Department of Pediatric Surgery; Hospital Universitario Central de Asturias, Oviedo, Spain.
Department of Anesthesiology and Resuscitation; Universitario Central de Asturias, Oviedo, Spain.
Arch Argent Pediatr. 2024 Aug 1;122(4):e202310141. doi: 10.5546/aap.2023-10141.eng. Epub 2024 Mar 21.
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. Here we describe a series of pediatric patients with slipping rib seen at a referral hospital between 2001 and 2022. Nine patients aged 11 to 16 years were included. Only 2 had a history of trauma. All patients described a sudden onset of severe thoracic abdominal pain. The patients underwent open resection of the affected costal cartilages, with resolution of pain.
在胸痛的病因中，滑动肋的发病率较低，通常有创伤史，其处理存在争议。滑动肋综合征应纳入儿童胸痛病因的鉴别诊断。当与既往创伤和软骨畸形无关时，需要考虑肋骨发育的改变，而不论成人的典型创伤病因如何。在这里，我们描述了 2001 年至 2022 年间在一家转诊医院就诊的一系列儿童滑动肋患者。纳入 9 名年龄在 11 至 16 岁的患者。只有 2 例有创伤史。所有患者均描述为突发性剧烈胸腹痛。患者接受受累肋软骨的开放性切除术，疼痛缓解。
