From the Department of Rehabilitation Medicine, Daegu Fatima Hospital, Daegu, South Korea.
Am J Phys Med Rehabil. 2019 Jul;98(7):e71-e73. doi: 10.1097/PHM.0000000000001072.
Tietze syndrome is an uncommon disease of unknown etiology that manifests as pain and tenderness of the parasternal joints. To date, however, there has been no report on ultrasonographic findings concerning swelling of the costochondral joint in Tietze syndrome. Moreover, there has been no research investigating images of ultrasound-guided corticosteroid injection, although corticosteroid injection is one of the most important treatments for Tietze syndrome. Therefore, we report a case of Tietze syndrome where ultrasound images were used in the diagnostic and therapeutic process. A 70-yr-old man was seen for left chest pain that had lasted for several weeks. Physical examination at our clinic revealed a focal tenderness of the left third costochondral joint, and an ultrasound showed a swelling of the left third costochondral joint. Considering both the radiological and the clinical examination, the patient received a diagnosis of Tietze syndrome with costochondral joint swelling. Then, the patient agreed to an ultrasound-guided left third costochondral corticosteroid injection after receiving a detailed explanation of the disease and treatment. After receiving three ultrasound-guided corticosteroid injections, his chest pain subsided, and the swelling and tenderness also disappeared completely. Collectively, our case suggests that ultrasound is important in the diagnosis and treatment of Tietze syndrome.
泰泽综合征是一种病因不明的罕见疾病，表现为胸骨旁关节疼痛和压痛。然而，迄今为止，尚无关于泰泽综合征肋软骨关节肿胀的超声表现的报道。此外，尽管皮质类固醇注射是泰泽综合征最重要的治疗方法之一，但尚未有研究探讨超声引导下皮质类固醇注射的图像。因此，我们报告了一例泰泽综合征患者，在诊断和治疗过程中使用了超声图像。一名 70 岁男性因左侧胸痛持续数周就诊。我们诊所的体格检查发现左侧第三肋软骨关节有局限性压痛，超声显示左侧第三肋软骨关节肿胀。根据影像学和临床检查，患者被诊断为肋软骨关节肿胀的泰泽综合征。然后，在详细解释了疾病和治疗方法后，患者同意进行左侧第三肋软骨超声引导下皮质类固醇注射。在接受了三次超声引导下皮质类固醇注射后，他的胸痛缓解，肿胀和压痛也完全消失。综上所述，我们的病例提示超声在泰泽综合征的诊断和治疗中很重要。
