This video presents the diagnosis and treatment of slipped rib syndrome,
a syndrome that is often missed. The Hansen's repair is a novel and
very simple way to address this problem.
Slipped rib syndrome presents with significant pain over the anterior
lower rib cage. It is worse on movement and the hook test reproduces
the extreme pain. Dynamic ultrasounds can also help with the diagnosis,
although most patients’ pathways are littered with a long line of normal
tests, and many patients are left feeling that there is no organic
cause, often having had a futile cholecystectomy.
author encourages all cardiothoracic surgeons to familiarize themselves
with this condition, which is now simple to resolve with the Hansen's
repair technique, taking no more than 10 minutes to perform (1).
Toker A, Hayanga J, Buenaventura P, Spear C, Abbas G. Minimally invasive
repair of adult slipped rib syndrome without costal cartilage excision.
Ann Thorac Surg. 2020;110(3):1030-1035.