Related Experiment Video
Updated: Aug 31, 2025
06:57
Transaxillary First Rib Resection for Treatment of the Thoracic Outlet Syndrome
Published on: September 13, 2020
3.2K
Slipping Rib Syndrome in Children: Natural History and Outcomes Following Costal Cartilage Excision
Robert M MacGregor1, Linda J Schulte2, Taylor C Merritt3
1Department of General Surgery, St. Louis, Missouri.
The Journal of Surgical Research
|August 22, 2022
Summary
Slipping rib syndrome (SRS) in children often causes severe pain and delayed diagnosis. Surgical treatment for SRS can provide lasting relief and help patients return to normal activities.
Area of Science:
- Pediatric Surgery
- Musculoskeletal Disorders
- Pain Management
Background:
- Slipping rib syndrome (SRS) is an underdiagnosed cause of debilitating pain in children.
- Limited data exist on SRS natural history, diagnosis, and outcomes in pediatric patients.
Purpose of the Study:
- To describe the natural history, diagnostic challenges, and patient-reported outcomes of pediatric SRS.
- To evaluate the effectiveness of surgical costal cartilage excision for SRS.
Main Methods:
- A single-institution descriptive study was conducted.
- Chart review and patient surveys were used for data collection (2012-2020).
- Data included demographics, symptoms, diagnostic workup, and post-operative outcomes.
Main Results:
- 13 children underwent surgery for SRS (median age 12.5 years; 77% female).
- Patients saw a median of 3 providers and had 4 non-diagnostic imaging exams prior to diagnosis.
- 73% of patients returned to full activity at a median 3.5-month follow-up.
Conclusions:
- Delayed diagnosis of SRS is common due to lack of awareness, leading to excessive testing.
- Operative treatment (costal cartilage excision) offers durable symptom relief for pediatric SRS.
- Efforts are needed to reduce diagnostic delays and unnecessary imaging for SRS.
Related Concept Videos
01:26Flail Chest-II
228
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History:
228
01:24Flail Chest-I
267
Overview of Flail Chest
Flail chest is a severe and potentially life-threatening condition characterized by the fracture of three or more adjacent ribs in multiple places. It is most commonly caused by direct impacts and trauma, such as motor vehicle accidents or injuries from a steering wheel impact. It can also occur due to falls in elderly individuals with osteoporosis, or assaults involving sharp objects.
Pathophysiology
The pathophysiology of flail chest is complex, involving fractures of...
Flail chest is a severe and potentially life-threatening condition characterized by the fracture of three or more adjacent ribs in multiple places. It is most commonly caused by direct impacts and trauma, such as motor vehicle accidents or injuries from a steering wheel impact. It can also occur due to falls in elderly individuals with osteoporosis, or assaults involving sharp objects.
Pathophysiology
The pathophysiology of flail chest is complex, involving fractures of...
267
01:26Esophageal Strictures-II: Clinical Features and Management
151
Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
151
01:28Pleural Effusion II: Symptoms and Management
255
Pleural Effusion Overview
A pleural effusion is the abnormal collection of fluid between the parietal and visceral pleura layers of tissue that form the lining of the lungs and chest cavity. It can occur independently or due to surrounding parenchymal diseases, such as infection, malignancy, or inflammatory conditions.
Clinical Manifestations:
A pleural effusion is the abnormal collection of fluid between the parietal and visceral pleura layers of tissue that form the lining of the lungs and chest cavity. It can occur independently or due to surrounding parenchymal diseases, such as infection, malignancy, or inflammatory conditions.
Clinical Manifestations:
255
01:20The Thoracic Cage: Ribs
4.1K
Ribs are curved, flattened bones forming the thoracic cavity wall with the thoracic muscles. There are 12 pairs of thoracic ribs. The posterior ends of all the ribs articulate with the T1–T12 thoracic vertebrae. In contrast,the anterior ends of most ribs attach to the sternum via their costal cartilages.
Parts of a Typical Rib
A typical rib has a head, neck, and body. The posterior end of the rib is called the head, followed by a narrow neck. The head articulates primarily with the costal...
Parts of a Typical Rib
A typical rib has a head, neck, and body. The posterior end of the rib is called the head, followed by a narrow neck. The head articulates primarily with the costal...
4.1K
01:17Pulmonary Cycle: Exhalation
1.7K
In terms of human respiration, the act of expelling air, known as exhalation (or expiration), operates on the principle of pressure gradients. During expiration, the pressure within the lungs exceeds that of the surrounding atmosphere. Under normal conditions, quiet breathing involves passive exhalation and is free of muscular contractions. This is because the exhalation process is driven by the natural elastic recoil of the lungs and chest wall, both of which have an inherent tendency to...
1.7K