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Costochondritis

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1. Costochondritis

Costochondritis Costochondritis - Symptoms, diagnosis and treatment | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search  Costochondritis Last reviewed: February 2019 Last updated: March 2018 Summary Presents with insidious onset of anterior chest-wall pain exacerbated by certain movements of the chest and deep inspiration. Key sign is pain on palpation of costochondral joints (particularly the second to the fifth). Clinical diagnosis. Tests used to rule out (...) conditions with a similar presentation. NSAIDs are the first line of treatment. Definition Costochondritis is inflammation of ≥1 costal cartilages. It is a self-limiting condition that typically presents with insidious onset pain and tenderness around the second to the fifth costochondral joints. History and exam presence of risk factors chest pain chest-wall tenderness chest-wall swelling microtrauma female sex Hispanic ethnicity age >40 years sternotomy wound infection IV drug use Diagnostic

2018 BMJ Best Practice

3. Surgical Management of Medically Refractory Tietze Syndrome. Full Text available with Trip Pro

Surgical Management of Medically Refractory Tietze Syndrome. Tietze syndrome is a rare and benign cause of chest pain that may be confused with life-threatening conditions. Characteristic findings are painful, localized inflammation of the costosternal, sternoclavicular, or costochondral joints typically of the second and third ribs. We present a patient with severe, medically refractory symptoms consistent with Tietze syndrome. Although surgical management is not the typical treatment course (...) , symptomatic control was eventually achieved with complete resection of the involved cartilage and adjacent rib. We propose surgical management in patients with debilitating cases of Tietze syndrome that are resistant to conservative therapies.Copyright © 2017 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

2017 Annals of Thoracic Surgery

4. Tietze Syndrome

, Tietze's Syndrome From Related Chapters II. Epidemiology : Rare Age under 40 is more typical III. Symptoms Focal pain and swelling at the second or third costochondral margin IV. Signs Visible swelling and tenderness at the second or third costochondral margin V. Causes Infection typically associated with chest wall Surgical or s Cancer Primary tumor of the rib or lung Metastatic disease VI. Differential Diagnosis See VII. References Images: Related links to external sites (from Bing) These images (...) Tietze Syndrome Tietze Syndrome Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Tietze Syndrome Tietze Syndrome Aka: Tietze Syndrome

2018 FP Notebook

5. Condyle-preserved arthroplasty versus costochondral grafting in paediatric temporomandibular joint ankylosis: a retrospective investigation. (Abstract)

Condyle-preserved arthroplasty versus costochondral grafting in paediatric temporomandibular joint ankylosis: a retrospective investigation. We aimed to evaluate results of condyle-preserved arthroplasty and costochondral grafting in growing children with temporomandibular joint ankylosis through medium-term follow-up and three-dimensional metric analysis. We assessed 11 patients (14 sides) with type II ankylosis (group A) and 11 patients (13 sides) with type III/IV (group B) from January 2012 (...) to December 2015. Group A patients received condyle-preserved arthroplasty and group B patients received costochondral grafting. Postoperative computed tomography was used to measure condylar height, condylar width, mandibular ramus height and mandibular body length. Changes in maximum mouth opening were evaluated >1year postoperatively. Postoperative follow-up showed similar average maximum mouth opening and one case of recurrence in each group. Computed tomography measurements showed that condylar width

2018 International Journal of Oral and Maxillofacial Surgery

6. Costochondral grafting for paediatric temporomandibular joint reconstruction: 10-year outcomes in 55 cases. (Abstract)

Costochondral grafting for paediatric temporomandibular joint reconstruction: 10-year outcomes in 55 cases. Costochondral grafting (CCG) can be used for the reconstruction of ankylotic, hypoplastic, and resected temporomandibular joint (TMJ) defects. CCGs have previously been considered the gold standard in children due to their growth potential and autogenous origin, but the disadvantages are unpredictable growth and joint ankylosis. This was a retrospective study of all children who received

2018 International Journal of Oral and Maxillofacial Surgery

7. Non-Small Cell Lung Carcinoma: Clinical Reasoning in the Management of a Patient Referred to Physical Therapy for Costochondritis. Full Text available with Trip Pro

Non-Small Cell Lung Carcinoma: Clinical Reasoning in the Management of a Patient Referred to Physical Therapy for Costochondritis. Chest pain, a frequent complaint for seeking medical care, is often attributed to musculoskeletal pathology. Costochondritis is a common disorder presenting as chest pain. Initial physical therapist examination emphasizes red flag screening. Reexamination throughout the episode of care is critical, particularly when patients are not progressing

2018 Physical therapy

8. Use of Roof-Shaped Costochondral Cartilage for Correction of Saddle Nose Deformity. (Abstract)

Use of Roof-Shaped Costochondral Cartilage for Correction of Saddle Nose Deformity. Cartilage grafts are routinely used in secondary and posttraumatic rhinoplasty. However, in most cases, there are weak areas in the nasal bones and upper lateral cartilages. The purpose of this study was to seek a solution for the keystone area and dorsum of the nose in revision and posttraumatic rhinoplasty cases, and reconstruction of saddle nose deformity including upper lateral cartilage with a roof-shaped (...) graft.A retrospective review of reconstructive rhinoplasties performed for saddle nose deformities was conducted. A part of the costochondral graft was carved and thinned (roof graft) for reconstruction of the keystone area and upper lateral cartilages, and another portion was used for making a neoseptal (reconstructed septum) graft and strut graft. The roof graft was capped onto the neoseptal graft with sutures, and this cartilage framework was adapted with fitting the cranial edge of the neoseptal

2018 Plastic and reconstructive surgery

9. Integrating Acupuncture for the Management of Costochondritis in Adolescents Full Text available with Trip Pro

Integrating Acupuncture for the Management of Costochondritis in Adolescents Background: Costochondritis is a common condition involving inflammation of the costochondral or chondrosternal joints. Conventional management of costochondritis includes pain medications, but these do not provide full recovery in all patients. There is limited information on adjunctive acupuncture for pediatric costochondritis. Cases: This article describes the use of acupuncture in the management of costochondritis (...) in adolescent patients. A retrospective chart review was conducted for 3 patients who received acupuncture treatment for costochondritis at a tertiary pediatric medical center. Patient demographics, Numerical Rating Scale, and the Brief Pain Inventory were recorded. Results: All patients demonstrated satisfactory symptomatic reduction following acupuncture treatment. Conclusions: Integrating acupuncture with conventional medicine appeared to reduce the costochondritis symptoms in the adolescent patients.

2017 Medical Acupuncture

10. IMPAIRMENT BASED EXAMINATION AND TREATMENT OF COSTOCHONDRITIS: A CASE SERIES Full Text available with Trip Pro

IMPAIRMENT BASED EXAMINATION AND TREATMENT OF COSTOCHONDRITIS: A CASE SERIES Costochondritis is commonly encountered in primary care, but is not routinely referred to PT. Costochondritis can last from several weeks to several months, limiting the patient's ability to perform tasks at work and home.Identify common impairments and examine the effects of treatment in subjects with costochondritis.Retrospective case series.Eight subjects were referred to physical therapy for costochondritis (mean

2017 International journal of sports physical therapy

11. Costochondritis

Diagnosis See VII. Imaging Consider CT if neoplasm or infection-associated local destruction suspected Consider gallium scanning if infection suspected VIII. References Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Costochondritis." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Ontology: Tietze's Syndrome (C0040213) Definition (CHV) a benign inflammation (...) 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

2018 FP Notebook

12. Resection of an ameloblastoma in a pediatric patient and immediate reconstruction using a combination of tissue engineering and costochondral rib graft: A case report. (Abstract)

Resection of an ameloblastoma in a pediatric patient and immediate reconstruction using a combination of tissue engineering and costochondral rib graft: A case report. Ameloblastoma is an odontogenic tumor predominantly occurring in patients who are in their 20s and 30s. Approximately 10% to 15% of ameloblastomas occur in patients younger than 18 years. Although it is a benign tumor, an ameloblastoma can have a devastating effect on children both physically and emotionally. The aim of this case (...) report is to demonstrate how tissue engineering and surgical techniques can minimize morbidity and recovery time after extirpation and immediate reconstruction of a mandibular ameloblastoma.An 11-year-old girl was referred for surgical evaluation of a lesion found on a routine dental radiograph. Resection of a mandibular unicystic ameloblastoma resulted, including immediate reconstruction using a costochondral rib graft, allogeneic bone, bone marrow aspirate concentrate, and recombinant human

2016 Journal of the American Dental Association

13. A Case Report of Candida albicans Costochondritis after a Complicated Esophagectomy Full Text available with Trip Pro

A Case Report of Candida albicans Costochondritis after a Complicated Esophagectomy We present an unusual case of Candida albicans costochondritis after a complicated Ivor Lewis esophagectomy. This case exhibits that pain, erythema, and swelling over the costal cartilages should alert the possibility of infective costochondritis, especially in a postoperative patient. If a fungal agent is identified, aggressive surgical debridement and early commencement of antifungal therapy are likely

2016 Plastic and Reconstructive Surgery Global Open

14. Candida costochondritis associated with recent intravenous drug use Full Text available with Trip Pro

Candida costochondritis associated with recent intravenous drug use Candida osteoarticular infections are being reported with increasing frequency, possibly due to an expanding population at risk. However, Candida costochondritis is uncommon. We report two cases of Candida costochondritis in patients who presented with subacute-onset chest wall swelling and whose only identifiable risk factor was a history of recent intravenous drug use.

2016 IDCases

15. Long-standing chin-augmenting costochondral graft creating a diagnostic challenge: A case report and literature review Full Text available with Trip Pro

Long-standing chin-augmenting costochondral graft creating a diagnostic challenge: A case report and literature review To our knowledge, the imaging features of costochondral grafts (CCGs) on cone-beam computed tomography (CBCT) have not been documented in the literature. We present the case of a CCG in the facial soft tissue to the anterior mandible, with changes mimicking a cartilaginous neoplasm. This is the first report to describe the CBCT imaging features of a long-standing graft

2016 Imaging Science in Dentistry

16. Management of facial asymmetry due to overgrowing costochondral graft: A case report Full Text available with Trip Pro

Management of facial asymmetry due to overgrowing costochondral graft: A case report Costochondral grafts are used to replace the mandibular condyle in cases of TMJ ankylosis, and are generally viewed as a gold standard for autogenous reconstruction of the mandibular condyle (Güven, 2000; Posnick and Goldstein, 1993 [1,2]). We report a case where overgrowth of costochondral grafts is seen, resulting in asymmetric mandibular growth and dentofacial asymmetry (Posnick and Goldstein, 1993 [2 (...) ]). A 17 year old male patient presented with an existing costochondral graft performed due to TMJ ankylosis during childhood. He fell from a height at the age of 4, and was lost to follow up through non-attendance until the age of 9, when he presented with a progressive reduction in maximal incisal opening (MIO). At this stage his maximal incisal opening was noted to be 11mm, and the CT showed a grossly deformed ankylosed left TMJ. This post traumatic ankyloses was managed with gap arthroplasty

2016 International journal of surgery case reports

17. Extended cricotracheal resection with posterior costochondral grafting for complex pediatric subglottic stenosis. (Abstract)

Extended cricotracheal resection with posterior costochondral grafting for complex pediatric subglottic stenosis. Severe laryngotracheal stenosis in childhood poses a complex surgical challenge for specialists in airway surgery. Patients with severe subglottic stenosis with vocal cord involvement are particularly difficult to manage successfully. The goal of this work was to review our experience with extended CTR in a cohort of young children with severe SGS and determine which clinical

2016 International Journal of Pediatric Otorhinolaryngology

18. Do costochondral grafts have any growth potential in temporomandibular joint surgery? A systematic review. Full Text available with Trip Pro

Do costochondral grafts have any growth potential in temporomandibular joint surgery? A systematic review. To assess the growth potential of costochondral graft in temporomandibular joint reconstruction in patients with temporomandibular ankylosis and hemifacial microsomia.Systematic review after inclusion of articles fulfilling the following criteria: (1) only human studies; (2) patients of temporomandibular joint ankylosis and hemifacial microsomia; and (3) studies with minimum of five cases (...) and with a minimum follow-up for a period of 5 years. The primary outcome measure was the percentage of patients with optimum growth of costochondral graft. Secondary outcomes were any abnormal growth and restoration of function. Delphi's criteria were used for assessing the quality of the included studies.Only three studies satisfied all the inclusion criteria. A total of 96 costochondral grafts were placed in the included studies. Optimum growth was reported in 54 grafts, undergrowth in 1 graft, overgrowth

2015 Journal of oral biology and craniofacial research

19. Mandibular Metastases of Papillary Thyroid Carcinoma Treated by Hemimandibulectomy and Costochondral Rib Graft Full Text available with Trip Pro

Mandibular Metastases of Papillary Thyroid Carcinoma Treated by Hemimandibulectomy and Costochondral Rib Graft Papillary thyroid carcinoma (PTC) is the most common and well-differentiated cancer of the thyroid. Unlike most cancers, spread to local lymph node does not worsen the survival rate of PTC, and complete resection of the metastases seems to be important and may have favorable effects on the prognosis. A 33-year-old woman was referred to our clinic with a mass involving the right angulus (...) mandible. Incisional biopsy of the mass diagnosed follicular variant of papillary thyroid carcinoma. Right hemimandibulectomy was performed and reconstructed with costochondral rib graft. The patient survived for 5 years after the hemimandibulectomy. Metastases to the oral cavity indicate a grave prognosis, but PTC has relatively indolent biological behavior; long-term survival is usually possible even in patients with metastatic disease.

2015 Plastic and Reconstructive Surgery Global Open

20. Costochondral grafting in craniofacial microsomia. (Abstract)

Costochondral grafting in craniofacial microsomia. Craniofacial microsomia encompasses a spectrum of diagnoses associated with variable degrees of mandibular hypoplasia, facial asymmetry, chin deviation, occlusal abnormalities, and potential airway compromise. This study presents one surgeon's experience with costochondral rib grafting for mandibular reconstruction in children with Pruzansky/Kaban type 2B and type 3 mandibular hypoplasia.An institutional review board-approved retrospective (...) chart review was performed of all patients with craniofacial microsomia who underwent costochondral rib grafting for mandibular reconstruction performed by the senior author (S.P.B.) at The Children's Hospital of Philadelphia from January of 1998 to September of 2013. Demographic information, surgical history, operative details, postoperative complications, and outcomes were recorded. Plain radiographs and preoperative and postoperative three-dimensional computed tomographic scans were reviewed.Two

2015 Plastic and reconstructive surgery

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