Bone pain in the chest  also known as chest wall pain, bridge-shaft syndrome or chondrogenic in the bone, is an acute and often transient articular cartilage inflammation that connects each rib to the bone joint bridge. Although arthritis and gut often subside spontaneously, it can be a recurrent condition that has little or no initial symptoms.


Symptoms of arthritis may be similar to chest pain associated with myocardial infarction. However, some doctors perceive arthritis and pancreatitis as a separate disease due to the lack of bone cartilage edema in the collapse of costochondritis.

bone pain in chest

bone pain in chest symptoms

Pain or tenderness in the palpation region usually occurs on the sides of the sternum, affects numerous ribs and often worsens with coughing, deep breathing or physical activity. During a physical examination, the doctor examines and feels the patient in swollen. The sensitive areas and can often cause pain due to inflammation of the intestines.


The location of pain on the sternum is a factor that can help to differentiate tibialis from the Tietze syndrome. Arthritis of the squamous joint usually affects the third, fourth and fifth bridge-plantar joints, unlike the Tietze syndrome, which usually affects the second or third osteoarticular joint. Pain caused by arthritis and pancreatitis usually disappears within a year.


bone pain in chest Causes

In most cases of joint inflammation, no cause was identified.  In rare cases, infection of the bone joint may cause osteomyelitis. Most cases of infectious uveitis are caused by Actinomyces, Staphylococcus aureus, Candida albicans, and Salmonella. In rare cases, Escherichia coli may be the cause of infectious arthritis. The cause may also be recurrent polyarteritis.


bone pain in chest pathogenesis

The pathogenesis underlying the development of ischemic heart disease remains unclear. The proposed mechanisms of injury include neurogenic inflammation, muscle imbalance, increased musculature on the ribs,  mechanical dysfunction at the cost-sacral joint of the rib,  or disruption of the mechanical structure of the osseous connection.


Differences from ribs 1-12

The first seven pairs are connected to the bridge; the next three are connected to the lower limit of the cartilage preceding the ribs; the last two have pointed limbs that end in the abdominal wall.

Like ribs, ribbed cartilages vary in length, width, and direction. They increase the length from the first to the seventh, and then gradually decrease to the twelfth. Their width, as well as the intervals between them, decreases from the first to the last. They are wide in their attachments to the ribs and narrow to the ends of the sternum, except for the first two, which have the same width throughout, and the sixth, seventh and eighth, which are enlarged where their margins touch.


They also change in the direction: the first fall slightly to the sternum, the second is horizontal, the third slightly increases, while the others are angular, following the course of ribs a short distance, and then entering the cartilage or the front of the cartilage.



bone pain in chest Structure
Each ankle cartilage has two surfaces, two edges, and two ends.

The front surface is convex and looks forward and up: the first one gives adhesion to the round-shaped ligament and the post-sacrum muscle; those from the first six or seven at their major ends, to the major breast. Others are covered and give partial attachment to some flat stomach muscles.


The rear surface is concave and directed backward and downwards; the first one gives attachment to the intestinal bridge, from the third to the sixth inclusive to the pectoral muscle and six or seven to the transverse abdominal muscles and the diaphragm.


bone pain in chest The boundaries

From two frames the superior is concave, inferior convex; they allow attachment to intercostal: the upper limit of the sixth gives attachment to the chest major.



The lower boundaries of the sixth, seventh, eighth and ninth cartilages represent five-pointed projections at the points of the largest convexity. These protrusions have smooth, longitudinal walls that emerge with facets on small protrusions from the upper limits of the seventh, eighth, ninth and tenth cartilages respectively.

bone pain in chest limbs

The lateral end of each cartilage is continuous with the bone tissue of the rib to which it belongs. In older age, bone cartilages are prone to superficial contraction.


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Treatment may include the use of non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or other analgesics (analgesics) such as acetaminophen. Severe cases of meningitis may require the use of opioids, such as hydrocodone or oxycodone, tricyclic antidepressants such as amitriptyline for pain caused by chronic meningitis, or anti-epileptic medicines such as gabapentin.




Costochondritis is a common condition and is responsible for 30% of visits related to chest pain in the emergency room. One-fifth of primary care visits are for chest pain in the musculoskeletal region; of which 20% visits to the primary surgery, 13% are due to the inflammation of the dye.