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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]
In costochondritis and Tietze syndrome, inflammation of the costal cartilage occurs. [4] This is a common cause of chest pain. [5] Severe trauma may lead to fracture of the costal cartilage. [6] Such injuries often go unnoticed during x-ray scans, but can be diagnosed with CT scans. [6]
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.
Costochondritis is an inflammation of the cartilage that connects a rib to the breastbone, the Mayo Clinic explains. It usually impacts the upper ribs on the left-hand side of your body and can ...
The only exception is the first rib, which has a synchondrosis joint since the cartilage is directly united with the sternum. [1] The sternocostal joints are important for thoracic wall mobility. [2] The ligaments connecting them are: Articular capsules; Intraarticular sternocostal ligament; Radiate sternocostal ligaments; Costoxiphoid ligaments
Costochondritis is most commonly confused with Tietze syndrome, as they have similar symptoms and can both affect the costochondral and sternocostal joints. 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.
Rib resection differentiates from costal cartilage removal as it removes a small bone portion of the affected rib(s). [1] Laparoscopic costal cartilage removal is a minimally invasive, intra-abdominal approach to treating the condition. The affected cartilage is excised from the sternocostal junction to the costochondral junction. [17]
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