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Definition

By Mayo Clinic staff

Costochondritis (kos-toe-KHON-dri-tis) is an inflammation of the cartilage that connects a rib to the breastbone (sternum). It causes sharp pain in the costosternal joint — where your ribs and breastbone are joined by rubbery cartilage. Pain caused by costochondritis may mimic that of a heart attack or other heart conditions.

Your doctor might refer to costochondritis by other names, including chest wall pain, costosternal syndrome and costosternal chondrodynia. When the pain of costochondritis is accompanied by swelling, it's referred to as Tietze syndrome.

Most cases of costochondritis have no apparent cause. In these cases, treatment focuses on easing your pain while you wait for costochondritis to improve on its own.

References
  1. Proulx AM, et al. Costochondritis: Diagnosis and treatment. American Family Physician. 2009;80:617.
  2. Mercier LR. Costochondritis. In: Ferri FF. Ferri's Clinical Advisor 2010. St. Louis, Mo.: Mosby; 2009. http://www.mdconsult.com/das/book/body/173904979-4/924114114/2088/162.html#4-u1.0-B978-0-323-05609-0..00012-5--sc0235_3245. Accessed Dec. 2, 2009.
  3. Stulbarg MS, et al. Symptoms of respiratory disease and their management. In: Mason, RJ, et al. Murray & Nadel's Textbook of Respiratory Medicine. 4th ed. St. Louis, Mo.: W.B. Saunders; 2005. http://www.mdconsult.com/das/book/body/173904979-4/924114114/1288/249.html#4-u1.0-B0-7216-0327-0..50033-1--cesec23_1578. Accessed Dec. 2, 2009.
  4. Meisel JL. Diagnostic approach to chest pain in adults. http://www.uptodate.com/home/index.html. Accessed Dec. 2, 2009.
  5. Phillips K, et al. Treatment of musculoskeletal pain. http://www.uptodate.com/home/index.html. Accessed Dec. 2, 2009.
  6. Boulanger BL. Costochondritis. In: Garfunkel LC, et al. Pedatric Clinical Advisor. St. Louis, Mo.: Mosby; 2007. http://www.mdconsult.com/book/player/book.do?method=display&type=bookPage&decorator=header&eid=4-u1.0-B978-0-323-03506-4..10078-1--s0200&uniq=174188909&isbn=978-0-323-03506-4&sid=925053234#lpState=open&lpTab=contentsTab&content=4-u1.0-B978-0-323-03506-4..10078-1%3Bfrom%3Dtoc%3Btype%3DbookPage%3Bisbn%3D978-0-323-03506-4. Accessed Dec. 2, 2009.
  7. Chang-Miller A (expert opinion). Mayo Clinic, Rochester, Minn. Dec. 5, 2009.
  8. Anderson CF (expert opinion). Mayo Clinic, Rochester, Minn. Dec. 4, 2009.

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Jan. 30, 2010

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