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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]
Tietze syndrome typically presents unilaterally at a single joint of the anterior chest wall, with 70% of patients having tenderness and swelling on only one side, usually at the 2nd or 3rd rib. [ 2 ] [ 3 ] Research has described the condition to be both sudden [ 4 ] and gradual, varying by the individual.
The medial end of the first is continuous with the sternum; the medial ends of the six succeeding ones are rounded and are received into shallow concavities on the lateral margins of the sternum. The medial ends of the eighth, ninth, and tenth costal cartilages are pointed, and are connected each with the cartilage immediately above.
The costal margin is the medial margin formed by the cartilages of the seventh to tenth ribs. It attaches to the body and xiphoid process of the sternum. [2] The thoracic diaphragm attaches to the costal margin. [3] The costal angle is the angle between the left and right costal margins where they join the sternum. [2]
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.
In pseudogout, a form of calcium crystals accumulate in joint cartilage and fluid, causing the same sudden joint pain and swelling as gout. Pseudogout typically affects people over the age of 60 ...
Twelfth rib syndrome, also known as rib tip syndrome, is a painful condition that occurs as a result of highly mobile floating ribs.It commonly presents as pain that may be felt in the lower back or lower abdominal region as a result of the 11th or 12th mobile rib irritating the surrounding tissues and nervous systems.
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 ]