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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 infrahyoid muscles, or strap muscles, are a group of four pairs of muscles in the anterior (frontal) part of the neck. [1] The four infrahyoid muscles are the sternohyoid, sternothyroid, thyrohyoid and omohyoid muscles. [1] Excluding the sternothyroid, the infrahyoid muscles either originate from or insert on to the hyoid bone. [2]
Acute calcific tendinitis of the longus colli muscle can occur. This presents with acute onset of neck pain, stiffness, dysphagia and odynophagia, and must be distinguished from retropharyngeal abscess and other sinister conditions. Imaging diagnosis is by CT or MRI, demonstrating calcification in the muscle in addition to retropharyngeal oedema.
The symptoms of Tietze syndrome have been reported to be exacerbated by sneezing, coughing, deep inhalation, and overall physical exertion. [ 5 ] [ 7 ] Tenderness and swelling of the affected joint are important symptoms of Tietze syndrome and differentiate the condition from costochondritis .
Eagle syndrome (also termed stylohyoid syndrome, [1] styloid syndrome, [2] stylalgia, [3] styloid-stylohyoid syndrome, [2] or styloid–carotid artery syndrome) [4] is an uncommon condition commonly characterized but not limited to sudden, sharp nerve-like pain in the jaw bone and joint, back of the throat, and base of the tongue, triggered by swallowing, moving the jaw, or turning the neck. [1]
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Coughing may be present, [11] and stridor, an abnormal, high-pitched breath sound indicating obstruction of the upper airway can also occur. [12] Damage to the airways can cause subcutaneous emphysema (air trapped in the subcutaneous tissue of the skin) in the abdomen, chest, neck, and head. [2]
The omohyoid muscle is a muscle in the neck. It is one of the infrahyoid muscles. It consists of two bellies separated by an intermediate tendon. Its inferior belly is attached to the scapula; its superior belly is attached to the hyoid bone. Its intermediate tendon is anchored to the clavicle and first rib by a fascial sling.