U.S. flag

An official website of the United States government

Format

Send to:

Choose Destination

Chest Pain in Intercostal Space

MedGen UID:
1716512
•Concept ID:
C5238546
•
Sign or Symptom

Definition

The location of the chest pain is in the area defined by a superior rib margin and an inferior rib margin. [from NCI]

Professional guidelines

PubMed

Surgical management of traumatic rupture of aortic isthmus: a 25-year experience.
Mirhosseini SM, Asadollahi S, Fakhri M
Gen Thorac Cardiovasc Surg 2013 Apr;61(4):212-7. Epub 2012 Dec 25 doi: 10.1007/s11748-012-0197-x. PMID: 23266904
Pain management in video assisted thoracic surgery: evaluation of localised partial rib resection. A new technique.
Richardson J, Sabanathan S
J Cardiovasc Surg (Torino) 1995 Oct;36(5):505-9. PMID: 8522573
Sedation and pain management for the critically ill.
Veselis RA
Crit Care Clin 1988 Jan;4(1):167-81. PMID: 2463065

Recent clinical studies

Etiology

Regional anesthesia for sternotomy and bypass-Beyond the epidural.
Raj N
Paediatr Anaesth 2019 May;29(5):519-529. doi: 10.1111/pan.13626. PMID: 30861264
Intercostal Nerve Block and Neurolysis for Intractable Cancer Pain.
Matchett G
J Pain Palliat Care Pharmacother 2016 Jun;30(2):114-7. Epub 2016 Apr 19 doi: 10.3109/15360288.2016.1167804. PMID: 27092398
Upper ministernotomy.
Reser D, Holubec T, Scherman J, Yilmaz M, Guidotti A, Maisano F
Multimed Man Cardiothorac Surg 2015;2015 Epub 2015 Nov 2 doi: 10.1093/mmcts/mmv036. PMID: 26530961
One-port videothoracoscopic surgical intervention.
Kiral H, Tezel C, Ocakcioglu İ, Vayvada M, Bayram S, Urek S, Alpay L
Surg Laparosc Endosc Percutan Tech 2015 Feb;25(1):40-42. doi: 10.1097/SLE.0000000000000013. PMID: 24732735
Suture techniques of the intercostal space in thoracotomy and their relationship with post-thoracotomy pain: a systematic review.
García-Tirado J, Rieger-Reyes C
Arch Bronconeumol 2012 Jan;48(1):22-8. Epub 2011 Oct 22 doi: 10.1016/j.arbres.2011.04.012. PMID: 22019365

Diagnosis

Diaphragm plication using a subcostal approach as an alternative to a thoracotomy.
Pavy C
Multimed Man Cardiothorac Surg 2022 Mar 31;2022 doi: 10.1510/mmcts.2022.008. PMID: 35616979
Intercostal Nerve Block and Neurolysis for Intractable Cancer Pain.
Matchett G
J Pain Palliat Care Pharmacother 2016 Jun;30(2):114-7. Epub 2016 Apr 19 doi: 10.3109/15360288.2016.1167804. PMID: 27092398
One-port videothoracoscopic surgical intervention.
Kiral H, Tezel C, Ocakcioglu İ, Vayvada M, Bayram S, Urek S, Alpay L
Surg Laparosc Endosc Percutan Tech 2015 Feb;25(1):40-42. doi: 10.1097/SLE.0000000000000013. PMID: 24732735
Atypical chest pain: evidence of intercostobrachial nerve sensitization in Complex Regional Pain Syndrome.
Rasmussen JW, Grothusen JR, Rosso AL, Schwartzman RJ
Pain Physician 2009 Sep-Oct;12(5):E329-34. PMID: 19787018
Intercostal hemangioma.
Kubo M, Moriyama S, Nogami T, Kunitomo T, Nawa S
Jpn J Thorac Cardiovasc Surg 2004 Sep;52(9):435-8. doi: 10.1007/s11748-004-0040-0. PMID: 15510847

Therapy

Regional anesthesia for sternotomy and bypass-Beyond the epidural.
Raj N
Paediatr Anaesth 2019 May;29(5):519-529. doi: 10.1111/pan.13626. PMID: 30861264
Intercostal Nerve Block and Neurolysis for Intractable Cancer Pain.
Matchett G
J Pain Palliat Care Pharmacother 2016 Jun;30(2):114-7. Epub 2016 Apr 19 doi: 10.3109/15360288.2016.1167804. PMID: 27092398
One-port videothoracoscopic surgical intervention.
Kiral H, Tezel C, Ocakcioglu İ, Vayvada M, Bayram S, Urek S, Alpay L
Surg Laparosc Endosc Percutan Tech 2015 Feb;25(1):40-42. doi: 10.1097/SLE.0000000000000013. PMID: 24732735
Suture techniques of the intercostal space in thoracotomy and their relationship with post-thoracotomy pain: a systematic review.
García-Tirado J, Rieger-Reyes C
Arch Bronconeumol 2012 Jan;48(1):22-8. Epub 2011 Oct 22 doi: 10.1016/j.arbres.2011.04.012. PMID: 22019365
Atypical chest pain: evidence of intercostobrachial nerve sensitization in Complex Regional Pain Syndrome.
Rasmussen JW, Grothusen JR, Rosso AL, Schwartzman RJ
Pain Physician 2009 Sep-Oct;12(5):E329-34. PMID: 19787018

Prognosis

Intercostal liposomal bupivacaine injection for rib fractures: A prospective randomized controlled trial.
Wallen TE, Singer KE, Makley AT, Athota KP, Janowak CF, Hanseman D, Salvator A, Droege ME, Strilka R, Droege CA, Goodman MD
J Trauma Acute Care Surg 2022 Feb 1;92(2):266-276. doi: 10.1097/TA.0000000000003462. PMID: 34789700
Comparison of Sleeve Lobectomy for Lung Cancer Using Mini-Thoracotomy and an Optimized Robot-Assisted Technique.
Shaolin T, Yonggeng F, Poming K, Longyong M, Cheng S, Chunshu F, Licheng W, Qunyou T, Bo D
Technol Cancer Res Treat 2021 Jan-Dec;20:15330338211051547. doi: 10.1177/15330338211051547. PMID: 34736363Free PMC Article
Physiological markers of exercise capacity and lung disease severity in cystic fibrosis.
Smith L, Reilly CC, MacBean V, Jolley CJ, Elston C, Moxham J, Rafferty GF
Respirology 2017 May;22(4):714-720. Epub 2016 Nov 24 doi: 10.1111/resp.12954. PMID: 27882640
Suture techniques of the intercostal space in thoracotomy and their relationship with post-thoracotomy pain: a systematic review.
García-Tirado J, Rieger-Reyes C
Arch Bronconeumol 2012 Jan;48(1):22-8. Epub 2011 Oct 22 doi: 10.1016/j.arbres.2011.04.012. PMID: 22019365
Atypical chest pain: evidence of intercostobrachial nerve sensitization in Complex Regional Pain Syndrome.
Rasmussen JW, Grothusen JR, Rosso AL, Schwartzman RJ
Pain Physician 2009 Sep-Oct;12(5):E329-34. PMID: 19787018

Clinical prediction guides

Dynamics of thoracic endometriosis in the pleural cavity.
Ochi T, Kurihara M, Tsuboshima K, Nonaka Y, Kumasaka T
PLoS One 2022;17(5):e0268299. Epub 2022 May 11 doi: 10.1371/journal.pone.0268299. PMID: 35544515Free PMC Article
The ultrasound-guided proximal intercostal block: anatomical study and clinical correlation to analgesia for breast surgery.
Zinboonyahgoon N, Luksanapruksa P, Piyaselakul S, Pangthipampai P, Lohasammakul S, Luansritisakul C, Mali-Ong S, Sateantantikul N, Chueaboonchai T, Vlassakov K
BMC Anesthesiol 2019 Jun 5;19(1):94. doi: 10.1186/s12871-019-0762-2. PMID: 31164083Free PMC Article
Intercostal Nerve Block and Neurolysis for Intractable Cancer Pain.
Matchett G
J Pain Palliat Care Pharmacother 2016 Jun;30(2):114-7. Epub 2016 Apr 19 doi: 10.3109/15360288.2016.1167804. PMID: 27092398
One-port videothoracoscopic surgical intervention.
Kiral H, Tezel C, Ocakcioglu İ, Vayvada M, Bayram S, Urek S, Alpay L
Surg Laparosc Endosc Percutan Tech 2015 Feb;25(1):40-42. doi: 10.1097/SLE.0000000000000013. PMID: 24732735
Atypical chest pain: evidence of intercostobrachial nerve sensitization in Complex Regional Pain Syndrome.
Rasmussen JW, Grothusen JR, Rosso AL, Schwartzman RJ
Pain Physician 2009 Sep-Oct;12(5):E329-34. PMID: 19787018

Recent systematic reviews

Acquired abdominal intercostal hernia: case report and systematic review of the literature.
Erdas E, Licheri S, Calò PG, Pomata M
Hernia 2014 Oct;18(5):607-15. Epub 2014 Mar 13 doi: 10.1007/s10029-014-1232-x. PMID: 24623405
Suture techniques of the intercostal space in thoracotomy and their relationship with post-thoracotomy pain: a systematic review.
García-Tirado J, Rieger-Reyes C
Arch Bronconeumol 2012 Jan;48(1):22-8. Epub 2011 Oct 22 doi: 10.1016/j.arbres.2011.04.012. PMID: 22019365

Supplemental Content

Table of contents

    Practice guidelines

    • PubMed
      See practice and clinical guidelines in PubMed. The search results may include broader topics and may not capture all published guidelines. See the FAQ for details.
    • Bookshelf
      See practice and clinical guidelines in NCBI Bookshelf. The search results may include broader topics and may not capture all published guidelines. See the FAQ for details.

    Recent activity

    Clear Turn Off Turn On

    Your browsing activity is empty.

    Activity recording is turned off.

    Turn recording back on

    See more...