patient's individual needs. Therefore, decisions regarding surgical specifics and operative procedures are ultimately up to the discretion of the individual surgeons.
Osteo-cartilaginous pain syndromes at the chest wall: results of costal cartilage excision 2023 (pdf)Download
Costal Margin Reconstruction for Complex SRS-2023 (pdf)Download
Excision of Fractured Costal Bridging Cartilage-2023 (pdf)Download
Minimally Invasive Realignment for Slipping Rib Syndrome-2023 (pdf)Download
Redefining the costal margin-A pilot study-CWIS 2022 (pdf)Download
Combined Excision of Costal Cartilage and Rib Plating for Slipped Rib Syndrome-2022 (pdf)Download
Surgical treatment of costal cartilage fractures with titanium plate internal fixation-2022 (pdf)Download
Minimally Invasive Repair of Adult Slipped Rib Syndrome Without Costal Cartilage Excision-2020 (pdf)Download
Vertical rib plating for the treatment of slipping rib syndrome-2020 (pdf)Download
Fracture of the Costal Cartilage-2019 (pdf)Download
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