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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] The only exception is the first rib , which has a synchondrosis joint since the cartilage is directly united with the sternum. [ 1 ]
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 costochondral joints are the joints between the ribs and costal cartilage in the front of the rib cage. They are hyaline cartilaginous joints (i.e. synchondrosis or primary cartilagenous joint). Each rib has a depression shaped like a cup that the costal cartilage articulates with. There is normally no movement at these joints.
The first seven pairs are connected with the sternum; the next three are each articulated with the lower border of the cartilage of the preceding rib; the last two have pointed extremities, which end in the wall of the abdomen. [2] Like the ribs, the costal cartilages vary in their length, breadth, and direction. They increase in length from ...
Physical examination consists of gentle pressure to the chest wall with a single finger to identify the location of the discomfort. [2] Swelling and tenderness upon palpation at one or more of the costochondral, sternocostal, or sternoclavicular joints, is a distinctive trait of Tietze syndrome and is considered a positive diagnosis when found ...
Rachitic rosary on chest radiograph The prominent knobs of bone at the costochondral joints of rickets patients are known as a rachitic rosary or beading of the ribs . The knobs create the appearance of large beads under the skin of the rib cage , hence the name by analogy with the beads of a Catholic Christian rosary .
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.
The articulations of the heads of the ribs (or costocentral articulations) constitute a series of gliding or arthrodial joints, and are formed by the articulation of the heads of the typical ribs with the costal facets on the contiguous margins of the bodies of the thoracic vertebrae and with the intervertebral discs between them; the first, eleventh and twelfth ribs each articulate with a ...