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Chapter 69 – Costovertebral Joint Syndrome

ICD-9 CODE 719.48

ICD-10 CODE M25.50

The Clinical Syndrome

The costovertebral joint is a true joint and is susceptible to osteoarthritis, rheumatoid arthritis, psoriatic arthritis, Reiter's syndrome, and, in particular, ankylosing spondylitis (Figs. 69-1 and 69-2). The joint is often traumatized during acceleration-deceleration injuries and blunt trauma to the chest; with severe trauma, the joint may subluxate or dislocate. Overuse or misuse can result in acute inflammation of the costovertebral joint that can be quite debilitating. The joint is also subject to invasion by tumor from primary malignant disease, including lung cancer, or from metastatic disease. Pain emanating from the costovertebral joint can mimic pain of pulmonary or cardiac origin.

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