Tietze’s syndrome M94.0 733.6

synonyms:Tietze’s syndrome, costochondral junction syndrome, costochondritis

Tietze’s syndrome ICD-10

M94.0:    Chondrocostal junction syndrome [Tietze]

Tietze’s syndrome ICD-9

• 733.6 Tietze's disease costochondral junction syndrome, costochondritis

Tietze’s syndrome Etiology / Epidemiology / Natural History

• Benign, selflimiting nonsuppurative swelling of the anterior chest wall.
• May have sudden or gradual onset.
• Generally unilateral.

Tietze’s syndrome Anatomy

• Most commonly involves the second, third, and fourth costosternal articulations, with the sternoclavicular joint less commonly involved.

Tietze’s syndrome Clinical Evaluation

• nonfluctuant, firm, tender swelling involving the articulations of the costosternal and/or sternoclavicular joints.

Tietze’s syndrome Xray / Diagnositc Tests

• AP view, apical lordotic view, serendipity view. Normal
• CT helpful in differential diagnosis. Normal in Tietze's syndrome.
• MRI: normal
• Labs: normal ESR, CRP. WBC

Tietze’s syndrome Classification / Treatment

• Generally self-limited. Pain resolves within days to weeks. Swelling may persist for months or years.

Tietze’s syndrome Associated Injuries / Differential Diagnosis

• Sternoclavicular Dislocation 839.61
• Medial Clavicle Fracture 810.02
• Sternoclavicular Osteoarthritis
• Rib fracture
• Spontaneous Sternoclavicular Subluxation
• Seronegative Spondyloarthropathies
• Crystal Deposition Diseases
• Sternoclavicular Septic Arthritis
• Sternoclavicular Hyperostosis
• Condensing Osteitis 716.81
• Friedrick's Disease(aseptic osteonecrosis)
• Rheumatoid Arthritis

Tietze’s syndrome Complications

Tietze’s syndrome Follow-up Care

Tietze’s syndrome Review References