Sx
Costochondritis
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Costochondritis
, Costosternal Syndrome, Parasternal Chondrodynia, Anterior Chest Wall Syndrome
See Also
Chest Pain
Chest Wall Pain
Chest Wall Pain Prediction Rule
Epidemiology
Age over 40 years is more typical
Pathophysiology
Chronic inflammation affecting the costochondral joints
Idiopathic
Symptoms
Chest Pain
accentuated by respiratory movements
Localized pain to the costochondral margin at ribs 2 to 5
Affects more than one costochondral margin in most patients
Signs
Costochondral margin tenderness without swelling
Palpation reproduces
Chest Pain
Differential Diagnosis
See
Chest Wall Pain
Imaging
Consider CT
Chest
if neoplasm or infection-associated local destruction suspected
Consider gallium scanning if infection suspected
References
Chicarilli (1986) Plast Reconstr Surg 77(1): 50-9 [PubMed]
Proulx (2009) Am Fam Physician 80(6): 617-20 [PubMed]
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