Chest Wall Pain Differential Diagnoses

From WikiMSK

Chest wall pain list from Winzenberg 2015 [1].

  • Costochondritis
  • Lower rib pain syndromes (slipping rib syndrome)
  • Pain from thoracic spine
    • costovertebral joints
    • interspinous ligaments and paravertebral muscles
    • possibly not costotransverse joints or facet joints
  • Sternalis Syndrome
  • Stress fractures
  • Tietze’s Syndrome
  • Xiphoidalgia
  • Spontaneous sternoclavicular subluxation
  • Rheumatic diseases
  • Fibromyalgia
  • Rheumatoid arthritis
  • Axial spondyloarthritis (including ankylosing spondylitis)
  • Psoriatic arthritis
  • Sternoclavicular hyperostosis
  • Systemic lupus erythematosus
  • Septic arthritis of the chest wall
  • Relapsing polychondritis
  • Non-rheumatic systemic causes
  • Osteoporotic fracture
  • Neoplasms
  • Pathological fracture
  • Bone pain
  • Sickle cell disease (rare)

References

  1. Winzenberg T, Jones G, Callisaya M. Musculoskeletal chest wall pain. Aust Fam Physician. 2015;44(8):540-544.