The effectiveness of costal cartilage excision in children for slipping rib syndrome.
Document Type
Article
Publication Date
12-1-2016
Identifier
DOI: 10.1016/j.jpedsurg.2016.09.032
Abstract
Purpose: Slipping rib syndrome (SRS) is an elusive diagnosis. Previous reports have been single cases or small series. We previously reported a small multicenter review with encouraging early results. We now describe our matured experience.
Methods: This is a follow-up study of patients with SRS from 2006 to 2015. Included are 5 previously analyzed patients and 25 new patients. Patients were called to review current symptoms, course, and satisfaction.
Results: From 2006 to 2015, 30 patients underwent 38 operations. Eight underwent re-operation. All had reproducible pain localized to the costal margin, 60% had a popping sensation, and 23% were bilateral. 86% were female. Median age of symptom onset was 14 (IQR 13.75-15) years, while median age at diagnosis was 16 (IQR 15-17). Contact was possible with 18/30 patients, and mean follow up time was 1.3years. 72% of those felt they were cured, and 44% rated satisfaction a 10/10 (mean 7.84). Of those not cured, all reported significant improvement.
Conclusions: Costal cartilage excision is an effective treatment for SRS and should be considered early in the workup of costal margin pain in a normally active population. Case Series with no Comparison Group - Level IV.
Journal Title
Journal of pediatric surgery
Volume
51
Issue
12
First Page
2030
Last Page
2032
MeSH Keywords
Adolescent; Cartilage Diseases; Costal Cartilage; Female; Follow-Up Studies; Humans; Joint Diseases; Male; Retrospective Studies; Ribs; Syndrome; Treatment Outcome
Keywords
Cartilage excision; Costal cartilage; Pediatric; Slipping rib syndrome
Recommended Citation
Gould JL, Rentea RM, Poola AS, Aguayo P, St Peter SD. The effectiveness of costal cartilage excision in children for slipping rib syndrome. J Pediatr Surg. 2016;51(12):2030-2032. doi:10.1016/j.jpedsurg.2016.09.032
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