PMID: 7333921Mar 1, 1981Paper

Costochondritis in adolescents

Journal of Adolescent Health Care : Official Publication of the Society for Adolescent Medicine
R T Brown

Abstract

One hundred adolescent clinic patients who complained of chest or upper abdominal pain were evaluated. Seventy-nine were found to have only tender costal cartilages. Costochondritis pain originates in the anterior chest wall and may radiate into the chest, back, or abdomen. It is reproducible by palpating the affected costal cartilage. Costochondritis was more often unilateral than bilateral (P = 0.001), and in unilaterally affected patients (P less than 0.005), is involved the left side more than the right. The left fourth sternocostal cartilage was involved most frequently. A simple program of mild analgesics and reassurances was sufficient treatment in all cases. These findings suggest that chest pain and upper abdominal pain in adolescents rarely arise from serious problems. Adolescents are normally hypersensitive about physical symptoms, but they can be effectively reassured and an expensive diagnostic and treatment program can be avoided.

References

Nov 10, 1977·The New England Journal of Medicine·T D Walsh
Jan 1, 1969·Psychosomatics·H R Lazarus, J J Kostan
May 1, 1962·Diseases of the Chest·R J CARABASIH H BRINDLEY

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Citations

May 1, 1992·Digestive Diseases and Sciences·M S GlassmanL J Newman
Feb 5, 2013·Child Psychiatry and Human Development·Michal Achiam-MontalJoshua D Lipsitz
Apr 28, 1999·Pediatric Clinics of North America·K C Kocis
Jan 1, 1983·Journal of Adolescent Health Care : Official Publication of the Society for Adolescent Medicine·J I Brenner, M A Berman
Nov 25, 2004·Pediatric Clinics of North America·Joseph R Cava, Pamela L Sayger
Mar 6, 2004·Pediatric Annals·Rohit Kohli, B U Li
Apr 20, 2004·Clinical Pediatrics·Martial M MassinPaul Gérard
Aug 1, 1993·Clinical Pediatrics·R T Brown, K Jamil
Apr 1, 1991·Pediatric Annals·R T Brown

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