Costochondritis
- Overview
- Theory
- Diagnosis
- Management
- Follow up
- Resources
Epidemiology
Costochondritis is a common condition in patients presenting with chest pain to the emergency department.[4]Epstein SE, Gerber LH, Borer JS. Chest wall syndrome. A common cause of unexplained cardiac pain. JAMA. 1979 Jun 29;241(26):2793-7. http://www.ncbi.nlm.nih.gov/pubmed/448839?tool=bestpractice.com [5]Mott T, Jones G, Roman K. Costochondritis: rapid evidence review. Am Fam Physician. 2021 Jul 1;104(1):73-8. https://www.aafp.org/pubs/afp/issues/2021/0700/p73.html About 6% to 13% of those presenting with chest pain are diagnosed with costochondritis.[5]Mott T, Jones G, Roman K. Costochondritis: rapid evidence review. Am Fam Physician. 2021 Jul 1;104(1):73-8. https://www.aafp.org/pubs/afp/issues/2021/0700/p73.html Costochondritis is more common in women and people aged >40 years.[1]Fam AG, Smythe HA. Musculoskeletal chest wall pain. CMAJ. 1985 Sep 1;133(5):379-89. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1346531/pdf/canmedaj00268-0035.pdf http://www.ncbi.nlm.nih.gov/pubmed/4027804?tool=bestpractice.com [4]Epstein SE, Gerber LH, Borer JS. Chest wall syndrome. A common cause of unexplained cardiac pain. JAMA. 1979 Jun 29;241(26):2793-7. http://www.ncbi.nlm.nih.gov/pubmed/448839?tool=bestpractice.com [5]Mott T, Jones G, Roman K. Costochondritis: rapid evidence review. Am Fam Physician. 2021 Jul 1;104(1):73-8. https://www.aafp.org/pubs/afp/issues/2021/0700/p73.html [6]Wolfe E, Stern S. Costosternal syndrome: its frequency and importance in differential diagnosis of coronary heart disease. Arch Intern Med. 1976 Feb;136(2):189-91. http://www.ncbi.nlm.nih.gov/pubmed/1247350?tool=bestpractice.com [7]Calabro JJ. Costochondritis. N Engl J Med. 1977 Apr 21;296(16):946-7. http://www.ncbi.nlm.nih.gov/pubmed/846524?tool=bestpractice.com [8]Calabro JJ, Jeghers H, Miller KA et al. Classification of anterior chest wall syndromes. JAMA. 1980 Apr 11;243(14):1420-1. http://www.ncbi.nlm.nih.gov/pubmed/7359705?tool=bestpractice.com [9]Proulx AM, Zryd TW. Costochondritis: diagnosis and treatment. Am Fam Physician. 2009 Sep 15;80(6):617-20. https://www.aafp.org/afp/2009/0915/p617.html http://www.ncbi.nlm.nih.gov/pubmed/19817327?tool=bestpractice.com
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