• Сергій Франк Ортопед-травматолог, мануальний терапевт, МЦ «Український Травмоцентр», Україна, Київ https://orcid.org/0000-0002-0053-6898
  • Михайло Франк Інтерн, мануальний терапевт, МЦ «Український Травмоцентр», Україна, Київ https://orcid.org/0000-0001-5145-9290
  • Георгій Франк Фельдшер, мануальний терапевт; Національний медичний університет ім. О.О. Богомольца, МЦ «Український Травмоцентр», Україна, Київ https://orcid.org/0000-0003-2377-1337
Keywords: unjustified and harmful surgery, diaphragmatic dome relaxation, rib displacement, manual therapy


Prior to a surgery for diaphragmatic dome relaxation a patient sought consultation of an orthopedic traumatologist about his concomitant spinal diseases. The patient’s symptoms could describe both diaphragmatic relaxation and multiple spinal pathologies complicated by rib displacement.
Thorough diagnostics and careful analysis followed by subsequent manual correction of the patient’s skeletal misalignments allowed to relieve all pain, restore the patient’s ability to work and prevent an unreasonable and traumatic surgery which was in fact unnecessary and unjustifiably harmful as it wouldn’t solve the problem of pain caused by the pathologies in the costovertebral area and could potentially lead to the patient’s disability. As for diaphragmatic relaxation, it was asymptomatic in the first place and never actually required surgery. It is therefore important to exercise a great degree of responsibility when diagnosing complex clinical cases.


Дьолог М.І. (2012). Релаксація діафрагми. Випадки з клінічної практики. Радіологічний вісник: 3(44): 23-30.

Anraku M., Shargall Y. (2009). Surgical conditions of the diaphragm: Anatomy and physiology. Thorac. Surg. Clin.;19:419–429. doi: 10.1016/j.thorsurg.2009.08.002. - DOI – PubMed

Arroyo JF, Jolliet P, Junod AF. (1992). Costovertebral joint dysfunction: another misdiagnosed cause of atypical chest pain. Postgrad Med J. 68(802):655–9. CrossRef Google Scholar

Comput Methods Biomech Biomed Engin. (2015).18:556–570.

Copeland G. P., Machin D. G., Shennan J. M. (1984), Surgical treatment of the slipping rib syndrome, British Journal of Surgery, vol. 71, no. 7, 522-523, Google Scholar

Cureus. (2016) Nov; 8(11): e874

Dubé BP, Dres M. (2016). Diaphragm Dysfunction: Diagnostic Approaches and Management Strategies. J Clin Med. 5; 5(12) pii: E113.

Erosa S., Erosa S.C., Sperber K. (2017) Costovertebral Pain Syndromes. In: Kahn S., Xu R. (eds) Musculoskeletal Sports and Spine Disorders. Springer, Cham. DOI https://doi.org/10.1007/978-3-319-50512-1_84. https://link.springer.com/chapter/10.1007/978-3-319-50512-1_84

Erwin WM, Jackson PC, Homonko DA. (2000). Innervation of the human costovertebral joint: implications for clinical back pain syndromes. J Manip Physiol Ther.; 23(6):395–403. Erratum in: J Manipulative Physiol Ther 2000 Oct;23(8):530 CrossRef Google Scholar

Fam AG, Smythe HA. (1985). Musculoskeletal chest wall pain. CMAJ. Sep 1. 133(5):379-89. [Medline]

Frank Sergii, Frank Michael, Frank George. (2019). Manual Therapy as an Alternative Treatment for Panic Attacks. World Science. 8(48), Vol.2. doi: 10.31435/rsglobal_ws/31082019/6633.

Frank Sergii. (2019). Experience in treating long-term effects of concussions and PTSD using manual therapy combined with shock wave therapy. World Science. 4(44), Vol.2. doi: 10.31435/rsglobal_ws/30042019/6470.

Grindstaff TL, Beazell JR, Saliba EN, (2010). Ingersoll CD. Treatment of a female collegiate rower with costochondritis: a case report. J Man Manip Ther. Jun. 18(2):64-8. [Medline]. [Full Text].

Hamilton Andrew. Slipping rib syndrome: an obscure cause of thoracic pain? Retrieved from https://www.sportsinjurybulletin.com/slipping-rib-syndrome-an-obscure-cause-of-thoracic-pain/

Heinz G. J., Zavala D. C., (1977). Slipping rib syndrome. Journal of the American Medical Association, vol. 237, no. 8, pp. 794-795, Google Scholar

Khan Noman, Ahmed Jang, Waseem Saba, Ullah Saad Ullah (2018). Slipping Rib Syndrome in a Female Adult with Longstanding Intractable Upper Abdominal Pain. Case Reports in Medicine https://doi.org/10.1155/2018/7484560

Kharma N. (2013). Dysfunction of the diaphragm: imaging as a diagnostic tool. Curr Opin Pulm Med. Jul;19(4):394-8. doi: 10.1097/MCO.0b013e3283621b49. PMID: 23715292 Review.

Lewit K., Sachse J., Janda V. (1993). Manual Medicine. – M.: Medicine.

Lynn K Flowers (2020). Costochondritis. Medscpe 19.02.2020. Retrieved from https://emedicine.medscape.com/article/808554-overview

Ricoy J, Rodríguez-Núñez N, Álvarez-Dobaño JM, Toubes ME, Riveiro V, Valdés L. (2019). Dysfunction of the diaphragm. Pulmonology. Jul-Aug;25(4):223-235. doi: 10.1016/j.pulmoe.2018.10.008. Epub 2018 Dec 1.PMID: 30509855 Review.

Schumann JA, Parente JJ. (2019). Costochondritis. Jan. [Medline]. [Full Text]

Waldman S. (2012). Costovertebral joint syndrome. In: Atlas of common pain syndromes. 3rd ed. St. Louis: Elsevier/Saunders; 945–53. Google Scholar

Wright J. T. (1980). Slipping-rib syndrome. The Lancet, vol. 316, no. 8195, 632–634, Google Scholar





How to Cite
Сергій Франк, Михайло Франк, & Георгій Франк. (2020). КЛІНІЧНИЙ ВИПАДОК НЕОБҐРУНТОВАНОГО ХИБНОГО ХІРУРГІЧНОГО ВТРУЧАННЯ. World Science, 2(5(57), 30-36. https://doi.org/10.31435/rsglobal_ws/31052020/7078