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by Polsdorfer R

(Tietze’s Syndrome)


Risk Factors

Trauma to the chest.
Arthritis, especially:
  • osteoarthritis
  • rheumatoid arthritis
  • ankylosing spondylitis
Heavy lifting and strenuous exercise


  • Sharp, localized chest pain, which may be made worse by sneezing, coughing, deep breathing, or twisting motions of the chest
  • Tenderness or swelling over a joint between
    • rib cartilage and breast bone
    • rib cartilage and rib bone


The American Academy of Family Physicians

Kids Health



Canadian Family Physician

Health Canada



Costochondritis. EBSCO Dynamed website. Available at: . Updated November 30, 2009. Accessed September 12, 2012.

Gilliland BC. Relapsing polychondritis and other arthritides. In: Isselbacher K, et al. Eds. Harrison's Principles of Internal Medicine . 14th ed. New York, NY: McGraw-Hill; 1998:1055.

Proulx AM, Zryd TW. Costochondritis: diagnosis and treatment. Am Fam Physician . 2009 Sep 15;80(6):617-620.


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