Costal chondritis
Costal Chondritis
Costal chondritis, also known as Tietze syndrome, is a benign inflammation of the costal cartilage, which connects the ribs to the sternum. This condition is characterized by localized pain and tenderness in the chest wall, often exacerbated by physical activity or palpation.
Etiology[edit | edit source]
The exact cause of costal chondritis is not well understood. It is thought to be related to repetitive trauma or unusual physical activity that stresses the costal cartilage. In some cases, it may be associated with viral infections or inflammatory conditions.
Clinical Presentation[edit | edit source]
Patients with costal chondritis typically present with:
- Sharp, aching, or pressure-like chest pain
- Pain localized to the costosternal, costochondral, or costovertebral joints
- Tenderness upon palpation of the affected area
- Pain that may radiate to the back or abdomen
The pain is often unilateral and can be exacerbated by certain movements, deep breathing, or coughing.
Diagnosis[edit | edit source]
Diagnosis of costal chondritis is primarily clinical, based on the patient's history and physical examination. Imaging studies such as X-rays, CT scans, or MRIs are usually not necessary but may be used to rule out other conditions.
Differential Diagnosis[edit | edit source]
Conditions that may mimic costal chondritis include:
Management[edit | edit source]
Treatment of costal chondritis is symptomatic and may include:
- Rest and avoidance of activities that exacerbate pain
- Application of heat or cold packs
- Nonsteroidal anti-inflammatory drugs (NSAIDs) for pain relief
- Physical therapy to improve posture and reduce strain on the chest wall
In rare cases, corticosteroid injections or surgical intervention may be considered if conservative measures fail.
Prognosis[edit | edit source]
The prognosis for costal chondritis is generally good, with most patients experiencing resolution of symptoms over time. However, some individuals may have recurrent episodes.
Also see[edit | edit source]
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