Causes, symptoms and treatment of Tietze’s syndrome (costal chondrite): pictures of patients

Symptoms and modern treatment of Tietze’s Syndrome

For the first time in our country about Tietze’s Syndrome as separate disease spoke only in 1921.

Despite the almost 100-year observation period to a common opinion about the causes of disease, doctors did not come.

In the specialized medical literature in addition to the official name of «Tietze’s Syndrome» you can find it under other names: rib chondrite, degeneration of ribs or perichondrium.

As the disease evolves

The disease is an inflammation of the connective tissue, manifested by thickening and tenderness of the cartilage in the upper part of the sternum.

The risk group also includes men and women, age range between 20-40 years and whose labor or sports activities are characterized by elevated physical activity.

As the practice of treatment, in most cases, the costal chondrite is one-sided and formed on the left side of the chest.

With regard to the percentage of the foci of the pathology, it looks like the following:

  • area of the cartilage of II rib – 60%;
  • area of the cartilage of III-IV ribs – 30%;
  • area of cartilage I,V,VI ribs about 10%.

In the result of damage to the perichondrium, located in the area of the upper ribs is malnourished hyaline cartilage.

The consequence of this disease is aseptic inflammation arising directly in the cells of cartilage (chondroplasty).

A few months later from the onset of illness in the inflammation of the costal cartilage are observed in degenerative disorders: a noticeable change in the size and location of the cartilage.

If untreated tissues exposed to destruction begin to sklerozirovanie, to further harden and wither away.

Damaged cartilage appears bone density, which contributes to the development of a visible deformation of the sternum.

Symptoms of Tietze’s syndrome

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The symptoms of Tietze’s syndrome arise unexpectedly and are of gradually increasing pain in the affected area.

After some time (from couple of hours to several days) in the area related to the inflamed ribs it is possible to notice the emerging solid tumor. Then it starts to occupy the entire intercostal area and reaches a height of from 0.5 cm to 3 cm relative to the chest wall.

With the development of the pathology the patient is difficult to lie on your side, make arm movements and torso. Pain syndrome increases during coughing, sneezing and laughter.

With the further deterioration of the patient discomfort is already strongly noticeable in the neck area, hands, shoulders and shoulder girdle.

Such manifestations may disturb the person long enough. For the syndrome characterized by repeated acute irregular periods, the duration of which is from a couple a day to several days.

But a month later there may come a recession, and bright symptoms pass by themselves.

Common symptoms of the rib chondrite include the following manifestations:

  • anxiety, irritability and the accompanying turning into fear;
  • insomnia;
  • tachycardia;
  • shortness of breath;
  • loss of appetite;
  • the temperature rise on the inflamed area;
  • flushing of the skin;
  • severe swelling.

The causes of the disease

The researcher of this disease by the German surgeon Tietze was named the main cause of the disease is a metabolic processes the result, which is incorrect calcium metabolism and lack of vitamins A and C.

However, almost a century practice of treating costal chondrite showed that it is not the only circumstance that provokes the disease.

Modern medicine puts forward several theories:

  1. Strong physical activity, which is exposed to the entire area of the shoulder girdle and sternum.
  2. Frequent injuries and bruises the sternum, which in most cases affected the athletes;
  3. Autoimmune diseases. A prerequisite to the development of the rib chondrite can be as different allergies, infections and respiratory diseases, and failure of the protective functions of the body;
  4. Violation of metabolic processes in the connective tissues. Inflammation may begin after early moved arthrosis, arthritis, collagenoses, etc.
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Diagnostic studies

A characteristic feature of the disease is that in some laboratory studies, significant anomalies can not be identified.

Tietze’s syndrome is only detectable during follow-up. Often the patient is misdiagnosed on the basis of other symptoms. Therefore, the examination of the patient is recommended to conduct parallel testing for the presence of other pathologies.

The main marker costal chondrite is considered to be a swelling in the sternum, which is absent in diseases of the gastrointestinal tract, cardiovascular pathologies, malignant tumors.

For exceptions to any diagnosis assigned to MRI, computer tomography and ultrasound examination of the chest cavity.

The insidiousness of the disease consists in the fact that at the initial stage it is very difficult to detect even by x-ray.

Pathological changes of cartilage become visible only in the formation of thickening and amethystine of perichondrium. And in severe conditions, the affected ribs will be clearly visible small deposits, which contribute to decrease the intercostal space.

The treatment of the disease

Timely and properly conducted treatment of Tietze’s Syndrome gives a fairly optimistic forecast. But with regard to surgical intervention, it is an extreme measure and is only administered in exceptional cases.

First and foremost, the patient is recommended limitation of physical activity. A good effect is achieved with triangular immobilization of the hand from the inflammation for 7-10 days.

Special attention is paid to nutrition of the patient. A full and enriched mineral additives diet helps strengthen and rebuild cartilage tissue. Also the patient is shown taking tablets of non-steroidal anti-inflammatory drugs or they are replaced by ointments and gels.

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In severe pain, the patient receives a course of procaine intercostal injections with intervals of time to the area of inflammation glucocorticoid hormones.

As resolving agent used composition consisting of a solution of iodine, salicylate of sodium and water. Taken medicine for 1 tsp a day and for better absorption of the components to drink milk. After elimination of pain syndrome, the patient can begin physiotherapy procedures.

In case of failure of conservative treatment, the patient may be shown a surgical operation. Also, it is required when severe deformation of the chest cavity.

It is not necessary to hope that the disease will pass by itself. A recession is not a sign of recovery.

Therefore, I advise you not to postpone his visit to the doctor in the presence of vague pain in the chest. If you ignore these symptoms, it is likely that the costal chondrite acquire a chronic form.

And in some cases, the disease can cause disability and, as a result of disability.