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Both teenagers have Slipping Rib Syndrome. This syndrome occurs when the fibrous attachments of the eighth, ninth, or tenth ribs are inadequate or ruptured, resulting in the slip of the cartilage tip upward impinging over the intercostal nerve (nerve that runs along the border of the ribs). Both teen agers had surgery of the lower ribs involved and the pain disappeared. Slipping Rib Syndrome is not common. Leo Leonidas, MD, FAAP, Assistant Clinical Professor in Pediatrics, Tufts University School of Medicine, Boston; Attending Pediatrician, Eastern Maine Medical Center, Bangor, Maine.
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