A 17-year-old girl complains of 6 months of pain at her left costal margin when playing gymnastics. She notes that she feels a "click" with sudden shooting pain with certain movements. On physical exam, you can recreate a “click” sound and pain by hooking the lower rib cartilages with your finger as you feel it move. The best next step in management for this patient is
A NSAIDS and activity restriction
B Lower rib excision
C Intercostal nerve block
D Steroid injection
E Lower disconnected rib chondrectomy
A NSAIDS and activity restriction
B Lower rib excision
C Intercostal nerve block
D Steroid injection
E Lower disconnected rib chondrectomy
Comment