The Ypsilanti daily press. (Ypsilanti, Mich.) 1928-1962, 1941-10-27

Of the eleven men present at one
time in their life had had this ex-
perience. They had recovered from
IL, and have now gone on ten or
fifteen years. still with occasional
attacks Of pain, but no really seri-
Gus consequences. Maybe it isn't
always the heart when you have
these "auginal' attacks.
Rib Carriages Slip
A number Of different things
can cause a chest pain; among
them a condition known as slip
ping rib cartilage, which has re-
Gently been described in a medical
journal. The ribs are attached to
the breast bone by a strip Of car
tilage, and the connection between
the cartilage and the rib may get
broken with the result that the rib
slips out Of place now and again,
causing quite severe pain.
A London surgeon noted: at is
probably not a rare condition and
is a trivial enough complaint in it
self, but it gives rise to most irk-
some symptoms. Because the con-
dition is not widely known, even
among the medical profession, it
may result in prolonged suffering,
and treatment for various diseases
ranging from angina pectoris to
abdominal diseases for which OPP
erations have been performed"
Injury Usual Cause
In the history of most of these
cases, it will be found that there is
some injury. IL may be fall, an
automobile accident, or something
less dramatic, such as a wrench in
golf, or one-sided weight-carrying.
A sudden blow on the steering
wheel of the automobile against
the lower rib is one method of di-
rect injury.
When these patients are care
fully examined, it will be found
that the slipped rib can be located
by the sense of touch. and a graf
ing sound is transmitted to the
examiners finger when the pa
tient moves in a certain direction.
The ribs involved are usually those
attached to the lower end Of the
breast bone-the eighth, ninth and
tenth.
A typical case is that Of a woman
who entered hospital with a dag
nosis Of acute Inflammation Of the
gall bladder. She had severe pain
in the lower end Of the breast bone,
and in the gall bladder region. She
stated she had had several attacks
of this kind before.
Diagnosis and Cure
The surgeon who had been called
was a little hesitant about the di-
agnosis and, on inquiry, found that
seven years before she had been
in an automobile accident. She
was riding in the back seat Of an
automobile when the car ran into
a ditch, turning over. She had
been in a plaster cast for some
time on account Of an associated
fracture Of the pelvis but had
made no complaint of the ribs at
that time.
After the cast was removed, she
began to have the attacks. The
surgeon could elicit the grating
sound which occurred when the rib
slipped and this corresponded with
the pain Of which she complained.
Treatment of the condition is
quite satisfactory with eonserva-
tive methods of strapping and
other means of immobilization.
Operative treatment can be done
with complete relief Of the condi-
ton
QUESTIONS AND ANSWERS
J. J. D.: Are fallen arches in
peoples feet a disease in itself or
only a symptom Of some other
serious deterioration Of the body?
What is the cause and remedy Of
fallen arches?"
Answer: Fallen arches, or fat
feet, is not sign Of general body
inferiority, but usually a local
disease Of the tendons and arches
Of the feet themselves. They are
the result of strain, most often
from occupations that cause long
hours Of standing. Treatment is
by arch supports, shoes that sup
port the foot properly and exer-
cises TO strengthen the weak ten
dons and muscles.
cENnkfn TuprE