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Ultrasound-Guided Corticosteroid Injection in a Patient With Tietze Syndrome Combined With Costochondral Joint Swelling.
Am J Phys Med Rehabil 2019; 98(7):e71-e73AJ

Abstract

Tietze syndrome is an uncommon disease of unknown etiology that manifests as pain and tenderness of the parasternal joints. To date, however, there has been no report on ultrasonographic findings concerning swelling of the costochondral joint in Tietze syndrome. Moreover, there has been no research investigating images of ultrasound-guided corticosteroid injection, although corticosteroid injection is one of the most important treatments for Tietze syndrome. Therefore, we report a case of Tietze syndrome where ultrasound images were used in the diagnostic and therapeutic process. A 70-yr-old man was seen for left chest pain that had lasted for several weeks. Physical examination at our clinic revealed a focal tenderness of the left third costochondral joint, and an ultrasound showed a swelling of the left third costochondral joint. Considering both the radiological and the clinical examination, the patient received a diagnosis of Tietze syndrome with costochondral joint swelling. Then, the patient agreed to an ultrasound-guided left third costochondral corticosteroid injection after receiving a detailed explanation of the disease and treatment. After receiving three ultrasound-guided corticosteroid injections, his chest pain subsided, and the swelling and tenderness also disappeared completely. Collectively, our case suggests that ultrasound is important in the diagnosis and treatment of Tietze syndrome.

Authors+Show Affiliations

From the Department of Rehabilitation Medicine, Daegu Fatima Hospital, Daegu, South Korea.No affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

30362978

Citation

Cho, Ju Young, and Donghwi Park. "Ultrasound-Guided Corticosteroid Injection in a Patient With Tietze Syndrome Combined With Costochondral Joint Swelling." American Journal of Physical Medicine & Rehabilitation, vol. 98, no. 7, 2019, pp. e71-e73.
Cho JY, Park D. Ultrasound-Guided Corticosteroid Injection in a Patient With Tietze Syndrome Combined With Costochondral Joint Swelling. Am J Phys Med Rehabil. 2019;98(7):e71-e73.
Cho, J. Y., & Park, D. (2019). Ultrasound-Guided Corticosteroid Injection in a Patient With Tietze Syndrome Combined With Costochondral Joint Swelling. American Journal of Physical Medicine & Rehabilitation, 98(7), pp. e71-e73. doi:10.1097/PHM.0000000000001072.
Cho JY, Park D. Ultrasound-Guided Corticosteroid Injection in a Patient With Tietze Syndrome Combined With Costochondral Joint Swelling. Am J Phys Med Rehabil. 2019;98(7):e71-e73. PubMed PMID: 30362978.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Ultrasound-Guided Corticosteroid Injection in a Patient With Tietze Syndrome Combined With Costochondral Joint Swelling. AU - Cho,Ju Young, AU - Park,Donghwi, PY - 2018/10/27/pubmed PY - 2018/10/27/medline PY - 2018/10/27/entrez SP - e71 EP - e73 JF - American journal of physical medicine & rehabilitation JO - Am J Phys Med Rehabil VL - 98 IS - 7 N2 - Tietze syndrome is an uncommon disease of unknown etiology that manifests as pain and tenderness of the parasternal joints. To date, however, there has been no report on ultrasonographic findings concerning swelling of the costochondral joint in Tietze syndrome. Moreover, there has been no research investigating images of ultrasound-guided corticosteroid injection, although corticosteroid injection is one of the most important treatments for Tietze syndrome. Therefore, we report a case of Tietze syndrome where ultrasound images were used in the diagnostic and therapeutic process. A 70-yr-old man was seen for left chest pain that had lasted for several weeks. Physical examination at our clinic revealed a focal tenderness of the left third costochondral joint, and an ultrasound showed a swelling of the left third costochondral joint. Considering both the radiological and the clinical examination, the patient received a diagnosis of Tietze syndrome with costochondral joint swelling. Then, the patient agreed to an ultrasound-guided left third costochondral corticosteroid injection after receiving a detailed explanation of the disease and treatment. After receiving three ultrasound-guided corticosteroid injections, his chest pain subsided, and the swelling and tenderness also disappeared completely. Collectively, our case suggests that ultrasound is important in the diagnosis and treatment of Tietze syndrome. SN - 1537-7385 UR - https://www.unboundmedicine.com/medline/citation/30362978/Ultrasound-Guided_Corticosteroid_Injection_in_a_Patient_With_Tietze_Syndrome_Combined_With_Costochondral_Joint_Swelling L2 - http://dx.doi.org/10.1097/PHM.0000000000001072 DB - PRIME DP - Unbound Medicine ER -
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