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A similar condition known as slipping rib syndrome is also associated with chest pain and inflammation of the costal cartilage. [17] Unlike costochondritis, the pain associated with slipping rib syndrome is often felt in the lower ribs, abdomen, and back, commonly affecting the interchondral junctions of the false 8th to 10th ribs.
Iliocostal friction syndrome, also known as costoiliac impingement syndrome, is a condition in which the costal margin comes in contact with the iliac crest.The condition presents as low back pain which may radiate to other surrounding areas as a result of irritated nerve, tendon, and muscle structures.
Costovertebral angle (CVA) tenderness is pain that results from touching the region inside of the costovertebral angle. [1] The CVA is formed by the 12th rib and the spine. [ 1 ] Assessing for CVA tenderness is part of the abdominal exam , and CVA tenderness often indicates kidney pathology .
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 ]
SRS is characterized by the partial dislocation, or subluxation, of the joints between the costal cartilages. [26] This causes inflammation, irritated intercostal nerves, and straining of the intercostal muscles. SRS can cause abdominal and back pain, which costochondritis does not. [27]
In old age, the costal cartilages are prone to superficial ossification, particularly in women with age of 50 years and over. [3] 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]
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Slipping rib syndrome (SRS) is a condition in which the interchondral ligaments are weakened or disrupted and have increased laxity, causing the costal cartilage tips to subluxate (partially dislocate). This results in pain or discomfort due to pinched or irritated intercostal nerves, straining of the intercostal muscles, and inflammation.