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Characteristics of isolated musculoskeletal chest pain syndromes
Disorder Clinical manifestations
Costosternal syndromes (costochondritis) Multiple areas of tenderness that reproduce the described pain, usually in the upper costal cartilages at the costochondral or costosternal junctions; there is no swelling.
Tietze's syndrome Painful, nonsuppurative localized swelling of the costosternal, sternoclavicular, or costochondral joints, most often involving one joint in the area of the second and third ribs; rare, primarily affects young adults.
Sternalis syndrome Localized tenderness over the body of the sternum or overlying sternalis muscle; palpation often causes radiation of pain bilaterally.
Xiphoidalgia Localized discomfort over the sternum at the xiphoid process.
Spontaneous sternoclavicular subluxation Most often occurs in the dominant side, associated with moderate to heavy repetitive tasks; almost exclusively occurs in middle-aged women.
Lower rib pain syndromes Pain in the lower chest or upper abdomen with a tender spot on the costal margin; pain can be reproduced by pressing on the spot.
Posterior chest wall syndromes May be caused by herniated thoracic disc, leading to band-like chest pain that may have a unilateral dermatomal distribution. Also induced by costovertebral joint dysfunction; tenderness over the affected area, worse with coughing or deep breathing.
Isolated_chest_pain_syndrom.htm
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