Intercostal Muscle Strain: Difference between revisions
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[[Muscles of Respiration|Intercostal muscles]] are muscles that present within the [[Ribs|rib]] cage. Consist of three layer of muscles external, internal, and innermost layer they combine to fill the space between the ribs. External intercostals muscle are the outermost layer lies directly under the skin originate from the lower border of rib above run obliquely and insert into the upper border of the rib below. It expands the chest wall during inhalation. Internal intercostals the intermediate layer originate from the costal groove near the inferior border of the rib above to the upper border of the rib below, help to collapse the Lung during expiration. Innermost intercostals muscle, cross more than one intercostal space, and assist the internal and external intercostals in their function. | [[Muscles of Respiration|Intercostal muscles]] are muscles that present within the [[Ribs|rib]] cage. Consist of three layer of muscles external, internal, and innermost layer they combine to fill the space between the ribs. External intercostals muscle are the outermost layer lies directly under the skin originate from the lower border of rib above run obliquely and insert into the upper border of the rib below. It expands the chest wall during inhalation. Internal intercostals the intermediate layer originate from the costal groove near the inferior border of the rib above to the upper border of the rib below, help to collapse the Lung during expiration. Innermost intercostals muscle, cross more than one intercostal space, and assist the internal and external intercostals in their function. | ||
Intercostal muscles strain vary according to the type and intensity of injury, strain of intercostal muscles causes rib/chest pain, upper back pain, and affect | Intercostal muscles strain vary according to the type and intensity of injury, strain of intercostal muscles causes rib/chest pain, upper back pain, and affect the breathing pattern the patient will present with shallow short breathing pattern due to pain. | ||
== Mechanism of Injury | == Mechanism of Injury == | ||
Intercostal muscles strain don't happen usually with daily life activities, it happens when the muscles are weakened, overexertion of muscles, direct trauma from falling or car accident, or blow from contact sports such as hockey, or repetitive torso twisting. | |||
* '''A direct blow to the rib cage''': such as falling, car accident, or trauma from contact sports such as football, hockey. In which the intercostal muscles will stretch or tear as ribs are suddenly forced to move apart. | |||
* '''Twisting the torso:''' twisting while lifting, twisting from dancing position/yoga posture, and some sports such as tennis, golf. In which the ribs are moved apart from its normal range, excessive torso twisting may occur during sports. | |||
* '''Reaching overhead:''' prolonged time of overhead activities or lifting above shoulder place undue stress on the muscles as we can see in painting the ceiling. | |||
* '''Repetitive forceful movement:''' such as rowing, hitting a tennis ball.<ref>Tran H. [https://www.spine-health.com/conditions/upper-back-pain/causes-intercostal-muscle-strain Causes of Intercostal Muscle Strain]. Spine-health. October 2017</ref> | |||
=== Risk factories === | |||
* '''Physical labor''': such as activities that include repetitive twisting, prolonged overhead activities, frequent weight lifting. | |||
* '''High-thrust sports''': where there's repeated use of the arm, shoulder, and upper back that put stress on intercostal muscles. | |||
* '''Contact sports''': when a direct sudden force hits the upper body. | |||
== Clinical Presentation == | == Clinical Presentation == | ||
Symptoms vary according to the intensity and the type of injury.<ref>Tran H. [https://www.spine-health.com/conditions/upper-back-pain/intercostal-muscle-strain-symptoms-and-diagnosis Intercostal Muscle Strain Symptoms and Diagnosis]. Spine-health.</ref> | |||
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== Diagnostic Procedures == | == Diagnostic Procedures == | ||
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== Differential Diagnosis == | == Differential Diagnosis == | ||
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== Resources == | == Resources == | ||
Revision as of 23:50, 10 May 2020
Top Contributors - Khloud Shreif, Joao Costa, Kim Jackson and Kirenga Bamurange Liliane
Clinically Relevant Anatomy[edit | edit source]
Intercostal muscles are muscles that present within the rib cage. Consist of three layer of muscles external, internal, and innermost layer they combine to fill the space between the ribs. External intercostals muscle are the outermost layer lies directly under the skin originate from the lower border of rib above run obliquely and insert into the upper border of the rib below. It expands the chest wall during inhalation. Internal intercostals the intermediate layer originate from the costal groove near the inferior border of the rib above to the upper border of the rib below, help to collapse the Lung during expiration. Innermost intercostals muscle, cross more than one intercostal space, and assist the internal and external intercostals in their function.
Intercostal muscles strain vary according to the type and intensity of injury, strain of intercostal muscles causes rib/chest pain, upper back pain, and affect the breathing pattern the patient will present with shallow short breathing pattern due to pain.
Mechanism of Injury[edit | edit source]
Intercostal muscles strain don't happen usually with daily life activities, it happens when the muscles are weakened, overexertion of muscles, direct trauma from falling or car accident, or blow from contact sports such as hockey, or repetitive torso twisting.
- A direct blow to the rib cage: such as falling, car accident, or trauma from contact sports such as football, hockey. In which the intercostal muscles will stretch or tear as ribs are suddenly forced to move apart.
- Twisting the torso: twisting while lifting, twisting from dancing position/yoga posture, and some sports such as tennis, golf. In which the ribs are moved apart from its normal range, excessive torso twisting may occur during sports.
- Reaching overhead: prolonged time of overhead activities or lifting above shoulder place undue stress on the muscles as we can see in painting the ceiling.
- Repetitive forceful movement: such as rowing, hitting a tennis ball.[1]
Risk factories[edit | edit source]
- Physical labor: such as activities that include repetitive twisting, prolonged overhead activities, frequent weight lifting.
- High-thrust sports: where there's repeated use of the arm, shoulder, and upper back that put stress on intercostal muscles.
- Contact sports: when a direct sudden force hits the upper body.
Clinical Presentation[edit | edit source]
Symptoms vary according to the intensity and the type of injury.[2]
Diagnostic Procedures[edit | edit source]
add text here relating to diagnostic tests for the condition
Outcome Measures[edit | edit source]
add links to outcome measures here (see Outcome Measures Database)
Management / Interventions[edit | edit source]
add text here relating to management approaches to the condition
Differential Diagnosis[edit | edit source]
Resources[edit | edit source]
add appropriate resources here
References[edit | edit source]
- ↑ Tran H. Causes of Intercostal Muscle Strain. Spine-health. October 2017
- ↑ Tran H. Intercostal Muscle Strain Symptoms and Diagnosis. Spine-health.
