Costochondritis

Costochondritis
Classification and external resources

The costal cartilages
ICD-10 M94
ICD-9 733.6

Costochondritis is a benign inflammation of the costal cartilage, which is a length of cartilage which connects each rib, except the eleventh and twelfth, to the sternum. It causes pain in the chest that can be reproduced by pressing on the affected area between the ribs. This pain can be quite excruciating, especially after rigorous exercise. While it can be extremely painful, it is considered to be a benign condition that generally resolves. Though costochondritis appears to resolve itself, it can be a recurring condition that can appear to have little or no signs of onset. Treatment options are quite limited and usually only involve rest and analgesics but in a very small number of cases cortisone injections and even surgery are sometimes necessary. It is recommended that costochondritis patients should refrain from physical activity to prevent the onset of an attack.[1]

Costochondritis symptoms can be similar to the chest pain associated with a heart attack. Unexplained chest pain is considered a medical emergency until cardiac issues can be ruled out.[1]

Severe costochondritis is referred to as Tietze's syndrome. The two conditions were initially described separately, the sole difference being that in Tietze's Syndrome there is swelling of the costal cartilages. It is now recognized that the presence or absence of swelling is only an indicator of the severity of the condition. It was at one time thought to be associated with, or caused by, a viral infection acquired during surgery, but this is now known not to be the case. Most sufferers have not had recent surgery. Costochondritis often results from a physical strain or minor injury, but the true causes are not well understood.[1] A mild form of the disorder is not uncommon in pregnancy. In these circumstances it is thought to be caused by the upward pressure of the abdominal organs and the growing uterus as well as the tendency of the pregnant woman's breathing to involve more use of the chest muscles since the diaphragm's movement is more limited.

Contents

Differential Diagnosis

Epidemiology

Exact incidence is unknown; in studies it ranges from 10% to 30% of people with chest pain in an emergency department.

See also

  • Costochondral cartilage

References

  1. ^ a b c Beers, Mark (2006). "Chapter 5". The Merck Manual of Diagnosis and Therapy (18th ed.). Merck Research Laboratories. ISBN 0911910182. 

External links



Wikimedia Foundation. 2010.

Look at other dictionaries:

  • Costochondritis — is the result of inflammation of the cartilage of the chest wall, usually involving that which surrounds the breast bone (sternum). It causes local pain and tenderness of the chest around the sternum. * * * Inflammation of one or more costal… …   Medical dictionary

  • Costochondritis — Klassifikation nach ICD 10 M94.0 Tietze Syndrom …   Deutsch Wikipedia

  • costochondritis — n.; see Tietze s syndrome …   The new mediacal dictionary

  • costochondritis — noun inflammation at the junction of a rib and its cartilage • Hypernyms: ↑inflammation, ↑redness, ↑rubor …   Useful english dictionary

  • Синдром Титце (Tietze'S Syndrome), Хондрит Реберный (Costochondritis) — дистрофия реберного хряща болезненные припухлости реберных хрящей. Причина заболевания неизвестна; обычно его симптомы проходят самостоятельно, без специального лечения, однако в некоторых случаях возникает необходимость в местном введении… …   Медицинские термины

  • Хондрит Реберный (Costochondritis) — см. Синдром Титце. Источник: Медицинский словарь …   Медицинские термины

  • costosternal syndrome — costochondritis …   Medical dictionary

  • СИНДРОМ ТИТЦЕ, ХОНДРИТ РЕБЕРНЫЙ — (costochondritis) дистрофия реберного хряща болезненные припухлости реберных хрящей. Причина заболевания неизвестна; обычно его симптомы проходят самостоятельно, без специального лечения, однако в некоторых случаях возникает необходимость в… …   Толковый словарь по медицине

  • Tietze's syndrome — costochondritis a painful swelling of a rib in the region of the chest, over the junction of bone and cartilage. The cause is unknown and the condition usually resolves without treatment, but in some cases local injections of corticosteroids are… …   The new mediacal dictionary

  • Tietze's syndrome — Infobox Disease Name = Costochondritis Caption = Sternocostal and interchondral articulations. Anterior view. (Costal cartilages visible on diagram.) DiseasesDB = 13112 ICD10 = ICD10|M|94|0|m|91 ICD9 = ICD9|733.6 ICDO = OMIM = MedlinePlus =… …   Wikipedia


Share the article and excerpts

Direct link
Do a right-click on the link above
and select “Copy Link”

We are using cookies for the best presentation of our site. Continuing to use this site, you agree with this.