@article{ref1,
title="Two years of debilitating pain in a football spearing victim: slipping rib syndrome",
journal="Medicine and science in sports and exercise",
year="2003",
author="Peterson, Laurie L. and Cavanaugh, Daniel G.",
volume="35",
number="10",
pages="1634-1637",
abstract="INTRODUCTION: Blunt chest trauma can occur in a variety of sports, and lead to rib fractures and less commonly known and diagnosed injuries. We report the case of a 14-yr-old student athlete who was speared (helmet tackled) in a practice scrimmage sustaining a painful injury that eluded diagnosis and treatment for more than 2 yr. <br><br>METHODS: The case history of pain treatments and radiological evaluations is presented. <br><br>RESULTS: Ultimately, a definitive diagnosis of &quot;slipping rib syndrome&quot; was achieved through a simple clinical manipulation (the hooking maneuver), combined with a history of symptomatic relief provided with costochondral blockade. Surgical resection of the slipping rib provided total resolution of the problem. <br><br>CONCLUSION: Very few clinicians are aware either of the syndrome or the maneuver used to diagnose this condition. Although spearing has been outlawed in American football for years, it remains a commonplace occurrence, and sports physicians should be aware of the potential consequences to the victim as well as those to the perpetrator.<p /><p>Language: en</p>",
language="en",
issn="0195-9131",
doi="10.1249/01.MSS.0000089249.00206.04",
url="http://dx.doi.org/10.1249/01.MSS.0000089249.00206.04"
}