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Tietze’s syndrome M94.0 733.6

 

synonyms:Tietze’s syndrome, costochondral junction syndrome, costochondritis

Tietze’s syndrome ICD-10

M94.0:    Chondrocostal junction syndrome [Tietze]

Tietze’s syndrome ICD-9

  • 733.6 Tietze's disease costochondral junction syndrome, costochondritis

Tietze’s syndrome Etiology / Epidemiology / Natural History

  • Benign, selflimiting nonsuppurative swelling of the anterior chest wall.
  • May have sudden or gradual onset.
  • Generally unilateral.

Tietze’s syndrome Anatomy

  • Most commonly involves the second, third, and fourth costosternal articulations, with the sternoclavicular joint less commonly involved.

Tietze’s syndrome Clinical Evaluation

  • nonfluctuant, firm, tender swelling involving the articulations of the costosternal and/or sternoclavicular joints.

Tietze’s syndrome Xray / Diagnositc Tests

  • AP view, apical lordotic view, serendipity view. Normal
  • CT helpful in differential diagnosis. Normal in Tietze's syndrome.
  • MRI: normal
  • Labs: normal ESR, CRP. WBC

Tietze’s syndrome Classification / Treatment

  • Generally self-limited. Pain resolves within days to weeks. Swelling may persist for months or years.

Tietze’s syndrome Associated Injuries / Differential Diagnosis

Tietze’s syndrome Complications

Tietze’s syndrome Follow-up Care

Tietze’s syndrome Review References