On ne trouve pas souvent de bonne d�finition du syndrome de Tietz. En
voici une. N�anmoins je ne comprends pas pourquoi c'est toujours (?) �
gauche. Quelqu'un aurait une id�e ? PT
Tietz's syndrome
This is an inflammatory condition affecting the
costochondral junctions
and costal cartilages. The ribs are bony along
their entire length. At
the back, they join with the bones of the spinal
column. At the front
however, they join the costal cartilages, that
are in turn joined to the
sternum (breast bone). These joints and costal
cartilages can become
inflamed and cause pain on the anterior chest
wall, just to the side of
the breast bone. Obviously in women, this can be
mistaken for breast
pain, since the breast overlies the affected
area. Typically, there is
tenderness to palpation, and no specific
clinical, radiological or
pathological abnormality in the breast - after
all, it is not a disease of
the breast. Treatment is by reassurance and
sometimes the injection
of a small quantity of local anaesthetic and
steroid that will help to
settle the pain and inflammation. Non-steroidal
drugs such as
diclofenac or ibuprofen can also be used in such
cases.
