455 results match your criteria Costochondritis


When chest pain is not "just" Tietze's syndrome: a case of non-Hodgkin's lymphoma.

Clin Exp Rheumatol 2019 Apr 2. Epub 2019 Apr 2.

Polytechnic University of Marche, Rheumatology Unit, Department of Clinical and Molecular Sciences, "Carlo Urbani" Hospital, Jesi, Ancona, Italy.

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April 2019
7 Reads
2.724 Impact Factor

Primary infectious costochondritis due to Prevotella nigrescens in an immunocompetent patient: clinical and imaging findings.

Skeletal Radiol 2019 Jan 26. Epub 2019 Jan 26.

Department of Radiology and Medical Imaging, Cliniques Universitaires Saint-Luc, Institut de Recherche Expérimentale et Clinique (IREC), Université Catholique de Louvain (UCLouvain), Avenue Hippocrate 10/2942, 1200, Brussels, Belgium.

Infection of costal cartilage is a rare observation. We report the case of a 43-year-old male patient without relevant history who presented with a progressive painful swelling of the left chest wall since 4 months. Computed tomography (CT) and magnetic resonance imaging (MRI) demonstrated an abscess within the left ninth costal cartilage with surrounding reactive changes. Read More

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http://link.springer.com/10.1007/s00256-019-3148-0
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http://dx.doi.org/10.1007/s00256-019-3148-0DOI Listing
January 2019
35 Reads

CT-guided percutaneous cryoablation of an osteoid osteoma of the rib.

Radiol Case Rep 2019 Mar 4;14(3):400-404. Epub 2019 Jan 4.

Creighton University School of Medicine, Phoenix Regional Campus, St. Joseph's Hospital & Medical Center, 350 West Thomas Road, Phoenix, AZ 85013, USA.

An osteoid osteoma is a benign bone tumor that arises from osteoblastic dysfunction and usually presents as nonspecific, nocturnal pain located in the diaphysis of long bones, with <1% occurring in the ribs. It is most commonly treated with nonsteroidal anti-inflammatory drugs or merely observed; when these treatments do no prove efficacious, either open surgery or interventional ablation are pursued. Herein, we report a rare case of an osteoid osteoma located in the rib of a 19-year-old male that was histologically diagnosed through computed tomography (CT)-guided biopsy. Read More

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http://dx.doi.org/10.1016/j.radcr.2018.12.010DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6321969PMC
March 2019
3 Reads

What do we know about Tietze's syndrome?

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

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http://dx.doi.org/10.5114/kitp.2018.78443DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6180027PMC
September 2018
41 Reads

18F-FDG PET/CT and Bone Scintigraphy Findings in Tietze Syndrome.

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

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http://Insights.ovid.com/crossref?an=00003072-900000000-9749
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http://dx.doi.org/10.1097/RLU.0000000000002256DOI Listing
November 2018
30 Reads

Pan-Costochondritis Caused by Aspergillus Diagnosed by 18F-FDG PET/CT.

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

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http://Insights.ovid.com/crossref?an=00003072-900000000-9747
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http://dx.doi.org/10.1097/RLU.0000000000002237DOI Listing
October 2018
21 Reads

Chest Pain: If It Is Not the Heart, What Is It?

Nurs Clin North Am 2018 09 11;53(3):421-431. Epub 2018 Jul 11.

Georgetown University School of Nursing and Health Studies, St. Mary's Hall, 3700 Reservoir Road Northwest, Washington, DC 20007, USA.

Noncardiac chest pain is an angina-type discomfort without indication of ischemia. Diagnosis can be difficult because of its heterogeneous nature. Classification varies by specialty; gastroenterology uses the terminology gastroesophageal reflux disease related versus non-gastroesophageal reflux disease related. Read More

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http://dx.doi.org/10.1016/j.cnur.2018.04.009DOI Listing
September 2018
4 Reads

Distress in My Chest: The Approach to a Student Presenting With "Chest Pain".

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

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http://journals.sagepub.com/doi/10.1177/1942602X18789257
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http://dx.doi.org/10.1177/1942602X18789257DOI Listing
November 2018
32 Reads

Non-Small Cell Lung Carcinoma: Clinical Reasoning in the Management of a Patient Referred to Physical Therapy for Costochondritis.

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

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http://dx.doi.org/10.1093/ptj/pzy011DOI Listing
June 2018
16 Reads

Surgical Management of Medically Refractory Tietze Syndrome.

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

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https://linkinghub.elsevier.com/retrieve/pii/S00034975173107
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http://dx.doi.org/10.1016/j.athoracsur.2017.07.035DOI Listing
December 2017
17 Reads

Integrating Acupuncture for the Management of Costochondritis in Adolescents.

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

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http://dx.doi.org/10.1089/acu.2017.1233DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5653338PMC
October 2017
9 Reads

Atypical Tietze's Syndrome Misdiagnosed as Atypical Chest Pain: Letter to the Editor.

Pain Med 2018 04;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.

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http://dx.doi.org/10.1093/pm/pnx213DOI Listing
April 2018
31 Reads

Diagnosis and Treatment of Slipping Rib Syndrome.

Clin J Sport Med 2019 01;29(1):18-23

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

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http://dx.doi.org/10.1097/JSM.0000000000000506DOI Listing
January 2019
52 Reads

IMPAIRMENT BASED EXAMINATION AND TREATMENT OF COSTOCHONDRITIS: A CASE SERIES.

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

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5455195PMC
June 2017
25 Reads

Prolotherapy: An effective therapy for Tietze syndrome.

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

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http://dx.doi.org/10.3233/BMR-159269DOI Listing
September 2017
13 Reads

CME-Rheumatologie 11/Auflösung: Sternoclaviculäre Schwellung – immer ein Tietze-Syndrom?

Praxis (Bern 1994) 2017 ;106(7):387-389

4 Thoraxchirurgie, Universitätsspital Basel, Universität Basel.

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http://dx.doi.org/10.1024/1661-8157/a002637DOI Listing
June 2017
15 Reads

[Musculoskeletal-related chest pain].

Authors:
C Sturm T Witte

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

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http://dx.doi.org/10.1007/s00108-016-0166-zDOI Listing
January 2017
19 Reads

Candida costochondritis associated with recent intravenous drug use.

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

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http://dx.doi.org/10.1016/j.idcr.2016.04.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4857220PMC
May 2016
8 Reads

A Case Report of Candida albicans Costochondritis after a Complicated Esophagectomy.

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

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http://dx.doi.org/10.1097/GOX.0000000000000599DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4801093PMC
January 2016
7 Reads

Myxobolus mauriensis n. sp. Infecting Rib Cartilage of Young-of-the-Year River Herring in New Jersey: Notes on Pathology, Prevalence, and Genetics.

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

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http://dx.doi.org/10.1645/15-939DOI Listing
August 2016
24 Reads

Late costal osteomyelitis with a cutaneous fistula after flame burns: a case report.

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

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http://dx.doi.org/10.12968/jowc.2016.25.2.104DOI Listing
February 2016
4 Reads

Thoracic spondylodiscitis presenting as abdominal pain.

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

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http://dx.doi.org/10.1136/bcr-2015-213846DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4735369PMC
January 2016
11 Reads

Not all abdominal pain is gastrointestinal.

Cleve Clin J Med 2016 Jan;83(1):29-35

Digestive Disease Institute, Cleveland Clinic, Cleveland, OH, USA. E-mail:

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http://dx.doi.org/10.3949/ccjm.83a.14082DOI Listing
January 2016
8 Reads

Assessment of the left ventricular systolic function in cardiac syndrome X using speckle tracking echocardiography.

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

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http://www.anakarder.com/sayilar/107/buyuk/3-Assessment3.pdf
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http://www.anakarder.com/eng/makale/3374/107/Full-Text
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http://dx.doi.org/10.5152/AnatolJCardiol.2015.6388DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5331374PMC
June 2016
26 Reads

Non-cardiac chest pain: a clinical assessment tool.

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

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http://dx.doi.org/10.12968/hmed.2015.76.5.296DOI Listing
May 2015
30 Reads

Painful Chest Wall Swellings: Tietze Syndrome or Chest Wall Tumor?

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

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http://dx.doi.org/10.1055/s-0035-1545261DOI Listing
April 2016
17 Reads

Multiple fractures, pain, and severe disability in a patient with adult-onset hypophosphatasia.

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

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http://dx.doi.org/10.1016/j.bonr.2015.10.005DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4926841PMC
June 2016
23 Reads

Chest pain: a time for concern?

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

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http://dx.doi.org/10.1097/NCI.0000000000000039DOI Listing
July 2016
34 Reads

Utility of fluorodeoxyglucose positron emission tomography/computed tomography for early diagnosis and evaluation of disease activity of relapsing polychondritis: a case series and literature review.

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

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http://rheumatology.oxfordjournals.org/content/early/2014/03
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http://www.rheumatology.oxfordjournals.org/cgi/doi/10.1093/r
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http://dx.doi.org/10.1093/rheumatology/keu147DOI Listing
August 2014
27 Reads

[Mastodynia. Premenstrual syndrome].

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

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August 2015
20 Reads

Costochondritis caused by Aspergillus flavus following cardiac surgery.

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

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July 2014
16 Reads

Evaluation and treatment of musculoskeletal chest pain.

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

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http://dx.doi.org/10.1016/j.pop.2013.08.007DOI Listing
December 2013
36 Reads

Chest pain in primary care: is the localization of pain diagnostically helpful in the critical evaluation of patients?--A cross sectional study.

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

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http://dx.doi.org/10.1186/1471-2296-14-154DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3853238PMC
October 2013
19 Reads

Woman with chest pain and shortness of breath since age 18.

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

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http://dx.doi.org/10.1136/bcr-2013-010118DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3762126PMC
August 2013
21 Reads

Pneumomediastinum and pneumopericardium in an 11-year-old rugby player: a case report.

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

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http://dx.doi.org/10.4085/1062-6050-48.1.11DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3600931PMC
October 2013
11 Reads

ACR Appropriateness Criteria chronic chest pain-low to intermediate probability of coronary artery disease.

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

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http://dx.doi.org/10.1016/j.jacr.2013.01.018DOI Listing
May 2013
18 Reads

Outpatient diagnosis of acute chest pain in adults.

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

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February 2013
11 Reads

Costal cartilage excision for the treatment of pediatric slipping rib syndrome.

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

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http://dx.doi.org/10.1016/j.jpedsurg.2012.06.003DOI Listing
October 2012
11 Reads

Pericardial syndromes: an update after the ESC guidelines 2004.

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

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http://link.springer.com/content/pdf/10.1007/s10741-012-9335
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http://link.springer.com/10.1007/s10741-012-9335-x
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http://dx.doi.org/10.1007/s10741-012-9335-xDOI Listing
May 2013
42 Reads

Towards evidence based emergency medicine: best BETs from the Manchester Royal Infirmary. BET 3: The use of corticosteroids in the management of costochondritis.

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

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http://dx.doi.org/10.1136/emermed-2012-201590.4DOI Listing
August 2012
8 Reads

Chest pain and costochondritis associated with vitamin d deficiency: a report of two cases.

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

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http://dx.doi.org/10.1155/2012/375730DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3384935PMC
August 2012
21 Reads

Evaluation and treatment of musculoskeletal chest wall pain in a military athlete.

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

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3362990PMC
June 2012
15 Reads

[Soft tissue swelling of the sternoclavicular joint].

Authors:
J K Kloth M-A Weber

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

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http://dx.doi.org/10.1007/s00117-012-2318-zDOI Listing
May 2012
12 Reads

Costochondritis. Chest wall pain.

Authors:

Mayo Clin Health Lett 2011 Dec;29(12)

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December 2011
9 Reads

Relapsing polychondritis in childhood: three case reports, comparison with adulthood disease and literature review.

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

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http://link.springer.com/content/pdf/10.1007/s00296-011-2336
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http://link.springer.com/10.1007/s00296-011-2336-6
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http://dx.doi.org/10.1007/s00296-011-2336-6DOI Listing
July 2013
13 Reads

Primary chest wall abscess caused by Escherichia coli costochondritis.

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

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https://linkinghub.elsevier.com/retrieve/pii/S00029629153118
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http://dx.doi.org/10.1097/MAJ.0b013e31821bc1b0DOI Listing
September 2011
22 Reads

Treatment of a female collegiate rower with costochondritis: a case report.

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

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http://dx.doi.org/10.1179/106698110X12640740712653DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3101071PMC
June 2010
10 Reads

Acute chest pain.

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

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http://dx.doi.org/10.1007/s12098-011-0413-1DOI Listing
October 2011
7 Reads

An uncommon cause of chest pain in the deployed soldier.

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

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April 2011
16 Reads