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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, a differential diagnosis for Tietze syndrome, characterized by painful, tender, but nonswollen chondrosternal joints, is more common. Although these conditions are different, they are commonly mistaken for the same.
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 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 ...
The sternocostal joints, also known as sternochondral joints or costosternal articulations, are synovial plane joints of the costal cartilages of the true ribs with the sternum. [1]
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