How is costochondritis differentiated from Tietze syndrome?

Updated: Feb 19, 2020
  • Author: Lynn K Flowers, MD, MHA, ABAARM, FACEP; Chief Editor: Barry E Brenner, MD, PhD, FACEP  more...
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Answer

Pain with palpation of affected costochondral joints is a constant finding in costochondritis. The second through the fifth costochondral junctions typically are involved. More than one junction is involved in more than 90% of patients. Surprisingly, patients may not be aware of the chest wall tenderness until examination. The diagnosis should be reconsidered in the absence of local tenderness to palpation.


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