Last reviewed:September 2019
Last updated:July  2019

Summary

Definition

History and exam

Key diagnostic factors

  • chest pain
  • chest-wall tenderness

Risk factors

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

Diagnostic investigations

1st investigations to order

  • nonsteroidal anti-inflammatory drug trial
Full details

Investigations to consider

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

Treatment algorithm

Contributors

Fadi Badlissi

Attending Physician

Medical Director of the Musculoskeletal Medical Unit

Department of Orthopedics & Division of Rheumatology

Beth Israel Deaconess Medical Center

Assistant Professor of Medicine

Harvard Medical School

Boston

MA

Disclosures

FB declares that he has no competing interests.

Peer reviewersVIEW 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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