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Article
November 27, 1954

IMPORTANCE OF THE COSTOCHONDRAL SYNDROME IN EVALUATION OF CHEST PAINREPORT OF SIXTY-TWO CASES

JAMA. 1954;156(13):1244-1246. doi:10.1001/jama.1954.02950130026007
Abstract

Over the past several years we have seen many patients whose chest pains definitely originated in the costochondral junctions. On research reading we found little relating to the subject. Furthermore it appeared that most physicians are unaware of the frequency of the condition. We therefore felt justified in making a systematic study of this syndrome and in collecting pertinent medical reports; our findings are herein recorded. In the typical patient there are five characteristic features: (1) pain in the chest; (2) tenderness with or without swelling of one or more of the costochondral junctions, often associated with tenderness over the corresponding costothoracic joints; (3) history of injury or of unusual stress to the chest wall; (4) a high incidence of anxiety induced by pain in the chest; and (5) improvement after anxiety is alleviated and the chest is protected from injury and stress. To get some notion of the frequency

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