{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,7]],"date-time":"2026-02-07T01:56:07Z","timestamp":1770429367854,"version":"3.49.0"},"reference-count":13,"publisher":"Springer Science and Business Media LLC","issue":"2","license":[{"start":{"date-parts":[[2025,12,12]],"date-time":"2025-12-12T00:00:00Z","timestamp":1765497600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,12,12]],"date-time":"2025-12-12T00:00:00Z","timestamp":1765497600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Pediatr Radiol"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Bifid ribs are rare congenital anomalies, usually asymptomatic and discovered incidentally on imaging. However, they can cause significant pain, posing diagnostic and therapeutic challenges, particularly in pediatric populations. We report a case of a 3-year-old female with chronic anterior chest wall pain attributed to a bifid right fourth rib. Imaging confirmed the anomaly without associated soft tissue masses. After transient symptom relief with lidocaine patches and intercostal nerve blocks, she underwent successful percutaneous image-guided cryoneurolysis of the right third to fifth intercostal nerves. The patient experienced marked pain relief post-procedure without complications, with sustained benefit at 4\u00a0months. Bifid ribs may be an under-recognized cause of intercostal neuralgia in children. Image-guided percutaneous cryoneurolysis may represent a safe and effective treatment option for symptomatic relief.<\/jats:p>","DOI":"10.1007\/s00247-025-06483-0","type":"journal-article","created":{"date-parts":[[2025,12,12]],"date-time":"2025-12-12T07:54:22Z","timestamp":1765526062000},"page":"491-495","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Percutaneous cryoneurolysis for intercostal neuralgia due to bifid rib in a pediatric patient"],"prefix":"10.1007","volume":"56","author":[{"given":"Joshua","family":"Verhagen","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna","family":"Sorensen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah","family":"Tracy","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eric","family":"Monroe","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,12,12]]},"reference":[{"key":"6483_CR1","doi-asserted-by":"publisher","first-page":"1127","DOI":"10.1097\/ALN.0000000000003532","volume":"133","author":"BM Ilfeld","year":"2020","unstructured":"Ilfeld BM, Finneran JJ II (2020) Cryoneurolysis and percutaneous peripheral nerve stimulation to treat acute pain: a narrative review. Anesthesiology 133:1127\u20131149","journal-title":"Anesthesiology"},{"key":"6483_CR2","doi-asserted-by":"crossref","unstructured":"Rathinasabapathi MK, Kumar Perumallapalli LH (2015) Bifid rib: a rare anomaly. Med J Dr DY Patil Vidyapeeth 8:670\u2013671","DOI":"10.4103\/0975-2870.164952"},{"key":"6483_CR3","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijscr.2024.110025","author":"JA Nieuwstraten","year":"2024","unstructured":"Nieuwstraten JA, van Huijstee PJ (2024) Case series on resection of symptomatic bifid ribs: a successful and safe treatment option. 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Semin Intervent Radiol 39:167\u2013171","journal-title":"Semin Intervent Radiol"},{"key":"6483_CR8","doi-asserted-by":"publisher","first-page":"774","DOI":"10.1016\/j.jtcvs.2008.12.039","volume":"139","author":"I Hunt","year":"2010","unstructured":"Hunt I, Eaton D, Maiwand O, Anikin V (2010) Video-assisted intercostal nerve cryoablation in managing intractable chest wall pain. J Thorac Cardiovasc Surg 139:774\u2013775","journal-title":"J Thorac Cardiovasc Surg"},{"key":"6483_CR9","doi-asserted-by":"publisher","first-page":"1776","DOI":"10.1148\/rg.220082","volume":"42","author":"AA Sag","year":"2022","unstructured":"Sag AA, Bittman R, Prologo F et al (2022) Percutaneous image-guided cryoneurolysis: applications and techniques. 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