II. Evaluation
III. Differential Diagnosis
- See Chest Pain
-
Muscle Strain (overuse syndrome)
- Superior: Trapezius Insertion
- Mid: Pectoralis Muscle
- Inferior: Latisimus dorsi insertion
-
Costochondritis
- Common, costochondral margin pain typically at several sites without swelling or induration
-
Tietze Syndrome
- Rare, focal costochondral margin pain with localized swelling and inflammation
- Inflammation secondary to localized infection, neoplasm or Rheumatologic Condition
- Slipping Rib Syndrome
- Hypermobile, tender anterior portions of inferior costal cartilage
- "Hooking maneuver" reproduces pain (and in some cases a click)
- Hook fingers under lower ribs and pull anteriorly
-
Fibromyalgia
- Chest Tender Points at second costochondral margin (in addition to 10 total of 18 points positive)
- Thoracic Herpes Zoster (Shingles) or Postherpetic Neuralgia
- Unilateral, Dermatomal Distribution of clustered vessicles on a red base
- Painful Xiphoid Syndrome
- Localized tenderness over the sternoxiphoid joint
-
Arthritis
- May affect sternoclavicular joint or sternomanubrial joint
-
Mastalgia (Breast Pain)
- See Mastalgia
- Pathologic Destruction of Costal Cartilage (by infection or cancer)
- Infection (Bacterial or fungal) or cancerous lesions may cause local destruction of costal cartilage
- Infections are higher risk in post-op state, as well as in intravenous drug use
IV. Precautions
- See Chest Pain
- Heart disease can coexist with Chest Wall Pain
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Related Studies
| Definition (NCI) | Painful sensation in the chest wall region. |
| Definition (NCI_CTCAE) | A disorder characterized by marked discomfort sensation in the chest wall region. |
| Concepts | Sign or Symptom (T184) |
| SnomedCT | 366958004, 367183005, 102588006 |
| Dutch | borstkaswandpijn |
| French | Douleur thoracique pariétale |
| German | Brustwandschmerz |
| Italian | Dolore della parete toracica |
| Portuguese | Dor na parede torácica |
| Spanish | Dolor de la pared torácica, dolor de la pared torácica (hallazgo), dolor de la pared torácica |
| Japanese | 胸壁痛, ｷｮｳﾍｷﾂｳ |
| English | Chest wall pain, chest pain localizing to chest wall, chest pain localizing to chest wall (symptom), chest pain localizing to the chest wall, Chest Wall Pain, chest wall pain, chest pains wall, wall chest pain, chest pain wall, pain chest wall, Chest wall pain (finding) |
| Czech | Bolest hrudní stěny |
| Hungarian | Mellkasfali fájdalom |
Ontology: Chest wall tenderness (C0239008)
| Concepts | Finding (T033) |
| SnomedCT | 102591006, 162425003 |
| English | CHEST TENDERNESS OF, Tenderness of chest, chest palpation tenderness muscle, thoracic muscle tenderness, chest tenderness, Chest wall tenderness, tenderness on palpation of chest, tenderness on palpation of chest (physical finding), tenderness on palpation of chest wall muscle (physical finding), tenderness on palpation of chest wall muscle, chest tenderness wall, Chest wall tenderness (finding), Chest tenderness, Chest tenderness of |
| Spanish | dolor de la pared torácica a la palpación (hallazgo), dolor de la pared torácica a la palpación, Dolor a la palpación torácica, sensibilidad en el pecho (hallazgo), sensibilidad en el pecho, PECHO, DOLOR A LA PRESION |
| Dutch | gevoelige borstkas |
| French | Endolorissement de la poitrine, Sensibilité thoracique, OPPRESSION THORACIQUE |
| German | Druckschmerz Thorax, Brust, Empfindlichkeit, BRUSTKORB EMPFINDLICH |
| Italian | Dolorabilità toracica |
| Portuguese | Hipersensibilidade dolorosa do tórax, SENSIBILIDADE TORAXICA |
| Japanese | 胸部圧痛, ｷｮｳﾌﾞｱｯﾂｳ |
| Czech | Zvýšená citlivost hrudníku |
| Hungarian | Mellkas érzékenysége, Mellkasi érzékenység |
