A patient presenting painful chest wall swelling: Tietze syndrome

• Published in: World journal of emergency medicine Vol. 10; no. 2; pp. 122 - 124
• Main Authors: Sawada, Kohei, Ihoriya, Hiromi, Yamada, Taihei, Yumoto, Tetsuya, Tsukahara, Kohei, Osako, Takaaki, Naito, Hiromichi, Nakao, Atsunori
• Format: Journal Article
• Language: English
• Published: China World Journal of Emergency Medicine 01-04-2019; World Journal of Emergency Medicine (WJEM); Second Affiliated Hospital of Zhejiang University School of Medicine
• Subjects: Acute coronary syndromes; Angina pectoris; Care and treatment; Case Letter; Chest pain; Diagnosis; Editors; Electrocardiography; Emergency medical care; Emergency services; Family medical history; Fractures; Gastroesophageal reflux; Laboratories; Localization; Manipulative therapy; Pain; Patients; Physicians; Primary care; Tietze's syndrome; Tumors
• ISSN: 1920-8642
• DOI: 10.5847/wjem.j.1920-8642.2019.02.011

[10] Manual palpation of pain and motion of muscles and joints of the chest wall and cervicothoracic spine are important; however, pain localization does not help with differential diagnosis, since pain localization of acute coronary disease does not differ from that experienced by patients with chest wall syndrome, gastroesophageal reflux disease, or psychogenic chest pain. Interestingly, one study showed that the final diagnosis in patients presenting acute chest pain in the emergency room were chest wall syndrome in 46.6%, acute coronary disease in 14.8%, and psychogenic disorders in 9.5%. Diagnostic performance of reproducible chest wall tenderness to rule out acute coronary syndrome in acute chest pain: a prospective diagnostic study.