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Costochondritis, also known as chest wall pain syndrome or costosternal syndrome, is a benign inflammation of the upper costochondral (rib to cartilage) and sternocostal (cartilage to sternum) joints. 90% of patients are affected in multiple ribs on a single side, typically at the 2nd to 5th ribs. [1]
The colloquial names for the disease, such as the devil's grip, (see "other names" below) reflect this symptom. [6] Bornholm disease is a clinical diagnosis that uses the spasmodic pain, fever , and relapses to distinguish the illness from other potential causes of pain such as appendicitis or myocardial infarction . [ 5 ]
Costochondritis is a common cause of chest pain, consisting of up to 30% of chest pain complaints in emergency departments. The pain is typically diffused with the upper costochondral or sternocostal junctions most frequently involved, unlike slipping rib syndrome, which involves the lower rib cage.
Tietze syndrome is a rare cause of chest pain. The condition was first described by Tietze in 1921 as a benign, nonsuppurative painful swelling of the superior chondrosternal joints. Costochondritis, a differential diagnosis for Tietze syndrome, characterized by painful, tender, but nonswollen chondrosternal joints, is more common.
Trauma can also be a cause for chest pain and has been found to be associated with the pain in 5% of the patients. [1] Children can present with chest pain can have a sudden onset related to vigorous physical activity and coughing. These symptoms seem to be closely associated with asthma. [1] Infection with Haemophilus influenzae can cause ...
Relapsing polychondritis is a systemic disease characterized by repeated episodes of inflammation and in some cases deterioration of cartilage.The disease can be life-threatening if the respiratory tract, heart valves, or blood vessels are affected.
Psychogenic causes of chest pain can include panic attacks; however, this is a diagnosis of exclusion. [12] In children, the most common causes for chest pain are musculoskeletal (76–89%), exercise-induced asthma (4–12%), gastrointestinal illness (8%), and psychogenic causes (4%). [13] Chest pain in children can also have congenital causes.
Unlike both costochondritis and Tietze syndrome, which affect some of the true ribs (1st to 7th), SRS affects the false ribs (8th to 10th). SRS is characterized by the partial dislocation, or subluxation, of the joints between the costal cartilages. [26] This causes inflammation, irritated intercostal nerves, and straining of the intercostal ...