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Costovertebral Osteoarthrosis: Rare Differential Diagnosis of Back pain in young patients. Case Report / Osteoartrose costovertebral: Diagnóstico diferencial raro de dorsalgia no paciente jovem. Relato de caso
Afonso, João Ribeiro; Soares, Diogo; Lopes, Daniel Brás; Matos, Rui Milheiro; Pinto, Rui Peixoto.
  • Afonso, João Ribeiro; Hospital Santa Maria. Department of Orthopedics and Traumatology. Porto. PT
  • Soares, Diogo; Hospital Santa Maria. Department of Orthopedics and Traumatology. Porto. PT
  • Lopes, Daniel Brás; Hospital Santa Maria. Department of Orthopedics and Traumatology. Porto. PT
  • Matos, Rui Milheiro; Hospital Santa Maria. Department of Orthopedics and Traumatology. Porto. PT
  • Pinto, Rui Peixoto; Hospital Santa Maria. Department of Orthopedics and Traumatology. Porto. PT
Rev. bras. ortop ; 57(2): 345-347, Mar.-Apr. 2022. graf
Article in English | LILACS | ID: biblio-1387985
ABSTRACT
Abstract The differential diagnosis of dorsal thoracic pain can be a challange due to the proximity of the dorsal column to vital organs as well as to its unique anatomy, innervation, and rib joint. The patterns of referred visceral pain require, in most cases, extensive complementary diagnostic tests in order to exclude severe conditions. Referred pain patterns often result in numerous and expensive visceral workups in order to exclude serious conditions, and costovertebral joint osteoarthritis is usually only considered when the origin of the pain remains unexplained. The authors present the case of a 40-year-old man with disabling dorsal pain due to isolated costovertebral osteoarthrosis. The symptomatology was controlled after injection of methylprednisolone guided by computed tomography. This clinical case aims to describe the clinical presentation of a rare entity that should be considered in the differential diagnosis of back pain.
RESUMO
Resumo O diagnóstico diferencial de dorsalgia revela-se um desafio pela proximidade da coluna dorsal a órgãos vitais assim como por sua anatomia única, inervação e articulação com as costelas. Os padrões de dor referida visceral obrigam, na maioria das vezes, a extensivos exames complementares de diagnóstico de forma a excluir condições graves. A osteoartrose da articulação costovertebral é um diagnóstico pouco reconhecido, e habitualmente é somente considerado quando a fonte de dor continua sem explicação após extensa investigação. Os autores apresentam o caso de um homem de 40 anos de idade com dor dorsal incapacitante devido a osteoartrose costovertebral isolada. A sintomatologia foi controlada após a injeção de metilprednisolona guiada por tomografia computadorizada. Este caso clínico tem como objetivo descrever a apresentação clínica de uma entidade rara que deverá ser considerada no diagnóstico diferencial de dorsalgia.
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Full text: Available Index: LILACS (Americas) Main subject: Osteoarthritis / Thoracic Vertebrae / Back Pain / Diagnosis, Differential / Lumbar Vertebrae Type of study: Diagnostic study Limits: Adult / Humans / Male Language: English Journal: Rev. bras. ortop Journal subject: Orthopedics Year: 2022 Type: Article Affiliation country: Portugal Institution/Affiliation country: Hospital Santa Maria/PT

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Full text: Available Index: LILACS (Americas) Main subject: Osteoarthritis / Thoracic Vertebrae / Back Pain / Diagnosis, Differential / Lumbar Vertebrae Type of study: Diagnostic study Limits: Adult / Humans / Male Language: English Journal: Rev. bras. ortop Journal subject: Orthopedics Year: 2022 Type: Article Affiliation country: Portugal Institution/Affiliation country: Hospital Santa Maria/PT