The term “floating rib” is used to refer to a specific anatomical
structure and to a disorder which could better be termed a “slipped
rib.” Both, as one might imagine from the name, involve the ribs, curved
bones found in vertebrates. The ribs are attached to the spine and a structure called the sternum, creating the rib cage, a protective casing for vital organs such as the heart and lungs.
In
the case of an anatomical structure, a floating rib is a rib which is
attached to the spine, but not the sternum. Most people have floating
ribs, with the 11th and 12th pairs of ribs being floating ribs. In some
people, there are three pairs instead of two, and other individuals only
develop one set of floating ribs. Floating ribs are entirely normal and
nothing to be concerned about, and although they are not attached to
the sternum, they aren't exactly floating around in the body cavity;
numerous attachments usually keep the floating ribs more or less in
place.
The function of the floating ribs is not fully understood. A floating
rib could theoretically provide some protection to the contents of the
abdominal cavity, but it isn't as necessary as the ribs which are
attached to the sternum. There “false ribs,” as they are known, may be
vestigial leavings of an earlier stage in human evolution. Evidence
suggests that people have also been able to train their floating ribs
into new positions, as seen in women who wear corsets for a prolonged
period of time.
In some cases, a floating rib can cause problems for its owner. These
ribs can slip out of position, putting pressure on internal organs, and
they can also be broken as a result of trauma, causing considerable pain and putting the patient at risk for infection.
The disorder sometimes referred to as floating rib syndrome and
better known as slipped rib syndrome occurs when a rib becomes
dislocated, slipping out of its socket. Patients tend to experience
considerable pain with this condition, which is usually a result of
trauma, and it can be readily identified with a physical examination or
medical imaging study of the area of interest. As with other rib
injuries, the best treatment is usually partial immobilization, achieved
by wrapping the ribcage tightly so that the rib cannot drift while it
heals, but not so tightly that it cannot expand as the patient breathes.
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