Perichondritis (Tietze's syndrome) at the xiphisternal joint: A mimic of severe disease

Jelenko, Carl; Cowan, George S M

doi:10.1016/s0361-1124(77)80424-3

Cited by 12 publications

(6 citation statements)

References 6 publications

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“…It is most commonly diagnosed in 20 to 50 year old patients, but can strike young pediatric and elderly patients [6,9,10]. There is a wide range of sex distribution reported, ranging from equal to twice as common in females than males [6,7,11,12]. The onset of pain can be sudden or gradual, and it is often pleuritic or aggravated my movement [7,11,13].…”

Section: Discussionmentioning

confidence: 99%

“…There is a wide range of sex distribution reported, ranging from equal to twice as common in females than males [6,7,11,12]. The onset of pain can be sudden or gradual, and it is often pleuritic or aggravated my movement [7,11,13]. Supporting the diagnosis is the chronic, often relapsing and remitting course of Tietze's Syndrome and ruling out other possibilities by history, physical, and imaging [11,14].…”

Section: Discussionmentioning

confidence: 99%

“…While it is a benign, self-limited, chronic pain condition characterized by a localized swelling involving usually the second or third ribs, unrecognized it can mimic malignancies, acute coronary syndrome, pneumonia, or trauma [6,7]. The emotional and physical relief of an accurate diagnosis is then delayed and the patient can undergo an emotionally stressful and costly evaluation for more serious disease [7,8]. The pain can be tremendous.…”

Section: Introductionmentioning

confidence: 99%

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Tietze’s Syndrome in the emergency department: A rare etiology of atraumatic chest pain

Grodin¹,

Farina²

2013

CRCM

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Tietze's Syndrome is an uncommon disorder that presents with painful, tender, non-suppurative swelling of the anterior chest wall. We report a case of a female patient who presented to the emergency department with a chief complaint of atraumatic chest pain and swelling of the anterior chest wall. After a thorough history and physical examination, as well as basic laboratory tests and chest radiography, she was diagnosed with Tietze's Syndrome. The expedient accurate diagnosis of Tietze's Syndrome is important for the physical and emotional well-being of a patient, and avoids overlooking more dangerous pathologies. Tietze's Syndrome needs to be considered in the differential diagnosis of a patient presenting with spontaneous swelling of the anterior chest.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Tietze’s Syndrome in the emergency department: A rare etiology of atraumatic chest pain

Grodin¹,

Farina²

2013

CRCM

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“…Tietze syndrome (TS) is a rare musculoskeletal pathology that is believed to be a result of recurrent microtrauma, usually self-limiting, and characterized by painful localized inflammation and swelling of the costochondral, costosternal, manubriosternal, xiphisternal, or sternoclavicular joints (9,10). First described in 1921 by Alexander Tietze (11), Tietze syndrome is monoarticular in most cases but may affect multiple anterior chest wall joints; the most common sites of pain and swelling are the second and third ribs (12).…”

Section: Introductionmentioning

confidence: 99%

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

2021

PMCR

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BACKGROUND: Tietze syndrome is believed to be a result of recurrent microtrauma and characterized by painful localized inflammation and swelling of the chest wall. Chronic inflammatory changes may infiltrate surrounding tissues, leading to nerve root irritation and subsequent neuralgia. Resultant chronic neuropathy has been historically treated with conservative therapies and local nerve blocks, but the role of implantable neurostimulators have not been well described. CASE REPORT: A 73-year-old woman presented with chronic pain in the left paracentral chest area with episodes of burning and tingling, which radiated to the left shoulder, left arm, and left upper side of the jaw and face. Following the implantation of a permanent neurostimulator, the patient reported a near complete resolution of her pain symptoms. CONCLUSION: The role of implantable neurostimulators in the treatment of chronic neuropathy in the setting of Tietze syndrome is promising and their use may become a mainstay option in the future. KEY WORDS: Tietze Syndrome, neuromodulation, spinal cord nerve stimulation, pain management, neuralgia, implantable spinal cord stimulator

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“…It commonly involves 2 nd and 3 rd costochondral junctions leading to chronic pain, but is usually self-limited. There were reports to state it can easily be misdiagnosed with malignancies, pneumonia, acute coronary syndrome, etc 78. This condition is differentiated from costochondritis with the presence of tender swelling at the coastal cartilaginous area.…”

Section: Introductionmentioning

confidence: 99%

Refractory Tietze’s Syndrome Occurring after Lumbar Spine Surgery in Prone Position

Kumar¹,

Babu²

2019

IJOO

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Positional complications in spine surgery are not uncommon. Commonly encountered complications include ocular and aural, other than musculoskeletal injuries. However, development of Tietze's syndrome due to malpositioning has not been reported till date. A 40-year-old male patient presented with postlaminectomy syndrome, for which posterior pedicle screw fixation and fusion was performed. Postoperatively, patient complained of new-onset pain associated with redness and swelling at parasternal region. After thorough radiological investigations, he was diagnosed with Tietze's syndrome at 6th and 7th costo-cartilaginous junction. Tietze's syndrome is itself a rare entity, and its association with malpositioning during prone positioning is uncommon. It is important for the surgeons to be aware of the condition as Tietze's syndrome may be encountered as an off-centered complication due to malpositioning.

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Perichondritis (Tietze's syndrome) at the xiphisternal joint: A mimic of severe disease

Cited by 12 publications

References 6 publications

Tietze’s Syndrome in the emergency department: A rare etiology of atraumatic chest pain

Tietze’s Syndrome in the emergency department: A rare etiology of atraumatic chest pain

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

Refractory Tietze’s Syndrome Occurring after Lumbar Spine Surgery in Prone Position

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