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 1.3 years. 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.
Key words
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References
- A study of the slipping-rib-cartilage syndrome.N Engl J Med. 1941; 224: 928-932
- On various conditions that may simulate the referred pains of visceral disease, and a consideration of these from the point of view of cause and effect.Practitioner. 1919; 102: 314-322
- Slipping rib.Br Med J. 1922; 1: 432
- The slipping rib syndrome.Arch Surg. 1983; 118: 1330-1332
- Flank pain caused by slipping rib syndrome.Lancet Lond Engl. 2014; 383: 844
- Costal cartilage excision for the treatment of pediatric slipping rib syndrome.J Pediatr Surg. 2012; 47: 1825-1827
- Slipping rib syndrome in an adolescent: an elusive diagnosis.Clin Pediatr (Phila). 2013; 52: 879-881
- Evaluation and treatment of musculoskeletal chest pain.Prim Care. 2013; 40 ([viii]): 863-887
- Slipping rib syndrome: an infrequently recognized entity in children: a report of three cases and review of the literature.Pediatrics. 1985; 76: 810-813
- Surgical treatment of the “slipping rib syndrome.Br J Surg. 1984; 71: 522-523
- The slipping rib syndrome in children.Paediatr Anaesth. 2001; 11: 740-743
- Slipping rib syndrome as a cause of chest pain in children.Clin Pediatr (Phila). 1996; 35: 403-405
- A little-known cause of chest pain in a 14-year-old athlete.J Pediatr Health Care. 2014; 28: 555-558
- Slipping rib syndrome in childhood.J Pediatr Surg. 1997; 32: 1081-1082
- Slipping rib syndrome: a place for sonography in the diagnosis of a frequently overlooked cause of abdominal or low thoracic pain.J Ultrasound Med. 2002; 21: 339-343
- Slipping rib syndrome: diagnosis using the hooking maneuver.JAMA. 1977; 237: 794-795
Article Info
Publication History
Published online: September 30, 2016
Accepted:
September 12,
2016
Received:
August 15,
2016
Identification
Copyright
© 2016 Elsevier Inc. All rights reserved.
