Definition First described by German surgeon Alexander Tietze

Benign painful swelling of one or more costal cartilages

Teitze syndrome without swelling is called as costochondritis

presentationAge of onset before 40.Both sexes equally affected.Mostly single joint is involved.Typically second or third costochondral joints are involved.

Signs and symptomsAggravating factors

Onset of pain may be gradual or sudden

Pain radiates to the arms and shoulders

Aggravating factors Sneezing Coughing deep inspirations Twisting motions of the

chest

Etiology Not well understoodOften results from physical strain or minor

injuryRepeated coughing , vomiting Reported to occur after hearty bouts of

laughter

Radiological examinationUsually appears

normalSometimes

enlargement of rib ends occur with faint mottled sclerosis that simulates pulmonary infiltration.

Differentiation can be made by tomography

Differential diagnosis

Myocardial infarctionSymptoms are

mistaken for thisDoes not progress

to cause any harm to any organs

Reassurance should be given

Heart attack

Management RestAnti inflammatory

drugsPhysical therapyCortisone injectionIce packsLocal lidocaine

analgesic patch (lidoderm)