451 results match your criteria Costochondritis
Kardiochir Torakochirurgia Pol 2018 Sep 24;15(3):180-182. Epub 2018 Sep 24.
Department and Clinic of Thoracic Surgery in Zabrze, Medical University of Silesia in Katowice, Poland.
Tietze's syndrome is a benign, self-limiting arthropathy, without purulent character. The disease most often involves articulations: sternocostal, sternoclavicular, or costochondral joints. The characteristic symptoms are tenderness, pain and edema involving one of the aforementioned joints on one side. Read More
Clin Nucl Med 2018 Nov;43(11):832-834
Thoracic and Cardiovascular Surgery, Soonchunhyang University Hospital, Seoul, Republic of Korea.
We present an interesting image of a 62-year-old woman revealed with Tietze syndrome by F-FDG PET/CT and bone scintigraphy. She presented with right upper chest wall pain with a hard, palpable mass. However, chest radiograph and CT were unrevealing. Read More
Clin Nucl Med 2018 Oct;43(10):e381-e382
From the Hospital Universitario y Politécnico La Fe, Valencia, Spain.
Thoracic pain is an entity that can be difficult to diagnose etiologically. Once the cardiac origin has been ruled out, the rheumatologic, neoplastic, and infectious causes have to be taken into account. We present the case of a patient with atypical chest pain after triple-bypass surgery in whom F-FDG PET/CT scan showed an important uptake of the radiopharmaceutical in costal cartilages, in relation to pan-costochondritis due to Aspergillus. Read More
NASN Sch Nurse 2018 Nov 3;33(6):366-371. Epub 2018 Aug 3.
Professor, Departments of Emergency Medicine and Pediatrics, Penn State College of Medicine Attending Pediatric Emergency Medicine physician Penn State Hershey Medical Center Hershey, PA.
Occasionally, students present with chest pain in the school setting. Therefore, it is important to develop a differential diagnosis for chest pain, to initiate stabilization of the student with life-threatening symptoms, and to triage these students to an appropriate level of care (back to the classroom, home with their guardian with follow up at their primary healthcare provider's office, or directly to the closest emergency department via emergency medical services). This article describes the initial assessment and management of a student presenting with chest pain. Read More
Phys Ther 2018 Jun;98(6):503-509
Department of Physical Therapy, High Point University, High Point, North Carolina.
Background And Purpose: Chest pain, a frequent complaint for seeking medical care, is often attributed to musculoskeletal pathology. Costochondritis is a common disorder presenting as chest pain. Initial physical therapist examination emphasizes red flag screening. Read More
Ann Thorac Surg 2017 Dec;104(6):e443-e445
Department of Surgery, Kaiser Permanente Oakland, Kaiser Northern California, Oakland, California.
Tietze syndrome is a rare and benign cause of chest pain that may be confused with life-threatening conditions. Characteristic findings are painful, localized inflammation of the costosternal, sternoclavicular, or costochondral joints typically of the second and third ribs. We present a patient with severe, medically refractory symptoms consistent with Tietze syndrome. Read More
Med Acupunct 2017 Oct;29(5):327-330
Medical Acupuncture Service, Department of Anesthesiology, Perioperative and Pain Medicine, Boston Children's Hospital, Harvard Medical School, Boston, MA.
Costochondritis is a common condition involving inflammation of the costochondral or chondrosternal joints. Conventional management of costochondritis includes pain medications, but these do not provide full recovery in all patients. There is limited information on adjunctive acupuncture for pediatric costochondritis. Read More
Pain Med 2018 Apr;19(4):813-815
Department of Anesthesia and Pain Medicine, School of Medicine, Pusan National University, Biomedical Research Institute, Pusan National University Hospital, Busan, Korea.
Clin J Sport Med 2017 Oct 6. Epub 2017 Oct 6.
The Micheli Center for Sports Injury Prevention, Waltham, Massachusetts.
Objective: (1) To investigate the clinical presentation, diagnosis, and treatment of slipping rib syndrome in athletes; (2) to investigate the hooking maneuver for diagnosis of slipping rib syndrome.
Design: Retrospective chart review of 362 athletes with rib pain.
Setting: Pediatric-based sports medicine clinic between January 1, 1999, and March 1, 2014. Read More
Int J Sports Phys Ther 2017 Jun;12(3):458-467
Tactical Sports OMPT Fellowship, United States Airforce Academy, Colorado SpringsCO, USA.
Background: Costochondritis is commonly encountered in primary care, but is not routinely referred to PT. Costochondritis can last from several weeks to several months, limiting the patient's ability to perform tasks at work and home.
Purpose: Identify common impairments and examine the effects of treatment in subjects with costochondritis. Read More
J Back Musculoskelet Rehabil 2017 Sep;30(5):975-978
Radiology, State Hospital, Izmir, Turkey.
Purpose: To compare the short-term effect of prolotherapy and conservative terapy for the Tietze syndrome.
Patients And Methods: From 2013 to 2014, twenty-one patients underwent prolotherapy (group 1) and thirteen underwent conservative therapy with analgesics (group 2). A visual analogue score (VAS) was recorded for measurement of pain intensity in all patients before (Pre VAS) and after injection first day (VAS1), first week (VAS2) and fourth week (VAS3). Read More
Praxis (Bern 1994) 2017 ;106(7):387-389
4 Thoraxchirurgie, Universitätsspital Basel, Universität Basel.
Internist (Berl) 2017 Jan;58(1):39-46
Klinik für Immunologie und Rheumatologie, Medizinische Hochschule Hannover, Carl-Neuberg-Str. 1, 30625, Hannover, Deutschland.
Background: Approximately 10-50% of chest pains are caused by musculoskeletal disorders. The association is twice as frequent in primary care as in emergency admissions.
Aim: This article provides an overview of the most important musculoskeletal causes of chest pain and on the diagnostics and therapy. Read More
IDCases 2016 26;4:59-61. Epub 2016 Apr 26.
Department of Infectious Diseases, Wollongong Hospital, Crown Street, Wollongong, NSW 2500, Australia; Graduate School of Medicine, University of Wollongong, Wollongong, NSW 2500, Australia.
Candida osteoarticular infections are being reported with increasing frequency, possibly due to an expanding population at risk. However, Candida costochondritis is uncommon. We report two cases of Candida costochondritis in patients who presented with subacute-onset chest wall swelling and whose only identifiable risk factor was a history of recent intravenous drug use. Read More
Plast Reconstr Surg Glob Open 2016 Jan 5;4(1):e608. Epub 2016 Feb 5.
Department of Surgery, Flinders University, Flinders Medical Centre, Bedford Park, Adelaide, South Australia, Australia; and Department of Plastic and Reconstructive Surgery, Flinders Medical Centre, Adelaide, South Australia, Australia.
We present an unusual case of Candida albicans costochondritis after a complicated Ivor Lewis esophagectomy. This case exhibits that pain, erythema, and swelling over the costal cartilages should alert the possibility of infective costochondritis, especially in a postoperative patient. If a fungal agent is identified, aggressive surgical debridement and early commencement of antifungal therapy are likely determinants for a satisfactory outcome. Read More
J Parasitol 2016 08 6;102(4):419-28. Epub 2016 Apr 6.
Office of Fish and Wildlife Health and Forensics, New Jersey Division of Fish and Wildlife, 605 Pequest Road, Oxford, New Jersey 07863.
: River herring populations, including Alosa pseudoharengus and Alosa aestivalis , have significantly declined as a result of anthropogenic factors throughout their range in eastern North America. To better understand the health of the species, parasite surveys were conducted in several New Jersey rivers. A novel myxozoan parasite, Myxobolus mauriensis n. Read More
J Wound Care 2016 Feb;25(2):104, 106-7
Faculté de Médecine, Université Paris Descartes, 75 006 Paris, France.
Chest wall defects are an unusual complication of burn injury, generally seen after high-voltage electrical burns. Here we report the case of a 57-year-old man who developed costal chondritis and osteomyelitis 23 months after flame injury, which covered 50% of the total body surface area. Management included the resection of two ribs and coverage with an omental flap, overlaid by a split-thickness skin graft during the same surgical procedure. Read More
BMJ Case Rep 2016 Jan 27;2016. Epub 2016 Jan 27.
Department of General Surgery, Stoke Mandeville Hospital, Aylesbury, UK.
A 42-year-old woman presented to our hospital with weeks of worsening pain around her lower ribs. Preceding this, she was managed in primary care with anti-inflammatory drugs and physiotherapy for presumed costochondritis. Assessment in accident and emergency suggested a tender right upper quadrant with fever and neutrophilia. Read More
Cleve Clin J Med 2016 Jan;83(1):29-35
Digestive Disease Institute, Cleveland Clinic, Cleveland, OH, USA. E-mail:
Anatol J Cardiol 2016 06 29;16(6):419-23. Epub 2015 Jul 29.
Department of Cardiology, Faculty of Medicine, İnönü University; Malatya-Turkey.
Objective: The aim of this study was to evaluate left ventricular (LV) systolic strain by speckle tracking echocardiography (STE) and real-time three-dimensional echocardiography (3-DE) for the early detection of myocardial dysfunction in patients with cardiac syndrome X (CSX).
Methods: We compared 34 patients with CSX (18 females, mean age 47.9±10. Read More
Br J Hosp Med (Lond) 2015 May;76(5):296-300
Foundation Year 2 Doctor in the Department of Medicine, Macclesfield District General Hospital, Macclesfield.
A simple clinical approach to patients presenting with chest pain is outlined, which is easily taught and can be quickly applied. This approach was demonstrated in a large cohort of patients and this article discusses the characteristics of the various diagnostic sub-groups. Read More
Thorac Cardiovasc Surg 2016 Apr 5;64(3):239-44. Epub 2015 Mar 5.
Department of Thoracic Surgery, Ankara Numune Teaching and Research Hospital, Ankara, Turkey.
Background: Tietze syndrome (TS) is an inflammatory condition characterized by chest pain and swelling of costochondral junction. Primary chest wall tumors may mimic TS. In this article, we report our experience of approximately 121 patients initially diagnosed as TS and determined chest wall tumor in some cases at the follow-up. Read More
Bone Rep 2016 Jun 30;4:1-4. Epub 2015 Oct 30.
Division of Rheumatology, Southwest Medical Associates, 5580 W Flamingo Rd. Ste. 105, Las Vegas, NV 89103, United States.
Hypophosphatasia (HPP) is a rare, inherited metabolic bone disease resulting from mutations in the gene encoding tissue non-specific alkaline phosphatase. The biochemical hallmark and key diagnostic indicator is low alkaline phosphatase activity, which leads to a variety of clinical manifestations across all ages. The diagnosis is easily missed in adults, who frequently present with nonspecific clinical manifestations such as fractures, osteomalacia, and pain. Read More
AACN Adv Crit Care 2014 Jul-Sep;25(3):279-83
Joan E. King is Professor of Nursing and Program Director for the Adult-Gerontology Acute Care Nurse Practitioner Program, Vanderbilt University School of Nursing, Nashville, TN 37240 Kathy S. Magdic is Assistant Professor and Coordinator, Adult-Gerontology Acute Care Nurse Practitioner Program, University of Pittsburgh, Pittsburgh, Pennsylvania.
When a patient complains of chest pain, the first priority is to establish whether the situation is life threatening. Life-threatening differential diagnoses that clinicians must consider include acute coronary syndrome, cardiac tamponade, pulmonary embolus, aortic dissection, and tension pneumothorax. Nonthreatening causes of chest pain that should be considered include spontaneous pneumothorax, pleural effusion, pneumonia, valvular diseases, gastric reflux, and costochondritis. Read More
Rheumatology (Oxford) 2014 Aug 27;53(8):1482-90. Epub 2014 Mar 27.
Division of Rheumatic Diseases and Department of Radiology, National Center for Global Health and Medicine, Shinjuku-ku, Tokyo, Japan.
Objective: Relapsing polychondritis (RPC) is relatively rare and early diagnosis is difficult. We investigated the utility of fluorodeoxyglucose (FDG)-PET/CT for the diagnosis of RPC and evaluation of disease activity.
Methods: Five RPC patients undergoing FDG-PET/CT in our hospital between 2006 and 2012 were studied. Read More
Akush Ginekol (Sofiia) 2014 ;53(6):36-40
Mastodynia is defined as breast tenderness and pain, also called mastalgia. There are several types of cyclic, noncyclic and extramammary. The cyclic mastodynia is the most common one, and represents a clinical symptom of the premenstrual syndrome and of the more severe premenstrual dysphoric disorder. Read More
Acta Med Iran 2013 ;51(10):733-5
Department of Cardiovascular Surgery, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Mediastinitis is an infrequent complication after coronary artery bypass graft (CABG) that is associated with prolonged intensive care unit and hospital stay, and increased early and late morbidity and mortality. Patients with mediastinitis have an osteoporotic, fragile, and broken sternum. All foreign bodies as well as infected tissue should be removed. Read More
Prim Care 2013 Dec;40(4):863-87, viii
Family Medicine Residency Program, Department of Family Medicine, Mount Sinai Hospital, California Avenue at 15th Street, Chicago, IL 60608, USA. Electronic address:
This article summarizes the evaluation and treatment of musculoskeletal causes of chest pain. Conditions such as costochondritis, rib pain caused by stress fractures, slipping rib syndrome, chest wall muscle injuries, fibromyalgia, and herpes zoster are discussed, with emphasis on evaluation and treatment of these and other disorders. Many of these conditions can be diagnosed by the primary care clinician in the office by history and physical examination. Read More
BMC Fam Pract 2013 Oct 18;14:154. Epub 2013 Oct 18.
Department of General Practice/Family Medicine, Philipps University Marburg, Marburg, Germany.
Background: Chest pain is a common complaint and reason for consultation in primary care. Traditional textbooks still assign pain localization a certain discriminative role in the differential diagnosis of chest pain. The aim of our study was to synthesize pain drawings from a large sample of chest pain patients and to examine whether pain localizations differ for different underlying etiologies. Read More
BMJ Case Rep 2013 Aug 14;2013. Epub 2013 Aug 14.
Department of Cardiology, University Hospital Limerick, Dooradoyle, Limerick, Ireland.
We present an interesting case of a 38-year-old woman who presented with a history of left-sided chest pain, dyspnoea and palpitations. The symptoms have been occurring since age 18, and were previously diagnosed as costochondritis. Because of the suspicious history, the patient underwent further cardiac investigations. Read More
J Athl Train 2013 Mar-Apr;48(2):277-81. Epub 2013 Feb 20.
Department of Pediatrics, University of Padova, Italy.
Objective: Pneumomediastinum and pneumopericardium are rare occurrences in young athletes, but they can result in potentially life-threatening consequences.
Background: While involved in a rugby match, an 11-year-old boy received a chest compression by 3 players during a tackle. He continued to play, but 2 hours later, he developed sharp retrosternal chest pain. Read More
J Am Coll Radiol 2013 May 28;10(5):329-34. Epub 2013 Mar 28.
Mallinckrodt Institute of Radiology, Washington University School of Medicine, St Louis, Missouri, USA.
Chronic chest pain can arise from a variety of etiologies. However, of those potential causes, the most life-threatening include cardiac disease. Chronic cardiac chest pain may be caused either by ischemia or atherosclerotic coronary artery disease or by other cardiac-related etiologies, such as pericardial disease. Read More
Am Fam Physician 2013 Feb;87(3):177-82
The Ohio State University, Columbus, OH, USA.
Approximately 1 percent of primary care office visits are for chest pain, and 1.5 percent of these patients will have unstable angina or acute myocardial infarction. The initial goal in patients presenting with chest pain is to determine if the patient needs to be referred for further testing to rule in or out acute coronary syndrome and myocardial infarction. Read More
J Pediatr Surg 2012 Oct;47(10):1825-7
Department of Surgery, Mayo Clinic Scottsdale, Scottsdale, AZ 85054, USA.
Background: Costal cartilage excision is an effective treatment of slipping rib syndrome (SRS), although the diagnosis of SRS may be elusive. We review our experience with SRS in the pediatric patient.
Methods: This is a retrospective review from 2000 to 2011 of patients presenting with symptoms of SRS before 18 years of age. Read More
Heart Fail Rev 2013 May;18(3):255-66
Department of Cardiology, Clinical Center of Serbia and Belgrade University School of Medicine, Koste Todorovića 8, 11000, Belgrade, Serbia.
Despite a myriad of causes, pericardial diseases present in few clinical syndromes. Acute pericarditis should be differentiated from aortic dissection, myocardial infarction, pneumonia/pleuritis, pulmonary embolism, pneumothorax, costochondritis, gastroesophageal reflux/neoplasm, and herpes zoster. High-risk features indicating hospitalization are: fever >38 °C, subacute onset, large effusion/tamponade, failure of non-steroidal anti-inflammatory drugs (NSAIDs), previous immunosuppression, trauma, anticoagulation, neoplasm, and myopericarditis. Read More
Emerg Med J 2012 Aug;29(8):686
Royal Free Hospital, London, UK.
A short cut review was carried out to establish whether there is any evidence that for the use of corticosteroids in the treatment of costochondritis. No papers were found using the reported search. The clinical bottom line is that further research is needed in this area. Read More
Case Rep Med 2012 12;2012:375730. Epub 2012 Jun 12.
Department of Family Medicine, Tripler Army Medical Center, Honolulu, HI 96859, USA.
Vitamin D is integral for bone health, and severe deficiency can cause rickets in children and osteomalacia in adults. Although osteomalacia can cause severe generalized bone pain, there are only a few case reports of chest pain associated with vitamin D deficiency. We describe 2 patients with chest pain that were initially worked up for cardiac etiologies but were eventually diagnosed with costochondritis and vitamin D deficiency. Read More
Int J Sports Phys Ther 2012 Jun;7(3):323-32
Background And Purpose: Athletes reporting chest pain are challenging to diagnose and equally challenging to treat. The majority of chest pain is musculoskeletal in origin, yet differentiating these from other more serious conditions should be the initial primary focus. The ability to reproduce the patient's symptoms aids in the differential diagnostic process. Read More
Radiologe 2012 May;52(5):459-62
Diagnostische und Interventionelle Radiologie, Radiologische Klinik, Universitätsklinikum Heidelberg, Heidelberg.
A 73-year-old woman presented with a swelling of the right sternoclavicular joint the size of a hens egg which had persisted for 2 years. After a corticosteroid injection 8 months previously the swelling was asymptomatic. The magnetic resonance imaging (MRI) scan showed synovialitis of the sternoclavicular joint with edema of the adjacent bone. Read More
Mayo Clin Health Lett 2011 Dec;29(12)
Rheumatol Int 2013 Jul 1;33(7):1873-8. Epub 2012 Jan 1.
Pediatric Rheumatology Division, Instituto de Puericultura e Pediatria Martagão Gesteira/Federal University of Rio de Janeiro, Rua Silva Ramos, 166/apto 403-Tijuca, Rio de Janeiro 20270-330, Brazil.
Relapsing polychondritis (RP) is a rare autoimmune systemic disease, especially in childhood. To report three new pediatric RP cases, to provide a literature review and to compare with adulthood disease, retrospective data collection from three childhood RP cases was observed in a Brazilian Pediatric Rheumatology Division. A literature review based on a MEDLINE database search was performed. Read More
Am J Med Sci 2011 Sep;342(3):241-6
Pediatric Department B, Ha'Emek Medical Center, Afula, Israel.
Chest wall abscess may occur as primary infection or secondary to open trauma or thoracic wall surgery. The authors describe an unusual case of Escherichia coli costochondritis occurring 2 months after a blunt chest wall trauma. Primary chest wall abscess due to E coli costochondritis has been previously reported only twice occurring after urinary tract infection. Read More
J Man Manip Ther 2010 Jun;18(2):64-8
Curry School of Education and Department of Athletics, University of Virginia, USA.
Rib injuries are common in collegiate rowing. The purpose of this case report is to provide insight into examination, evaluation, and treatment of persistent costochondritis in an elite athlete as well as propose an explanation for chronic dysfunction. The case involved a 21 year old female collegiate rower with multiple episodes of costochondritis over a 1-year period of time. Read More
Indian J Pediatr 2011 Oct 4;78(10):1262-7. Epub 2011 May 4.
Department of Pediatrics, Advanced Pediatrics Centre, Postgraduate Institute of Medical Education and Research, Chandigarh 160012, India.
Chest pain is a worrisome symptom that often causes parents to bring their child to emergency department(ED) for evaluation. In the majority of cases, the etiology of the chest pain is benign, but in one-fourth of the cases symptoms are distressing enough to cause children to miss school. The clinician's primary goal in ED evaluation of chest pain is to identify serious causes and rule out organic pathology. Read More
Mil Med 2011 Apr;176(4):414-9
Department of Family Medicine, Dewitt Army Community Hospital, Ft Belvoir, VA, USA.
Chest pain is a common complaint at medical treatment facilities during combat operations. The initial evaluation focuses on potentially life-threatening conditions (acute coronary syndrome, aortic dissection, pulmonary embolus), in addition to pericarditis and benign musculoskeletal conditions such as costochondritis. Pulmonary arteriovenous malformation is a rare condition, but an important diagnostic consideration in soldiers who present with chest pain and/or hypoxia and in whom other life-threatening conditions, such as cardiovascular disasters and pulmonary embolus, are excluded. Read More
Magy Seb 2011 Apr;64(2):94-6
Országos Korányi TBC és Pulmonológiai Intézet, Mellkassebészeti Osztály, Budapest.
Secondary chest wall infections after previous surgical procedures are well known but the primary form of this is a relatively rare entity. We present a case of a 34-year-old man who suffered from primary suppurative costochondritis diagnosed by ultrasound and chest CT scan. The patient underwent a wide necrosectomy with a muscle flap reconstruction. Read More
Rheumatol Int 2012 Aug 8;32(8):2531-4. Epub 2010 Dec 8.
Department of Orthopedic Surgery, Asan Medical Center, 86 Asnabyeongwon-gil, Songpa-gu, Seoul 138-736, Korea.
We present a case of Non-Hodgkin's lymphoma involving medial clavicular head, which was initially diagnosed as Tietze syndrome. Non-Hodgkin's lymphoma arising from medial clavicular head is extremely rare, and CT, MRI findings have not been reported. Read More
J Can Chiropr Assoc 2010 Dec;54(4):271-5
1-101 First Ave, Spruce Grove, AB. T7X 2H4.
A search of the literature revealed that the torso sustains very few swimming injuries. Costochondritis is a poorly understood condition that presents as pain and tenderness on the costochondral or chondrosternal joints without swelling, and may result from increased pulling by adjoining muscles to this region of the chest wall. This case study describes the conservative treatment (spinal manipulative therapy, Active Release Techniques therapy, rehabilitative exercise, and clinical acupuncture) and positive outcome of anterior chest wall pain in a competitive swimmer diagnosed as chronic costochondritis. Read More
Pediatr Clin North Am 2010 Dec;57(6):1385-95
Division of Immunology, Harvard Medical School, Children's Hospital Boston, 300 Longwood Avenue, Boston, MA 02115, USA.
Musculoskeletal chest pain is the most common identifiable cause of chest pain in children and adolescents. A lesion or irritation of any layer of the anterior chest wall may lead to pain. Causes range from the common, such as costochondritis, to the rare, such as chronic recurrent multifocal osteomyelitis. Read More