{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T18:43:36Z","timestamp":1793385816341,"version":"4.5.0"},"reference-count":27,"publisher":"Bentham Science Publishers Ltd.","issue":"4","content-domain":{"domain":["eurekaselect.com"],"crossmark-restriction":true},"short-container-title":["CMIR"],"published-print":{"date-parts":[[2021,5,21]]},"abstract":"<jats:sec>\n<jats:title>Background:<\/jats:title>\n<jats:p>High-frequency ultrasound (HFUS) is a mobile, radiation-free imaging\ntool for the diagnosis of musculoskeletal disorders. We aim to demonstrate the diagnostic value of\ndynamic HFUS for undiagnosed lower chest, upper abdomen, and loin pain with this case series.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>Case Series:<\/jats:title>\n<jats:p>A cricketer presented with long-standing left-sided dull ache lower chest and upper abdominal\npain, aggravated on exertion and leaning forward. His previous laboratory and previous\nimaging tests were unrevealing. Dynamic HFUS of his left ribs during hooking maneuver demonstrated\nslipping of the eighth rib over the seventh rib associated with clicking. He also reported tenderness\nover this region. He was diagnosed with slipping rib syndrome (SRS), and was treated with\nthe eighth nerve block under the HFUS guidance. The second and third cases presented with chronic\nundiagnosed waxing and waning loin pain despite extensive laboratory and radiological workup.\nBoth patients demonstrated twelfth rib HFUS probe tenderness in a sitting position with a specific\nmovement that reproduced the pain during the dynamic HFUS study. The diagnosis of twelfth rib\nsyndrome (TRS) was confirmed and treated successfully with a local intercostal nerve block.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>Review of the Literature:<\/jats:title>\n<jats:p> HFUS is the most underutilized imaging tool for the diagnosis of unexplained\nupper abdominal and lower chest pain syndromes. We identified only a few such reported\ncases managed with the help of HFUS.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>Conclusion:<\/jats:title>\n<jats:p>The dynamic HFUS is a valuable imaging modality for the undiagnosed lower chest,\nupper abdominal, or loin pain.<\/jats:p>\n<\/jats:sec>","DOI":"10.2174\/1573405616666201005114406","type":"journal-article","created":{"date-parts":[[2020,10,6]],"date-time":"2020-10-06T07:20:54Z","timestamp":1601968854000},"page":"459-463","update-policy":"https:\/\/doi.org\/10.2174\/bsp_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Diagnostic Value of Dynamic High-frequency Ultrasound for the Slipping Rib and Twelfth Rib Syndrome: A Case Series with Review"],"prefix":"10.2174","volume":"17","author":[{"given":"Nalin G.","family":"Patel","sequence":"first","affiliation":[{"name":"Department of Radiology, Dr. M.K. Shah Medical College and Research Center, Ahmedabad, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dhruvkumar M.","family":"Patel","sequence":"additional","affiliation":[{"name":"Dhruv Healthcare Multi-speciality Hospital, Ahmedabad, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mukundkumar V.","family":"Patel","sequence":"additional","affiliation":[{"name":"Zydus Medical College and Hospital, Dahod, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maitri M.","family":"Patel","sequence":"additional","affiliation":[{"name":"GCS Medical College, and Hospital and Research Center, Ahmedabad, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tanmay R.","family":"Patel","sequence":"additional","affiliation":[{"name":"Grant Ave Gmc, Columbus, Ohio, OH, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suyog Y.","family":"Patel","sequence":"additional","affiliation":[{"name":"B.J. Medical College, Ahmedabad, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"965","reference":[{"key":"ref=1","doi-asserted-by":"publisher","first-page":"128","DOI":"10.5152\/eurasianjmed.2017.17083","volume":"49","author":"Sade R.","year":"2017","unstructured":"Sade R.; Ogul H.; Eren S.; Levent A.; Kantarci M.; Comparison of ultrasonography and low-dose computed tomography for the diagnosis of pediatric urolithiasis in the emergency department. Eurasian J Med 2017,49(2),128-131","journal-title":"Eurasian J Med"},{"key":"ref=2","doi-asserted-by":"publisher","first-page":"569","DOI":"10.1111\/acem.13180","volume":"24","author":"Imler D.","year":"2017","unstructured":"Imler D.; Keller C.; Sivasankar S.; Wang N.E.; Vasanawala S.; Bruzoni M.; Quinn J.; Magnetic resonance imaging versus ultrasound as the initial imaging modality for pediatric and young adult patients with suspected appendicitis. Acad Emerg Med 2017,24(5),569-577","journal-title":"Acad Emerg Med"},{"key":"ref=3","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1186\/s13244-019-0692-z","volume":"10","author":"D\u2019Onofrio M.","year":"2019","unstructured":"D\u2019Onofrio M.; Bele\u00f9 A.; Gaitini D.; Abdominal applications of ultrasound fusion imaging technique: liver, kidney, and pancreas. Insights Imaging 2019,10(1),6","journal-title":"Insights Imaging"},{"key":"ref=4","doi-asserted-by":"publisher","first-page":"262","DOI":"10.1590\/abd1806-4841.20164446","volume":"91","author":"Barcaui Ede.O.","year":"2016","unstructured":"Barcaui Ede.O.; Carvalho A.C.; Lopes F.P.; Pi\u00f1eiro-Maceira J.; Barcaui C.B.; High frequency ultrasound with color Doppler in dermatology. An Bras Dermatol 2016,91(3),262-273","journal-title":"An Bras Dermatol"},{"key":"ref=5","doi-asserted-by":"publisher","first-page":"34","DOI":"10.1051\/sicotj\/2017015","volume":"3","author":"Burt A.M.","year":"2017","unstructured":"Burt A.M.; Huang B.K.; Imaging review of lipomatous musculoskeletal lesions. SICOT J 2017,3,34","journal-title":"SICOT J"},{"key":"ref=6","doi-asserted-by":"publisher","first-page":"34","DOI":"10.1097\/PSN.0000000000000031","volume":"34","author":"Lucas V.S.","year":"2014","unstructured":"Lucas V.S.; Burk R.S.; Creehan S.; Grap M.J.; Utility of high-frequency ultrasound: moving beyond the surface to detect changes in skin integrity. Plast Surg Nurs 2014,34(1),34-38","journal-title":"Plast Surg Nurs"},{"key":"ref=7","doi-asserted-by":"publisher","first-page":"9694316","DOI":"10.1155\/2017\/9694316","volume":"2017","author":"Wang Q.","year":"2017","unstructured":"Wang Q.; Huang Q.H.; Yeow J.T.W.; Pickering M.R.; Saarakkala S.; Quantitative analysis of musculoskeletal ultrasound: Techniques and clinical applications. BioMed Res Int 2017,2017,9694316","journal-title":"BioMed Res Int"},{"key":"ref=8","doi-asserted-by":"publisher","first-page":"182","DOI":"10.15557\/JoU.2017.0027","volume":"17","author":"Czyrny Z.","year":"2017","unstructured":"Czyrny Z.; Standards for musculoskeletal ultrasound. J Ultrason 2017,17(70),182-187","journal-title":"J Ultrason"},{"key":"ref=9","doi-asserted-by":"crossref","first-page":"W63","DOI":"10.2214\/AJR.06.0579","volume":"188","author":"Khoury V","year":"2007","unstructured":"Khoury V; Cardinal E; Bureau NJ; Musculoskeletal sonography: A dynamic tool for usual and unusual disorders. Am J Roentgenol 2007,188(1),W63-73","journal-title":"Am J Roentgenol"},{"key":"ref=10","first-page":"120","volume":"40","author":"Udermann B.E.","year":"2005","unstructured":"Udermann B.E.; Cavanaugh D.G.; Gibson M.H.; Doberstein S.T.; Mayer J.M.; Murray S.R.; Slipping rib syndrome in a collegiate swimmer: A case report. J Athl Train 2005,40(2),120-122","journal-title":"J Athl Train"},{"key":"ref=11","doi-asserted-by":"publisher","first-page":"632","DOI":"10.1016\/S0140-6736(80)90294-9","volume":"2","author":"Wright J.T.","year":"1980","unstructured":"Wright J.T.; Slipping-rib syndrome. Lancet 1980,2(8195 pt 1),632-634","journal-title":"Lancet"},{"key":"ref=12","doi-asserted-by":"publisher","first-page":"740","DOI":"10.1046\/j.1460-9592.2001.00754.x","volume":"11","author":"Saltzman D.A.","year":"2001","unstructured":"Saltzman D.A.; Schmitz M.L.; Smith S.D.; Wagner C.W.; Jackson R.J.; Harp S.; The slipping rib syndrome in children. Paediatr Anaesth 2001,11(6),740-743","journal-title":"Paediatr Anaesth"},{"key":"ref=13","doi-asserted-by":"publisher","first-page":"311","DOI":"10.4103\/0019-5049.115585","volume":"57","author":"Kumar R.","year":"2013","unstructured":"Kumar R.; Ganghi R.; Rana V.; Bose M.; The painful rib syndrome. Indian J Anaesth 2013,57(3),311-313","journal-title":"Indian J Anaesth"},{"key":"ref=14","doi-asserted-by":"publisher","first-page":"183","DOI":"10.1053\/j.sempedsurg.2018.05.009","volume":"27","year":"2018","unstructured":"A review of evaluation, diagnosis and treatment.  Semin Pediatr Surg McMahon LE. Slipping Rib Syndrome2018,27(3),183-188","journal-title":"Semin Pediatr Surg"},{"key":"ref=15","doi-asserted-by":"publisher","first-page":"172","DOI":"10.1016\/S0885-3924(96)00271-0","volume":"13","author":"Cranfield K.A.","year":"1997","unstructured":"Cranfield K.A.; Buist R.J.; Nandi P.R.; Baranowski A.P.; The twelfth rib syndrome. J Pain Symptom Manage 1997,13(3),172-175","journal-title":"J Pain Symptom Manage"},{"key":"ref=16","doi-asserted-by":"publisher","first-page":"741","DOI":"10.1007\/s00256-018-3133-z","volume":"48","author":"Van Tassel D.","year":"2019","unstructured":"Van Tassel D.; McMahon L.E.; Riemann M.; Wong K.; Barnes C.E.; Dynamic ultrasound in the evaluation of patients with suspected slipping rib syndrome. Skeletal Radiol 2019,48(5),741-751","journal-title":"Skeletal Radiol"},{"key":"ref=17","doi-asserted-by":"publisher","first-page":"197","DOI":"10.15557\/JoU.2017.0029","volume":"17","author":"Smereczy\u0144ski A.","year":"2017","unstructured":"Smereczy\u0144ski A.; Ko\u0142aczyk K.; Bernatowicz E.; Chest wall - underappreciated structure in sonography. Part I: Examination methodology and ultrasound anatomy. J Ultrason 2017,17(70),197-205","journal-title":"J Ultrason"},{"key":"ref=18","doi-asserted-by":"publisher","first-page":"1145","DOI":"10.1148\/rg.345130151","volume":"34","author":"Zbojniewicz A.M.","year":"2014","unstructured":"Zbojniewicz A.M.; US for diagnosis of musculoskeletal conditions in the young athlete: emphasis on dynamic assessment. Radiographics 2014,34(5),1145-1162","journal-title":"Radiographics"},{"key":"ref=19","first-page":"1","volume":"29","author":"Zheng Z.","year":"2005","unstructured":"Zheng Z.; High-frequency ultrasound (HFUS) and its biomedical applications. Zhongguo Yi Liao Qi Xie Za Zhi 2005,29(1),1-4","journal-title":"Zhongguo Yi Liao Qi Xie Za Zhi"},{"key":"ref=20","doi-asserted-by":"publisher","first-page":"6027029","DOI":"10.1155\/2017\/6027029","volume":"2017","author":"Huang Q.","year":"2017","unstructured":"Huang Q.; Zeng Z.; A review on real-time 3D ultrasound imaging technology. BioMed Res Int 2017,2017,6027029","journal-title":"BioMed Res Int"},{"key":"ref=21","doi-asserted-by":"publisher","first-page":"e0147051","DOI":"10.1371\/journal.pone.0147051","volume":"11","author":"Kuo T.T.","year":"2016","unstructured":"Kuo T.T.; Lee M.R.; Liao Y.Y.; Chen J.P.; Hsu Y.W.; Yeh C.K.; Assessment of median nerve mobility by ultrasound dynamic imaging for diagnosing carpal tunnel syndrome. PLoS One 2016,11(1),e0147051","journal-title":"PLoS One"},{"key":"ref=22","doi-asserted-by":"publisher","first-page":"341","DOI":"10.1177\/1759720X12442112","volume":"4","author":"Patil P.","year":"2012","unstructured":"Patil P.; Dasgupta B.; Role of diagnostic ultrasound in the assessment of musculoskeletal diseases. Ther Adv Musculoskelet Dis 2012,4(5),341-355","journal-title":"Ther Adv Musculoskelet Dis"},{"key":"ref=23","doi-asserted-by":"publisher","first-page":"339","DOI":"10.7863\/jum.2002.21.3.339","volume":"21","author":"Meuwly J.Y.","year":"2002","unstructured":"Meuwly J.Y.; Wicky S.; Schnyder P.; Lepori D.; Slipping rib syndrome: a place for sonography in the diagnosis of a frequently overlooked cause of abdominal or low thoracic pain. J Ultrasound Med 2002,21(3),339-343","journal-title":"J Ultrasound Med"},{"key":"ref=24","doi-asserted-by":"publisher","first-page":"49","DOI":"10.18773\/austprescr.2015.019","volume":"38","author":"Mendelson R.","year":"2015","unstructured":"Mendelson R.; Imaging for chronic abdominal pain in adults. Aust Prescr 2015,38(2),49-54","journal-title":"Aust Prescr"},{"key":"ref=25","doi-asserted-by":"publisher","first-page":"654","DOI":"10.1038\/nrurol.2016.154","volume":"13","author":"Brisbane W.","year":"2016","unstructured":"Brisbane W.; Bailey M.R.; Sorensen M.D.; An overview of kidney stone imaging techniques. Nat Rev Urol 2016,13(11),654-662","journal-title":"Nat Rev Urol"},{"key":"ref=26","doi-asserted-by":"publisher","first-page":"31","DOI":"10.1148\/radiol.2531090302","volume":"253","author":"Stoker J.","year":"2009","unstructured":"Stoker J.; van Randen A.; Lam\u00e9ris W.; Boermeester M.A.; Imaging patients with acute abdominal pain. Radiology 2009,253(1),31-46","journal-title":"Radiology"},{"key":"ref=27","doi-asserted-by":"publisher","first-page":"384","DOI":"10.21037\/qims.2017.08.02","volume":"7","author":"Tomas X.","year":"2017","unstructured":"Tomas X.; Facenda C.; Vaz N.; Casta\u00f1eda E.A.; Del Amo M.; Garcia-Diez A.I.; Pomes J.; Thoracic wall trauma-misdiagnosed lesions on radiographs and usefulness of ultrasound, multidetector computed tomography and magnetic resonance imaging. Quant Imaging Med Surg 2017,7(4),384-397","journal-title":"Quant Imaging Med Surg"}],"container-title":["Current Medical Imaging Formerly Current Medical Imaging Reviews"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/eurekaselect.com\/article\/download\/186589","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.eurekaselect.com\/186589\/article","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/eurekaselect.com\/article\/download\/186589","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,8,24]],"date-time":"2021-08-24T12:16:25Z","timestamp":1629807385000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.eurekaselect.com\/186589\/article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,5,21]]},"references-count":27,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2021,5,21]]}},"alternative-id":["LiveAll1"],"URL":"https:\/\/doi.org\/10.2174\/1573405616666201005114406","relation":{},"ISSN":["1573-4056"],"issn-type":[{"value":"1573-4056","type":"print"}],"subject":[],"published":{"date-parts":[[2021,5,21]]},"assertion":[{"value":"Peer Reviewed","order":0,"name":"review_status","label":"Review Status","group":{"name":"peer_review_details","label":"Peer Review Details"}},{"value":"Single blind","order":1,"name":"review_process","label":"Review Process","group":{"name":"peer_review_details","label":"Peer Review Details"}},{"value":"Checked with iThenticate","order":0,"name":"screening_status","label":"Screening Status","group":{"name":"plagiarism_screening","label":"Plagiarism Screening"}},{"value":"2020-03-29","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-07-23","order":1,"name":"revised","label":"Revised","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-07-30","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-05-21","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}