The Effectiveness of Costal Cartilage Excision in Children for Slipping Rib Syndrome

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...

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Published in:Journal of pediatric surgery 2016-12, Vol.51 (12), p.2030-2032
Main Authors: Gould, Joanna L, Rentea, Rebecca M, Poola, Ashwini S, Aguayo, Pablo, Peter, Shawn D. St
Format: Article
Language:English
Subjects:
Adolescent
Cartilage Diseases - surgery
Cartilage excision
Costal cartilage
Costal Cartilage - surgery
Female
Follow-Up Studies
Humans
Joint Diseases - surgery
Male
Pediatric
Pediatrics
Retrospective Studies
Ribs - surgery
Slipping rib syndrome
Surgery
Syndrome
Treatment Outcome
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Summary: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
ISSN:0022-3468
1531-5037
DOI:10.1016/j.jpedsurg.2016.09.032