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Costochondritis, also known as chest wall pain syndrome or costosternal syndrome, is a benign inflammation of the upper costochondral (rib to cartilage) and sternocostal (cartilage to sternum) joints. 90% of patients are affected in multiple ribs on a single side, typically at the 2nd to 5th ribs. [1] Chest pain, the primary symptom of ...
The sternum is a narrow, flat bone, forming the middle portion of the front of the chest. The top of the sternum supports the clavicles (collarbones) and its edges join with the costal cartilages of the first two pairs of ribs. The inner surface of the sternum is also the attachment of the sternopericardial ligaments. [2]
Chest pain is pain or discomfort in the chest, typically the front of the chest. [1] It may be described as sharp, dull, pressure, heaviness or squeezing. [3] Associated symptoms may include pain in the shoulder, arm, upper abdomen, or jaw, along with nausea, sweating, or shortness of breath.
Shingles is another viral infection that can give symptoms of chest or rib pain before a rash develops. Injuries to the rib cage or sternum is also a common cause of chest pain. It is generally felt when deep breaths are taken or during a cough. Atelectasis. Another non-cardiac cause of chest pain is atelectasis. It is a condition that occurs ...
Pericarditis is inflammation of the pericardium, the fibrous sac surrounding the heart. [8] Symptoms typically include sudden onset of sharp chest pain, which may also be felt in the shoulders, neck, or back. [1] The pain is typically less severe when sitting up and more severe when lying down or breathing deeply. [1]
Precordial catch syndrome ( PCS) is a non-serious condition in which there are sharp stabbing pains in the chest. These typically get worse with inhaling and occur within a small area. Spells of pain usually last less than a few minutes. Typically it begins at rest and other symptoms are absent. Concerns about the condition may result in anxiety.
In old age, the costal cartilages are prone to superficial ossification, particularly in women with age of 50 years and over. In costochondritis and Tietze syndrome, inflammation of the costal cartilage occurs. This is a common cause of chest pain. Severe trauma may lead to fracture of the costal cartilage.
Levine's sign is a clenched fist held over the chest to describe ischemic chest pain. [1] It is named for Samuel A. Levine (1891–1966), an influential American cardiologist, who first observed that many patients with chest pain made this same sign to describe their symptoms. This clenched fist signal may be seen in patients with acute ...
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