• Patrick C Bonasso, Shannon N Petrus, Samuel D Smith, and Richard J Jackson.
• Division of Pediatric Surgery, University of Arkansas for Medical Sciences, 1 Children's Way, Slot 837, Little Rock, AR, 72202, USA. pcbonasso@uams.edu.
• Pediatr. Surg. Int. 2018 Mar 1; 34 (3): 331-333.

PurposeClassical 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.MethodsThis was a retrospective review of patients with SRS from 1988 to 2016. Described is our experience.ResultsOf 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.ConclusionsA 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.

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