Title

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

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