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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]
It takes several forms, osteochondritis, costochondritis, and relapsing polychondritis among them. Costochondritis is notable for feeling like a heart attack. Costochondritis is notable for feeling like a heart attack.
Costochondritis: Inflammation of cartilage in the ribs, causing chest pain. Osteoarthritis: The cartilage covering bones (articular cartilage) is thinned, eventually completely worn out, resulting in a "bone against bone" joint, resulting in pain and reduced mobility. Osteoarthritis is very common, affects the joints exposed to high stress and ...
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.
Iliocostal friction syndrome, also known as costoiliac impingement syndrome, is a condition in which the costal margin comes in contact with the iliac crest.The condition presents as low back pain which may radiate to other surrounding areas as a result of irritated nerve, tendon, and muscle structures.
FOOTNOTE: If you are female, and you find yourself having the symptoms described for costochondritis together with sharp pain in the mid-back get yourself to an Emergency Room immediately. This is one of the rarely caught symptoms of a Myocardial Infarction in women, and can be fatal.
In costochondritis and Tietze syndrome, inflammation of the costal cartilage occurs. [4] This is a common cause of chest pain. [5] Severe trauma may lead to fracture of the costal cartilage. [6] Such injuries often go unnoticed during x-ray scans, but can be diagnosed with CT scans. [6]
Costochondritis is most commonly confused with Tietze syndrome, as they have similar symptoms and can both affect the costochondral and sternocostal joints. 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.