Skeletal Radiology

, Volume 16, Issue 7, pp 517–523 | Cite as

Radiographic findings in patients with clinical Tietze syndrome

  • A. G. Jurik
  • T. Justesen
  • H. Graudal


Thirteen patients with similar painful tender swelling in the region of the sternocostal joint (SCJ) are reported. X-ray tomography revealed changes which might explain the swelling in 11 patients. Three patients had anatomical variants of the sternum. One of these and a further two patients had marginal osteophytes at the affected SCJ, as signs of osteoarthrosis. Six patients with psoriasis, pustulosis palmoplantaris, or psoriasis in the family had past or present arthritis of the involved SCJ or the manubriosternal joint. Tomography was found to be a useful confirmatory examination in patients with clinical Tietze syndrome.

Key words

Tietze syndrome Osteoarthrosis Anatomical variant Arthritis 


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  1. 1.
    Ashley GT (1954) The morphological and pathological significance of synostosis of the manubrio-sternal joint. Thorax 9:159Google Scholar
  2. 2.
    Barnes N, Graham J (1959) Parasternal chondrodynia (Tietze's syndrome). Ann Intern Med 51:57Google Scholar
  3. 3.
    Beck WC, Berkheiser S (1954) Prominent costal cartilages (Tietze's syndrome). Surgery 35:762Google Scholar
  4. 4.
    Chantraine H (1952) Über eine wenig beachtete Knorpelgeschwulst. Dtsch Med Wochenschr 77:401Google Scholar
  5. 5.
    Deane EHW (1951) Costal chondritis (Tietze's disease). Lancet I:883Google Scholar
  6. 6.
    Edelstein G, Levitt RG, Slaker DP, Murphy WA (1984) Computed tomography of Tietze syndrome. J Comput Assist Tomogr 8:20Google Scholar
  7. 7.
    Frey GH (1956) Tietze's syndrome. A new entity in the differential diagnosis of anterior chest wall swelling. Arch Surg 73:951Google Scholar
  8. 8.
    Geddes AK (1945) Tietze's syndrome. Can Med Assoc J 53:571Google Scholar
  9. 9.
    Gill AM, Jones RA Pollak L (1942) Tietze's disease (non-suppurative non-specific swellings of rib cartilage). Br Med J 2:155Google Scholar
  10. 10.
    Goodman DH, Eragan A (1959) Tietze's syndrome (painful nonsuppurative swelling of costochondral cartilages). J Allergy 30:90Google Scholar
  11. 11.
    Gray H (1975) Anatomy of the human body. Lea & Febiger, Philadelphia, p 125Google Scholar
  12. 12.
    Hollander JL, McCarty DJ (1976) Arthritis and allied conditions. A textbook of rheumatology. Lea & Febiger, Philadelphia, Ch 55 and 56Google Scholar
  13. 13.
    Jacobs JE, Conners JJ (1959) Tietze's syndrome associated with paroxysmal recurrent tachycardia. South Med J 52:774Google Scholar
  14. 14.
    Jurik AG, Graudal H, de Carvalho A (1985) Sclerotic changes of the manubrium sterni. Skeletal Radiol 13:195Google Scholar
  15. 15.
    Jurik AG, Graudal H, de Carvalho A (1985) Monarticular involvement of the manubriosternal joint. Skeletal Radiol 14:99Google Scholar
  16. 16.
    Kayser HL (1956) Tietze's syndrome. A review of the literature. Am J Med 21:982Google Scholar
  17. 17.
    Kennedy AC (1957) Tietze's syndrome: An unusual cause of chest wall swelling. Scott Med J 2:363Google Scholar
  18. 18.
    Kormano M, Karvonen J, Lassus A (1975) Psoriatic lesion of the sternal synchondrosis. Acta Radiol Diagn (Stockh) 16:463Google Scholar
  19. 19.
    Köhler A, Zimmer EA (1967) Grenzen des Normalen und Anfänge des Pathologischen im Röntgenbild des Skelets. Thieme, Stuttgart, p 171Google Scholar
  20. 20.
    Laake H (1951) Tietzes syndrom. Nord Med 46:1793Google Scholar
  21. 21.
    LaFond EM (1958) An analysis of adult skeletal tuberculosis. J Bone Joint Surg [Am] 40:346Google Scholar
  22. 22.
    Landon J, Malpas JS (1959) Tietze's syndrome. Ann Rheum Dis 18:249Google Scholar
  23. 23.
    Levey GS, Calabro JJ (1962) Tietze's syndrome: Report of two cases and review of the literature. Arthritis Rheum 5:261Google Scholar
  24. 24.
    Lillington GA, Lee PR (1963) Pleural rubs in Tietze's syndrome. Calif Med 99:20Google Scholar
  25. 25.
    Marcove RC, Huvos AG (1971) Cartilaginous tumors of the ribs. Cancer 27:794Google Scholar
  26. 26.
    McCormick WF (1980) Mineralization of the costal cartilages as an indicator of age: Preliminary observations. J Forensic Sci 25:736Google Scholar
  27. 27.
    McEwen C, DiTata D, Lingg C, Porini A, Good A, Rankin T (1971) Ankylosing spondylitis and spondylitis accompanying ulcerative colitis, regional enteritis, psoriasis and Reiter's disease. A comparative study. Arthritis Rheum 14:291Google Scholar
  28. 28.
    McSweeney AJ (1959) Tietze syndrome; A report of four cases. Wis Med J 58:223Google Scholar
  29. 29.
    Michelson N (1934) The calcification of the first costal cartilage among whites and negroes. Hum Biol 6:543Google Scholar
  30. 30.
    Nix JT, Albert MA (1955) The surgical management of Tietze's syndrome. J Louisiana Med Soc 107:452Google Scholar
  31. 31.
    Raffle RB (1954) Tietze's disease. Med Press 231:86Google Scholar
  32. 32.
    Salomon MI (1958) Thoracochondralgia (Tietze's syndrome). Report of three cases. NY J Med 58:530Google Scholar
  33. 33.
    Skorneck AB (1960) Roentgen aspects of Tietze's syndrome. Painful hypertrophy of costal cartilage and bone-osteochondritis. AJR 83:748Google Scholar
  34. 34.
    Sonozaki H, Azuma A, Okai K, Nakamura K, Fukuoka S, Tateishi A, Kurosawa H, Mannoji T, Kabata K, Mitsui H, Seki H, Abe I, Furusawa S, Matsuura M, Kudo A, Hoshino T (1979) Clinical features of 22 cases with “intersterno-costo-clavicular ossification”. A new rheumatic syndrome. Arch Orthop Trauma Surg 95:13Google Scholar
  35. 35.
    Tietze A (1921) Über eine eigenartige Häufung von Fällen mit Dystrophie der Rippenknorpel. Berl Klin Wochenschr 58:829Google Scholar
  36. 36.
    Werner B (1978) Rippenknorpelverkalkungen in Röntgenbild. Radiol Diagn (Berl) 19:47Google Scholar
  37. 37.
    Varga L, Gál G, Csákány G (1962) Röntgenbild der degenerativen Veränderungen des sternocostalen Übergangs. Radiol Clin 31:85Google Scholar
  38. 38.
    Wehrmacher WH (1955) Significance of Tietze's syndrome in differential diagnoses of chest pain. JAMA 157:505Google Scholar
  39. 39.
    Zimmer EA (1939) Das Brustbein und seine Gelenke. Normale und krankhafte Befunde, dargestellt zum Teil mittels neuer röntgenologischer Methoden. Thieme, Leipzig, Ch 3Google Scholar

Copyright information

© International Skeletal Society 1987

Authors and Affiliations

  • A. G. Jurik
    • 1
    • 2
  • T. Justesen
    • 1
    • 2
  • H. Graudal
    • 1
    • 2
  1. 1.Department of Diagnostic Radiology, Municipal HospitalUniversity of AarhusDenmark
  2. 2.the Rheumatism Research Unit, Orthopedic HospitalUniversity of AarhusDenmark

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