Sternocostal slipping rib syndrome

Sternocostal slipping rib syndrome Purpose Classical slipping rib syndrome (SRS) can be subclassified based on anatomical location. We describe our experi- ence 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. Keywords Slipping rib syndrome · Sternocostal slipping rib syndrome Introduction The initial publication of slipping rib syndrome (SRS) at our institution described twelve patients from 1988 to 1999 Slipping rib syndrome (SRS) is caused by weakness of [4]. Other authors have subsequently published both case the rib-sternum (sternocostal), rib-cartilage (costochon- reports and case http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Pediatric Surgery International Springer Journals
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Publisher
Springer Berlin Heidelberg
Copyright
Copyright © 2017 by Springer-Verlag GmbH Germany, part of Springer Nature
Subject
Medicine & Public Health; Pediatrics; Surgery; Pediatric Surgery
ISSN
0179-0358
eISSN
1437-9813
D.O.I.
10.1007/s00383-017-4221-1
Publisher site
See Article on Publisher Site

Abstract

Purpose Classical slipping rib syndrome (SRS) can be subclassified based on anatomical location. We describe our experi- ence 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. Keywords Slipping rib syndrome · Sternocostal slipping rib syndrome Introduction The initial publication of slipping rib syndrome (SRS) at our institution described twelve patients from 1988 to 1999 Slipping rib syndrome (SRS) is caused by weakness of [4]. Other authors have subsequently published both case the rib-sternum (sternocostal), rib-cartilage (costochon- reports and case

Journal

Pediatric Surgery InternationalSpringer Journals

Published: Dec 6, 2017

References

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