Patrick C Bonasso1, Shannon N Petrus2, Samuel D Smith2, Richard J Jackson2. 1. Division of Pediatric Surgery, University of Arkansas for Medical Sciences, 1 Children's Way, Slot 837, Little Rock, AR, 72202, USA. pcbonasso@uams.edu. 2. Division of Pediatric Surgery, University of Arkansas for Medical Sciences, 1 Children's Way, Slot 837, Little Rock, AR, 72202, USA.
Abstract
PURPOSE: Classical slipping rib syndrome (SRS) can be subclassified based on anatomical location. We describe our experience with three patients suffering from symptomatic sternocostal slipping rib syndrome (SCSRS), a much less common variant of SRS. METHODS: This was a retrospective review of patients with SRS from 1988 to 2016. Described is our experience. RESULTS: Of 44 patients identified with SRS, three patients underwent operations for SCSRS variant. All three had significant pain and point tenderness at the sternocostal junction, and all experienced a popping sensation localized to this area. The mean age at onset was 14.3 years and mean time to diagnosis was 1.3 years. All patients experienced total resolution of symptoms following localized excision of the offending cartilage. CONCLUSIONS: A high index of suspicion based on history and physical examination are key to the early diagnosis of SCSRS. Excision of the symptomatic cartilage is effective for treatment.
PURPOSE: Classical slipping rib syndrome (SRS) can be subclassified based on anatomical location. We describe our experience with three patients suffering from symptomatic sternocostal slipping rib syndrome (SCSRS), a much less common variant of SRS. METHODS: This was a retrospective review of patients with SRS from 1988 to 2016. Described is our experience. RESULTS: Of 44 patients identified with SRS, three patients underwent operations for SCSRS variant. All three had significant pain and point tenderness at the sternocostal junction, and all experienced a popping sensation localized to this area. The mean age at onset was 14.3 years and mean time to diagnosis was 1.3 years. All patients experienced total resolution of symptoms following localized excision of the offending cartilage. CONCLUSIONS: A high index of suspicion based on history and physical examination are key to the early diagnosis of SCSRS. Excision of the symptomatic cartilage is effective for treatment.
Authors: Joanna L Gould; Rebecca M Rentea; Ashwini S Poola; Pablo Aguayo; Shawn D St Peter Journal: J Pediatr Surg Date: 2016-09-17 Impact factor: 2.545