Last reviewed: November 2017
Last updated: November  2017

Summary

Definition

History and exam

Key diagnostic factors

  • presence of risk factors
  • chest pain
  • chest-wall tenderness

Risk factors

  • microtrauma
  • female sex
  • Hispanic ethnicity
  • age >40 years
  • sternotomy wound infection
  • IV drug use

Diagnostic investigations

Investigations to consider

  • local anaesthetic and corticosteroid trial
  • chest x-ray
  • CT chest
  • MRI chest
  • wound or blood cultures
Full details

Treatment algorithm

Contributors

Authors VIEW ALL

Fadi Badlissi

Attending Physician

Medical Director of the Musculoskeletal Medical Unit

Department of Orthopedics & Division of Rheumatology

Beth Israel Deaconess Medical Center

Boston

MA

Disclosures

FB declares that he has no competing interests.

Peer reviewers VIEW ALL

Assistant Clinical Professor

Department of Rehabilitation

University of Colorado School of Medicine

Lakewood

CO

Disclosures

DA declares that he has no competing interests.

Senior Lecturer in Rheumatology

Section of Musculoskeletal Disease

Leeds Institute of Molecular Medicine

Chapel Allerton Hospital

Leeds

UK

Disclosures

RW declares that he has no competing interests.

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