We aim to increase awareness of this rare underdiagnosed painful disorder, known as "Slipping Rib Syndrome," in the hope of expanding access.
Joined May 2023
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A member of our group shared this with me, and it closely aligns with the experience we had following the survey some time ago. We are gradually working through the survey responses, summarizing them as we go, and we appreciate your patience throughout this process.
For now:
Pre- and post-op costal margin reconstruction (3.0): image comparison. The patient reports feeling more debilitated by pain rather than experiencing improvement. It has been 9 months since the first repair.
#slippedribsyndrome #slippingribsyndrome
#costalmargin
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As 2026 approaches, we want to sincerely thank you for your ongoing support and understanding. We're excited to share that many updates are coming to srsinfo.org. Please visit us often, and know that we truly appreciate your continued engagement.❤️🩹
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"Dynamic Ultrasound for Slipping Rib Syndrome - Pediatric US Multisite Conference May 2025"
A very interesting presentation by Monique C. Riemann.
youtu.be/dLm-2tYn3Qg?si=Z6mb…
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SRS patients have been informed that the 11-month post-operative CT scans show positive results.
How can we communicate our concerns to our surgeons?
Imaging: 11-month post-op multiple interlocking lattice-type sutures to rebuild the costal margin.
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Chapter 10 - Slipping rib syndrome 2025
Authos: Kostas Papagiannopoulos
And Athanasios Kleontas
sciencedirect.com/science/ar…
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One of my dearest friends shared this with me and passing it along here. Just remember, you are not alone in this journey. ❤️🩹
#srscommunity #srsinfo
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Learning something new every day! ❤️🩹
Hi, ER Doc here.
Every time I see somebody with a nosebleed doing this wrong I feel the need to get this message out:
If your nose is bleeding, DO NOT TILT YOUR HEAD BACK. This just makes the blood drip down the back of your throat and you will then swallow and/or choke on it. Pinch the soft part of your nose and TILT YOUR HEAD FORWARD. Please tell all your friends about this.
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Happy New Year.
We have updated our SRS specialists both in the US and internationally, as well as publications and much information about SRS.
We invite you to visit our updated website at SRSinfo.org
Additionally our website is scheduled to be verified and updated regularly.
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Where do we go from here?-Part 3
“I was advised to be patient, so I waited in hopes of getting better. I was told that my pain was all in my head, which led me to seek mental health support. Each time I went to the Emergency Department, I was accused of seeking drugs and repeatedly told that nothing was wrong with me. My family doesn't believe me, and I am only 23 years old. I am scared.”
#FailedCostalMarginReconstruction
#aftermath
#consequences
#intercostalneuralgia
#chestwallinjury
#costalcartilage
#slippingribsyndrome
#costalmargin
#CostalMarginReconstruction
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There are several important points to take from this great publication:
1. Floating lower ribs are not considered abnormal.
2. For patients undergoing SRS Op, it's important to pay attention to the tips of the 8th and 9th ribs, even if the interchondral joints appear to be secure. (Dr. Lisa McMahon has noted that clinicians should examine the tips of the 8th rib, as they may impinge on the superior nerve, even in the absence of obvious signs of slippage.)
3. The lower ribs exert upward force on the ribs above, specifically the 5th and 6th ribs, and the interchondral joints help to distribute this force. Some SRS patients may experience interchondral joint fractures due to lower rib dysfunction, traumatic injury, or poorly reconstructed costal margins.
This research provides valuable insight into why these injuries occur and how damage to the ribs in the 8th to 10th regions can impact the ribs located higher up.
It's exciting to see this area get attention!!
Thank you!
@MUSCSurgery @evert_eriksson
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“Where do we go from here?” Part 2
This highlights another failure of CMR. It should not standardize procedures involving this type of operation and must address the inaccuracies in the surgeon's published results, as he claims to have a high success rate.
A key objective of the surgery is to avoid damaging these highly sensitive nerves.
While we know that nothing is guaranteed, we believe we deserve better. It is frustrating to witness CMR failures unfolding before our eyes, and we feel angry and heartbroken that the surgeon promotes results that are misleading.
We highly value the efforts of all surgeons to improve our health and recognize that they are doing their best to help us. We also understand that no one can predict how our bodies will respond, and more studies are needed over time.
However, we have observed that too many people undergo reassignment surgery, and we believe that doctors need to be completely honest about the risks involved and the expected outcomes. The focus should not solely be on the number of patients treated; instead, quality of care is what truly matters.
This is incredibly difficult for all of us, and it often feels like it will never end.
Thank you for reading and listening to our concerns.
#FailedCostalMarginReconstruction
#slippingribsyndrome
#costalmargin
#aftermath
#consequences
#intercostalneuralgia
#chestwallinjury
#CostalMarginReconstruction
#costalcartilage
“Where do we go from here?”
#PostOpCostalMarginReconstruction
#slippingribsyndrome
#costalmargin
#aftermath
#consequences
#intercostalneuralgia
#chestwallinjury
#CostalMarginReconstruction
#PostOp
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This post is made on behalf of our beloved friend who is undergoing surgery this Monday morning, an unprecedented procedure as far as we know. We kindly ask for prayers and positive thoughts for her and the brave, compassionate surgeon taking on this immense responsibility.
Despite having faced several surgeries that led to this, which began with what was meant to be a simple slipped rib stabilization. Posting this brings us to a place of shared pain as we deeply understand the weight of what she’s going through.
While the future remains uncertain, our hope and prayers are focused on her body and soul beginning to heal from this point forward.
We’ve spent countless nights talking, crying, and grappling with a mix of despair and hope, dreaming of the day we will finally meet in person—perhaps over a nice glass of wine by the fire, sharing conversations, or simply enjoying each other’s company in silence. I can only wish for that day to become a reality.
We love you dearly, beautiful friend.
The accompanying video is a 3D-rendered CT scan of her recent images, which I have created into a movie with her consent.
vimeo.com/1007312009/4ff9ced…
#FailedCostalMarginReconstruction
#slippingribsyndrome
#costalmargin
#aftermath
#consequences
#intercostalneuralgia
#chestwallinjury
#CostalMarginReconstruction
#costalcartilage
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The purpose of sharing this message is to raise awareness about the potential harm of certain SRS medical procedures and to encourage everyone to make informed choices. SRS procedures should not be standardized, and unnecessary surgeries should be avoided. Please advocate for yourself and others. Ask questions persistently and ensure that all your concerns are addressed. Remember that everyone’s anatomy is unique, and most importantly, avoid comparing your symptoms or images to others. Multiple consultations are highly recommended if possible.
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SRS providers-Updated 08/28/2024
*Providers on this page have been reviewed using the FSMB (Copyright © 2001-2024 by the Federation of State Medical Boards of the United States Inc.) database of medical licensure and disciplinary actions.
*It is important to note that everyone has different anatomy and medical conditions. If you are considering SRS surgery, your surgeon should create a personalized surgery plan based on your specific condition. They should also explain the reasons behind the chosen surgical techniques, such as resection, suturing, plating, or combinations, in order to achieve successful surgical outcomes.
We highly recommend seeking multiple opinions to ensure the best fit for you as well.
srsinfo.org/srs-medical-prov…
#slippingribsyndrome
#slippedribsyndrome
#costalmargin
#costalmargininjury
#SRS
#SRSproviders
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This is a fantastic video that we should share. This might not be related, but it is still related. We are not medical providers; instead, we are on the patient's side. However, from our perspective, Dr. Ghali’s educational videos, like this one, highlight the high value of compassionate doctors whom our lives depend on. We thank you for all you do and for continuing your studies and education.
Here’s a video I made breaking down this very important case of a 60-year-old woman who was brought to the ER by her children with abdominal pain, nausea, and vomiting
#FOAMed
Updated SRS providers.
*It is important to note that everyone has different anatomy and conditions. If you are a candidate for SRS surgery, your surgeon should provide a personalized surgery plan based on your specific condition.
The surgical procedures for SRS involve stabilizing the rib(s) that cause damaged or irritated intercostal nerves and surrounding areas.
The latest surgical techniques have been updated to include
resection, suturing, plating, and combined techniques.
srsinfo.org/srs-medical-prov…
#slippingribsyndrome
#SRSinfo
#costalmargin
#chestwallinjury
#slippedribsyndrome
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12 Things You Should Know About #ChronicIllness. By a physician who spent five years #homebound due to #illness, masteringhealthhappiness.com… via @AmyStenehjemMD
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As we heard, we are keeping a close eye on the new approach to SRS repairs involving the "KLS Martin L1 PEEK" Plate, which Dr. Shiroff at Penn has started using. Some of us have already received this repair.
We are hoping to learn more about the results as time allows us!
Below are summarized explanations of different types of surgical procedure techniques for SRS.
It's important to understand that surgeons tailor treatment plans based on their expertise and each patient's needs.
Please note- The surgical procedures for SRS involve stabilizing the rib(s) that cause damage or irritation and impinge intercostal nerves and surrounding areas.
Resection:
⁃Trimming down the tip of the rib causes damage or irritation and impinges the intercostal nerve above.
Sutures:
1.Two Figure “8” nonabsorbable sutures are placed through the cartilage and rib to anchor the rib above to stabilize the costal margin.
2.Interlocking lattice-type nonabsorbable sutures around the cartilage to stabilize the costal margin.
Plates: (newest first)
1.“Newest” PEEK permanent plate procedure: Customized cutting of the KLS Martin PEEK (high-performance thermoplastic polymer with an elastic modulus similar to human bone ) plate to length and secured to the stable cartilage above vertically, using self-drilling screws (Convergent Biaxal fixation or “CB3”, secure osteosynthesis is possible using single-length, drill-free, monocortical locking screws). This PEEK, Polyetheretherketone plate allows the chest wall anatomy to remain in a normal orientation with intercostal spacing and Rib head angulation posteriorly by avoiding non-anatomic angle induction anteriorly as well. Below is a link to the KLS Martin L1 PEEK if you would like to read about it more. klsmartin.com/en-na/products…
2.Costal margin reconstruction “3.0” procedure WITH demineralized bone matrix: Involved small harvested cartilage from the rib is placed between as a spacer, with an injection of the demineralized bone matrix at the rib tip, then overlay two customized cuts of BioBridge (absorbable) plate placed, anchored to the stable rib above with sutures to stabilize.
3.Costal margin reconstruction “3.0” procedure: A small cartilage is removed from the rib and placed as a spacer. The BioBridge (absorbable) plate is placed vertically and anchored to the stable rib tip above, with sutures to stabilize it.
#slippedribsyndrome #srs #slippingribsyndrome #costalmargin #chestwallinjuries
#peekplate
#newhope
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