Praxis Medical Insights

Est. 2024 • Clinical Guidelines Distilled

Made possible by volunteer editors from the University of Calgary & University of Alberta

Last Updated: 9/29/2025

Slipping Rib Syndrome Diagnosis and Treatment

Pathophysiology and Clinical Presentation

  • Slipping rib syndrome is a musculoskeletal condition characterized by chest pain caused by one or more ribs (typically ribs 8-10) subluxing from their normal joint position, resulting in hypermobility and impingement of intercostal nerves, as described by the American Heart Association 1, 2

Diagnostic Imaging

  • Dynamic ultrasound has emerged as the most useful diagnostic imaging modality, detecting slipping rib syndrome in 89% of cases and ruling it out in 100% of negative cases, according to the American College of Radiology 3