II. Epidemiology

  1. Age over 40 years is more typical

III. Pathophysiology

  1. Chronic inflammation affecting the costochondral joints
  2. Idiopathic

IV. Symptoms

  1. Chest Pain accentuated by respiratory movements
  2. Localized pain to the costochondral margin at ribs 2 to 5
  3. Affects more than one costochondral margin in most patients

V. Signs

  1. Costochondral margin tenderness without swelling
  2. Palpation reproduces Chest Pain

VI. Differential Diagnosis

VII. Imaging

  1. Consider CT Chest if neoplasm or infection-associated local destruction suspected
  2. Consider gallium scanning if infection suspected

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Ontology: Tietze's Syndrome (C0040213)

Definition (CHV) a benign inflammation of one or more of the costal cartilages
Definition (CHV) a benign inflammation of one or more of the costal cartilages
Definition (CHV) a benign inflammation of one or more of the costal cartilages
Definition (CHV) a benign inflammation of one or more of the costal cartilages
Definition (CHV) a benign inflammation of one or more of the costal cartilages
Definition (CHV) a benign inflammation of one or more of the costal cartilages
Definition (CHV) a benign inflammation of one or more of the costal cartilages
Definition (CHV) a benign inflammation of one or more of the costal cartilages
Definition (CHV) a benign inflammation of one or more of the costal cartilages
Definition (CHV) a benign inflammation of one or more of the costal cartilages
Definition (MSHCZE) Bolestivé zduření jedné nebo více žeberních chrupavek (kostochondrálního spojení). Onemocnění obv. po čase samo ustupuje, léčí se analgetiky, někdy se místně podávají kortikoidy. Příčina je nejasná, původně popsáno jako mikrofraktury z přetížení nebo z únavy tkáně. (cit. Velký lékařský slovník online, 2013 http://lekarske.slovniky.cz/ )
Definition (MSH) Idiopathic painful nonsuppurative swellings of one or more costal cartilages, especially of the second rib. The anterior chest pain may mimic that of coronary artery disease. (Dorland, 27th ed.)
Concepts Disease or Syndrome (T047)
MSH D013991
ICD9 733.6
ICD10 M94.0
SnomedCT 64109004, 30128009, 156848001, 91226007, 203323007, 203529005, 268130001, 393606005, 203523006, 240136001
English COSTOCHONDRITIS, Chondritides, Costal, Chondritis, Costal, Costal Chondritides, Costal Chondritis, Tietze Syndrome, Tietze's Syndrome, Tietzes Syndrome, Syndrome, Tietze's, COSTAL CHONDRITIS, Costochondral junction syndrom, Chondrocostal junction syndrome [Tietze], Costochondritis NOS, TIETZE'S SYNDROME, Costalchondritis, Costalchondritis (disorder), Costal chondritis (disorder), Costal chondritis, costochondritis (Tietze's syndrome), costochondritis, costochondritis (diagnosis), Tietze disease, Tietze's Syndrome [Disease/Finding], chostochondritis, costal chondritides, slipping rib syndrome, costal chondritis, tietze's disease, tietze's syndrome, costalchondritis, costochondral junction syndrome, tietze syndrome, Costochrondritis, Cyriax's syndrome (disorder), Costochondritis (disorder), Costochondritis NOS (disorder), Tietze's disease, Costochondritis, Tietze's syndrome, Costochondral junction syndrome, Cyriax's syndrome, Peristernal perichondritis, Slipping rib syndrome, Tietze's disease (disorder), chondropathia tuberosa, chondritis; costal, Tietze, chondritis; costal, chondrocostal junction syndrome, chondrocostal junction; syndrome, costal; chondritis, Tietze, costal; chondritis, costochondral junction; syndrome, Tietze, overlap syndrome; chondrocostal (Tietze), syndrome; chondrocostal junction, syndrome; costochondral junction, Costalchondritis, NOS, Costochondritis, NOS, Tietzes syndrome
Dutch costale chondritis, syndroom van Tietze, ziekte van Tietze, costo-chondrale overgangssyndroom, slipping-rib-syndroom, Cyriax-syndroom, chondritis; rib, Tietze, chondritis; rib, chondrocostale overgang; syndroom, costochondrale overgang; syndroom, overgangssyndroom; chondrocostaal (Tietze), rib; chondritis, Tietze, rib; chondritis, syndroom; chondrocostale overgang, syndroom; costochondrale overgang, Chondropathia tuberosa [Tietze], costochondritis, Chondritis, costale, Chondropathia tuberosa, Costale chondritis, Syndroom, Tietze-, Tietze-syndroom
French Maladie de Tietze, Syndrome de la jonction costo-chondrale, Syndrome de Cyriax, Syndrome de la côte glissante, Syndrome sterno-costal de Tietze, Syndrome sternocostal de Tietze, Chondrite costale, Syndrome de Tietze, Syndrome des articulations chondro-costales, Syndrome des articulations chondrocostales
German kostale Knorpelentzuendung, Tietze-Krankheit, Gleitrippe, Cyriax Syndrom, Costochondritis, Chondritis, Kosto-, Kostochondritis, Tietze-Syndrom
Italian Condrite costale, Sindrome della giunzione costocondrale, Malattia di Tietze, Sindrome di Cyriax, Sindrome da slittamento costale, Sindrome costosternale, Costocondrite, Sindrome di Tietze
Portuguese Condrite costal, Síndrome da união costocondral, Doença de Tietze, Síndrome de costela deslizante, Síndrome de Cyriax, Costocondrite, Condrite Costal, Síndrome de Tietze
Spanish Síndrome de la unión costocondral, Enfermedad de Tietze, Condritis costal, Síndrome de Cyriax, Síndrome de la costilla deslizante, síndrome de Cyriax (concepto no activo), costocondritis, SAI (trastorno), costocondritis, SAI, síndrome de Cyriax, síndrome de la costilla deslizada, costalcondritis, costocondritis (trastorno), costocondritis, enfermedad de Tietze (trastorno), enfermedad de Tietze, pericondritis periesternal, síndrome de Tietze, síndrome de la articulación costocondral, Costocondritis, Condritis Costal, Síndrome de Tietze
Japanese ティーツェ病, 肋軟骨骨結合症候群, 肋軟骨炎, ロクナンコツエン, ティーツェビョウ, ロクナンコツコツケツゴウショウコウグン, ティーツェショウコウグン, すべり肋骨症候群, シリアクス症候群, スベリロッコツショウコウグン, シリアクスショウコウグン, Tietze症候群, ティーツェ症候群, 栄養障害性肋軟骨萎縮症, 肋骨軟骨炎, 軟骨炎-肋骨
Swedish Tietzes syndrom
Czech Tietzeův syndrom, Syndrom dislokovaného žebra, Syndrom kostochondrálního spojení, Tietzova nemoc, Cyriaxův syndrom, Kostochondritida, syndrom chondrokostálního spojení, Tietzův syndrom, kostochondritida
Finnish Tietzen oireyhtymä
Russian TITTSE SINDROM, KHONDRIT REBERNYI, REBERNYI KHONDRIT, РЕБЕРНЫЙ ХОНДРИТ, ТИТЦЕ СИНДРОМ, ХОНДРИТ РЕБЕРНЫЙ
Korean 연골갈비뼈 이행부 증후군[티체]
Polish Zespół Tietze'a
Hungarian Costochondritis, Elcsúszó borda syndroma, Tietze-betegség, Cyriax-syndroma, Costochondralis junctio syndroma, Tietze-syndroma, Costalis chondritis
Norwegian Kostokondritt, Tietze-syndrom, Tietzes syndrom, Ribbensbrusk-smertetilstand, Ribbeinsbrusk-smertetilstand