J Korean Acad Rehabil Med Search


Journal of the Korean Academy of Rehabilitation Medicine 2003;27(1):96-101.
Musculoskeletal Causes of Anterior Chest Wall Pain.
Sung, Duck Hyun , Ra, Yun Ju , Jung, June Yong , Jeong, Soon Tak , Jung, Seung Hyun , Park, Seung Woo , Lee, Joo Heung
1Department of Rehabilitation, College of Medicine, Sungkyunkwan University, Samsung Medical Center, Korea.
2Department of Rehabilitation, College of Medicine, Sungkyunkwan University, Masan Samsung Medical Center, Korea.
3Department of Internal Medicine, College of Medicine, Sungkyunkwan University, Samsung Medical Center, Korea.
4Department of Dermatology, College of Medicine, Sungkyunkwan University, Samsung Medical Center, Korea.
근골격계 질환에 의한 전벽부 흉통
성덕현, 라윤주, 정준용, 정순탁, 정승현1, 박승우2, 이주흥3
성균관대학교 의과대학 삼성서울병원 재활의학교실, 1마산삼성병원 재활의학교실, 삼성서울병원 2내과학교실, 3피부과학교실
To investigate the musculoskeletal causes of anterior chest pain and know the prevalencies of the diseases.

During 4-year periods (1997∼2001), 37 patients with anterior chest wall pain was analyzed with regard to the causes of pain and the frequencies of the diseases.

17 patients (45.9%) had systemic diseases and 20 patients (54.1%) had focal joint problems. Systemic disease included the undifferentiated spondyloarthropathy (18.9%), ankylosing spondylitis (13.5%), psoriatic arthritis (2.7%), SAPHO (Synovitis, Acne, Psoriasis, Hyperostosis, Osteitis) syndrome (8.1%), and rheumatoid arthritis (2.7%). Focal joint diseases included costochondritis (10.8%), sternoclavicular inflammatory arthropahty (5.4%), sternoclavicular hyperostosis (2.7%) and infective arthritis (2.7%). Other focal joint problems were pain in sternoclavicular joint with the tenderness and swelling (2.7%), pain in costochondral joint (13.6%), sternoclavicular joint (5.4%), xyphoid process (2.7%) with only focal tenderness. 3 (8.1%) patients had pain in chest wall which had no focal tenderness and swellings on the joint.

Diverse systemic diseases were identified as causes of the anterior chest wall pain. So physiatrist keep in mind this result and make use of them in diagnostic approaching of the anterior chest pain due to chest wall skeletal involvement. (J Korean Acad Rehab Med 2003; 27: 96-101)

Key Words: Anterior chest pain, Musculoskeletal cause, Spondyloarthropathy, SAPHO syndrome


Browse all articles >

Terms of Use   |   Privacy Polity
Editorial Office
Department of Rehabilitation Medicine, Seoul National University Hospital
101 Daehak-ro, Jongno-gu, Seoul, Korea
Tel: +82-10-8678-2671    Fax: +82-2-6072-5244    E-mail: edit@e-arm.org; edit.karm@gmail.com
Business Registration: 110-82-07460                

Copyright © 2023 by Korean Academy of Rehabilitation Medicine.

Developed in M2PI

Close layer