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. |