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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

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
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
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
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
Comparison of Postoperative Pain and Recovery between Single-Port and Two-Port Thoracoscopic Lobectomy for Lung Cancer.
Liu Z, Yang R, Shao F
Thorac Cardiovasc Surg 2019 Mar;67(2):142-146. Epub 2018 Jul 9 doi: 10.1055/s-0038-1666835. PMID: 29986350
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
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

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
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
Comparison of Postoperative Pain and Recovery between Single-Port and Two-Port Thoracoscopic Lobectomy for Lung Cancer.
Liu Z, Yang R, Shao F
Thorac Cardiovasc Surg 2019 Mar;67(2):142-146. Epub 2018 Jul 9 doi: 10.1055/s-0038-1666835. PMID: 29986350
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
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

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
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
Primary and prosthetic repair of acquired chest wall hernias: a 20-year experience.
Seder CW, Allen MS, Nichols FC, Wigle DA, Shen KR, Deschamps C, Cassivi SD
Ann Thorac Surg 2014 Aug;98(2):484-9. Epub 2014 May 17 doi: 10.1016/j.athoracsur.2014.03.021. PMID: 24841541
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
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
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
Feasibility of a single mediastinal drain through the abdominal wall after esophagectomy.
Zheng Y, Li Y, Liu X, Zhang R, Wang Z, Sun H
Medicine (Baltimore) 2018 Nov;97(46):e13234. doi: 10.1097/MD.0000000000013234. PMID: 30431603Free 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

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

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    Practice guidelines

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    • 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.

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