Atypical Tietze’s Syndrome Misdiagnosed as Atypical Chest Pain: Letter to the Editor

Post-traumatic Tietze syndrome as an occupational accident: A case report study

“…Tietze's syndrome has been characterized as a tender, non-suppurative swelling commonly without rubor or erythema in the upper costosternal joint and less commonly in the xiphisternal joint [ 3 ]. While the etiology and pathology of the disease are still unclear [ 4 ], some commonly described causes include chronic coughing or sneezing, infections, immunological disorders and vitamin deficiencies [ 5 , 6 ]. However, post-traumatic etiology was poorly described in the literature.…”

Scanning before injection for costochondritis: A case report of ultrasound imaging of Hodgkin's lymphoma with chest wall invasion

“…In costochondritis, distension of the joint capsule and increased blood flow are identified over the costochondral or chondrosternal joints, with less involvement of the chondral cartilage. In Tietze's syndrome, in addition to inflammatory changes in the adjacent joints, enlargement of the costal cartilage with the presence of acoustic shadowing appears to be the primary finding 5 . Ultrasound‐guided injections allow precise administration of corticosteroids into the articular space and adjacent cartilage, 6 which facilitates the management of both aforementioned scenarios.…”

“…In Tietze's syndrome, in addition to inflammatory changes in the adjacent joints, enlargement of the costal cartilage with the presence of acoustic shadowing appears to be the primary finding. 5 Ultrasound-guided injections allow precise administration of corticosteroids into the articular space and adjacent cartilage, 6 which facilitates the management of both aforementioned scenarios. Furthermore, ultrasound guidance can prevent collateral injury to the underlying internal mammary arteries and pleura.…”

A Retrospective, Single-Center Study Investigating the Effects of a Novel Miniature Wireless Spinal Cord Stimulation System for the Treatment of Chronic Back and Leg Pain

“…Investigative magnetic resonance imaging has revealed localized cartilage thickening, bone marrow edema, and increased gadolinium uptake in areas of thickened cartilage, subchondral bone marrow, joint capsule, and related ligamentous structures (14). Imaging studies support the presence of chronic inflammatory changes (9) which may lead to chronic pain and swelling that can mimic tumors, atypical chest pain, acute coronary syndrome, pneumonia, and other severe disease processes (10,(15)(16)(17)(18). Finally, chronic inflammatory changes may infiltrate surrounding tissues, leading to nerve root irritation and subsequent neuralgia, which may progress to radiculopathy affecting the neck, shoulders, and arms (12).…”

“…Finally, chronic inflammatory changes may infiltrate surrounding tissues, leading to nerve root irritation and subsequent neuralgia, which may progress to radiculopathy affecting the neck, shoulders, and arms (12). Resultant chronic neuropathy has been treated with nonsteroidal anti-inflammatory drugs, antidepressants, anticonvulsants, opioid analgesics, and local nerve blocks (16,17); however, the role of implantable neurostimulators in TS has not been well described yet.…”