Slipping rib syndrome is an unusual cause of lower chest and upper abdominal pain in children not mentioned in major pediatric surgical texts. The syndrome occurs when the medial fibrous attachments of the eighth, ninth, or tenth ribs are inadequate or ruptured, allowing their cartilage tip to slip superiorly and impinge on the intervening intercostal nerve. This may cause a variety of somatic and visceral complaints. Although the diagnosis may be made based on history and physical examination, lack of recognition of this disorder frequently leads to extensive diagnostic evaluations before definitive therapy. The authors report on four children who have this disorder.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1016/s0022-3468(97)90403-6 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Healthcare economic burden of unresolved slipping rib syndrome.
JTCVS Open
December 2024
Department of Cardiovascular and Thoracic Surgery, West Virginia University, Morgantown, WVa.
Objective: To evaluate the healthcare costs associated with unresolved slipping rib syndrome (SRS).
Methods: Data pertaining to patients who underwent operative repair for SRS at our academic institution were analyzed retrospectively. Duration of symptoms, previous management efforts, number of healthcare provider consultations, imaging studies, adjunctive surgical and pain management procedures performed to treat the symptoms, and prior unsuccessful SRS operations were catalogued.
Costal margin reconstruction for slipping rib syndrome: Outcomes of more than 500 cases and advancements beyond earlier sutured repair technique.
JTCVS Open
June 2024
Department of Thoracic Surgery, West Virginia University Heart and Vascular Institute, Bridgeport, WVa.
Objectives: To evaluate results of sutured repair for slipping rib syndrome (SRS), identify failure points, and discuss technique modifications to improve outcomes through costal margin reconstruction (CMR).
Methods: Patients undergoing repair of SRS between February 2019 and February 2024 at an academic referral institution were retrospectively analyzed. Pain scores, quality of life, pain medication use, and reoperations were evaluated pre- and postoperatively at 1 and 6 months.
[Not Available].
Ugeskr Laeger
June 2024
Hjerte-, Lunge- og Karkirurgi, Aarhus Universitetshospital.
Slipping rib syndrome (SRS) is a possibly lesser known but not rare condition associated with severe pain in the lower part of the thorax and/or upper abdomen. SRS is caused by an anatomical variant where typical costa 9 collides with costa 8 resulting in neuralgic pain. Surgery with reconstruction of the rib curvature has few recurrences.
View Article and Find Full Text PDFOne-year Results of Minimally Invasive Sutured Fixation of the Slipped Ribs in the Pediatric Population.
J Pediatr Surg
September 2024
Department of Surgery, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA; Mayo Clinic College of Medicine & Science, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA. Electronic address:
Article Synopsis
- Coastal cartilage resection surgery is commonly used for slipping rib syndrome (SRS), and a study at Mayo Clinic evaluated the effectiveness of a minimally invasive technique using sutures in 31 pediatric patients.
- The study found that, one month after the procedure, patients experienced significantly reduced pain and were able to decrease their use of pain medications, although some still required multiple surgeries for recurring issues.
- Although early outcomes were promising, the study highlighted concerns about the need for additional operations and the persistence of pain in some patients.
Slipping rib syndrome in childhood. A case series.
Arch Argent Pediatr
August 2024
Department of Pediatrics; Hospital Universitario Central de Asturias, Oviedo, Spain.
Among the causes of chest pain, slipping rib has a low prevalence, usually with a history of trauma, and its management is controversial. Slipping rib syndrome should be included in the differential diagnosis of causes of chest pain in children. When not associated with previous trauma and cartilage deformity, it is necessary to consider an alteration in rib development, regardless of the typical traumatic etiology in adults.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!