Tietzes: Difference between revisions
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== Differential Diagnosis == | == Differential Diagnosis == | ||
The cartilage connects sternum with costae and clavicula, and makes the movement of the thorax possible while the breathing.<ref name="Fam and Smythe" /><ref name="Moin et al" /> The inflammation of the the cartilage of one or more costae causes a swelling of the cartilago and a red, warm swelling will be visible and palpable.<ref name="Thongngarm et al" /><ref name="Hurst et al">Hurst J.W., Morris D.C., Williams B.R. “Chest Pain” in patients with costochondritis or Tietze's syndrome, Wiley-Blackwell, 2001, p23-29</ref><ref name="Moin et al" />There is pain with a varying intensity in the chest wall and this pain aggravated by movements of the torso, deep breathing, coughing and exertion. <ref name="Proulx and Zryd">Proulx A.M., Zryd T.W., Costochondritis; Diagnosis and Treatment, Am Fam Physician, 2009 Sep 15;80(6):617-20</ref><ref name="Verdon et al" /><ref name="Fam and Smythe" /><ref name="Hurst et al" /> Pain occurring during the palpation of the painfull spot suggests costochondritis but the pain could have a cardiac | The cartilage connects sternum with costae and clavicula, and makes the movement of the thorax possible while the breathing.<ref name="Fam and Smythe" /><ref name="Moin et al" /> The inflammation of the the cartilage of one or more costae causes a swelling of the cartilago and a red, warm swelling will be visible and palpable.<ref name="Thongngarm et al" /><ref name="Hurst et al">Hurst J.W., Morris D.C., Williams B.R. “Chest Pain” in patients with costochondritis or Tietze's syndrome, Wiley-Blackwell, 2001, p23-29</ref><ref name="Moin et al" />There is pain with a varying intensity in the chest wall and this pain aggravated by movements of the torso, deep breathing, coughing and exertion. <ref name="Proulx and Zryd">Proulx A.M., Zryd T.W., Costochondritis; Diagnosis and Treatment, Am Fam Physician, 2009 Sep 15;80(6):617-20</ref><ref name="Verdon et al" /><ref name="Fam and Smythe" /><ref name="Hurst et al" /> Pain occurring during the palpation of the painfull spot suggests costochondritis but the pain could have a cardiac origin<ref name="Proulx and Zryd" /><ref name="Verdon et al" /> tumor<ref name="Verdon et al" /><ref name="Hoogendoorn et al" /><ref name="Fam and Smythe" />,... <ref name="Moin et al" /> Other investigations like electrocardiography<ref name="Fam and Smythe" /><ref name="Moin et al" />, CT-scan<ref name="Hamburg and Abdalwahab">Hamburg C., Abdalwahab I.F., Reliability of computed tomography in the initial diagnosis and follow-up evaluation of Tietze's syndrome: a case report with review of the literature, J Comput Tomogr., 1987;11(1):83-87</ref><ref name="Hoogendoorn et al" />, MRI<ref name="Volterrani et al">Volterrani L., Mazzei M.A., Giordano N., Nuti R., Galeazzi M., Fioravanti A., Magnetic resonance imaging in Tietze's syndrome, Clin Exp Rheumatol., Sept-Oct 2008; 26(5):848-53</ref><ref name="Hoogendoorn et al" /><ref name="Fam and Smythe" />,… are necessary. Through the pain of inflammation, the normal movement in joints are disrupted, the movements of the shoulder crepitates or pain may occur.<ref name="Verdon et al" /><ref name="Fam and Smythe" /><ref name="Moin et al" /> Complaints occur gradually and can disappear spontaneously after some days but it may take years to disappear.<ref name="Gregory et al">Gregory P.L., BISWAS A.C., Batt M.E.,Musculoskeletal problems of the chest wall in athletes, Sports Med., 2002;32(4):235-50.</ref><ref name="Fam and Smythe" /> Even after a spontaneously healing the complaints can return on the same place or another spot around the costae.<ref name="Fam and Smythe" /><ref name="Hurst et al" /> | ||
== Diagnostic Procedures == | == Diagnostic Procedures == |
Revision as of 19:26, 8 May 2011
Original Editors - Els Bernaers
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Search Strategy[edit | edit source]
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Definition/Description[edit | edit source]
Costochondritis is a painfull chronical inflammation of the cartilago of one or more costae at
the transition between sternum and costae.[1][2][3] Only when a swelling occurs underneath sternum and/or a reddening of the skin at the painfull spot, it's called Tietze's syndrome[4][5][6][7]. This disease causes severe pain when coughing and deep breathing. The Tietze's syndrome is not life-threatening or contagious but it is a fastidious and painfull disease.[4][3] Costochondritis[6] and the Tietze's syndrome are often confused but in fact they are two different diseases. [8]
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Epidemiology /Etiology[edit | edit source]
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Characteristics/Clinical Presentation[edit | edit source]
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Differential Diagnosis[edit | edit source]
The cartilage connects sternum with costae and clavicula, and makes the movement of the thorax possible while the breathing.[1][3] The inflammation of the the cartilage of one or more costae causes a swelling of the cartilago and a red, warm swelling will be visible and palpable.[9][7][3]There is pain with a varying intensity in the chest wall and this pain aggravated by movements of the torso, deep breathing, coughing and exertion. [8][4][1][7] Pain occurring during the palpation of the painfull spot suggests costochondritis but the pain could have a cardiac origin[8][4] tumor[4][5][1],... [3] Other investigations like electrocardiography[1][3], CT-scan[10][5], MRI[11][5][1],… are necessary. Through the pain of inflammation, the normal movement in joints are disrupted, the movements of the shoulder crepitates or pain may occur.[4][1][3] Complaints occur gradually and can disappear spontaneously after some days but it may take years to disappear.[12][1] Even after a spontaneously healing the complaints can return on the same place or another spot around the costae.[1][7]
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- ↑ 1.0 1.1 1.2 1.3 1.4 1.5 1.6 1.7 1.8 Fam A.G., Smythe H.A.,Musculoskeletal chest wall pain, Can Med Assoc J. Sept 19851; 133(5):379-389.
- ↑ Thongngarm T., Lemos L.B., Lawhon N., Harisdangkul V., Malignant tumor with chest wall pain mimicking Tietze's syndrome, Clin Rheumatol., 2001; 20(4):276-8
- ↑ 3.0 3.1 3.2 3.3 3.4 3.5 3.6 Moin P., Vergouw M., Imanuel N., Hulshof D., 2005, Syndroom van Tietze, geraadpleegd op 26/12/2010, http://www.fysiotherapie-enschede.nl/content/ziektenbeelden3upo/Syndroom%20van%20Tietze.htm
- ↑ 4.0 4.1 4.2 4.3 4.4 4.5 Verdon F., Burnand B., Herzig L., Junod M., Pécoud A., Bernard F., Chest wall syndrome among primary care patients: a cohort study, Fam Pract., 2010 Aug; 27(4):363-9
- ↑ 5.0 5.1 5.2 5.3 Hoogendoorn R.J., Brinkman J.M., Visser O.J., Paul M.A., Wuisman P.I., Sternal pain: not always harmless, Ned Tijdschrift Geneeskd. 2004 Dec 11;148(50):2469-74
- ↑ 6.0 6.1 American acadamy of family physicians, Costochondritis: What you need to know, Am Fam Physicians, Sept 2009, 15;75(10):1
- ↑ 7.0 7.1 7.2 7.3 Hurst J.W., Morris D.C., Williams B.R. “Chest Pain” in patients with costochondritis or Tietze's syndrome, Wiley-Blackwell, 2001, p23-29
- ↑ 8.0 8.1 8.2 Proulx A.M., Zryd T.W., Costochondritis; Diagnosis and Treatment, Am Fam Physician, 2009 Sep 15;80(6):617-20
- ↑ Cite error: Invalid
<ref>
tag; no text was provided for refs namedThongngarm et al
- ↑ Hamburg C., Abdalwahab I.F., Reliability of computed tomography in the initial diagnosis and follow-up evaluation of Tietze's syndrome: a case report with review of the literature, J Comput Tomogr., 1987;11(1):83-87
- ↑ Volterrani L., Mazzei M.A., Giordano N., Nuti R., Galeazzi M., Fioravanti A., Magnetic resonance imaging in Tietze's syndrome, Clin Exp Rheumatol., Sept-Oct 2008; 26(5):848-53
- ↑ Gregory P.L., BISWAS A.C., Batt M.E.,Musculoskeletal problems of the chest wall in athletes, Sports Med., 2002;32(4):235-50.