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Costochondritis is a common condition that is responsible for approximately 13–36% of acute chest pain-related concerns from adults depending on the setting, with 14–39% for adolescents. [8] It is most often seen in individuals who are older than 40 years of age and occurs more often in women than in men.
Costochondritis is considered a more common condition and is not associated with any swelling to the affected joints, which is the defining distinction between the two. [ 2 ] [ 5 ] Tietze syndrome commonly affects the 2nd or 3rd rib and typically occurs among a younger age group, [ 2 ] while costochondritis affects the 2nd to 5th ribs and has ...
Chest wall problems: Chest pain can arise from musculoskeletal issues ie scleroderma, costochondritis, cervical radiculitis, among others. [30] Radiculopathy (Cervical Angina) Cervical spondylosis presents as sharp pain traveling from the neck to the chest and can be reproduced by turning of the neck sideways. Spurling's test can help rule out ...
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Pain across the costal margin is most commonly caused by costochondritis. [ 6 ] The costal paradox , also known as Hoover's sign and the costal margin paradox , is a sign where the costal angle decreases upon inspiration rather than increasing, indicating chronic obstructive pulmonary disease .
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.
Costochondritis should be distinguished from Tietze syndrome, a condition involving the same area of the front of the chest. Costochondritis is not associated with swelling, as opposed to Tietze syndrome where swelling is characteristic. Tietze syndrome is an inflammation of the costochondral cartilages of the upper front of the chest.
It surrounds the neck like a collar, it splits around the sternocleidomastoid muscle and the trapezius muscle. It is attached as; Posteriorly - Ligamentum nuchae; Anteriorly - Attached to the hyoid bone; Superiorly - (from backwards to forwards); External occipital protuberance and superior nuchal line of occipital bone; Mastoid process of ...