intercostal space tenderness
Introduction
Introduction Pain in the intercostal space is a clinical manifestation of intercostal neuralgia. Physical examination of patients with intercostal neuralgia found that there was significant tenderness in the paraspinal and intercostal space of the thoracic spine; typical patients with intercostal intercostal neuralgia had a positive neck test; the distribution of affected nerves often showed neurological impairment such as hyperesthesia or hypoesthesia. .
Cause
Cause
Damages of different causes, such as: thoracic degeneration, thoracic tuberculosis, thoracic vertebrae injury, thoracic dural meningitis, tumor, ankylosing spondylitis and other diseases or ribs, mediastinum, pleural lesions, intercostal nerves are oppressed by the above diseases, Stimulation, an inflammatory reaction, and banding pain in the chest intercostal or abdomen.
Examine
an examination
Related inspection
Chest flat rib lock extrusion test
Intercostal neuralgia is divided into secondary and primary, and thoracic degeneration, thoracic tuberculosis, thoracic vertebrae injury, thoracic dural meningitis, tumor, ankylosing spondylitis and other diseases can be secondary to intercostal neuralgia. Ribs, mediastinum or pleural lesions are secondary to intercostal neuralgia. Primary intercostal neuralgia is rare. In the onset of intercostal neuralgia, it can be seen that the pain is delayed from the posterior to the posterior, along the corresponding intercostal space, and the pain is stinging or burning pain. Pain worsens when coughing, taking a deep breath, or sneezing. The pain is more common in one nerve on one side.
Physical examination revealed that there was significant tenderness in the paraspinal process and intercostal space of the thoracic spine. In patients with typical intercostal intercostal neuralgia, the neck test was positive, and the distribution of affected nerves often showed neurological impairment such as hyperesthesia or hypoesthesia.
Diagnosis
Differential diagnosis
1. The rib gap is narrowed: 12 pairs of ribs participate in the surrounding thorax, and the gap between the rib and the rib is the rib gap. There are intercostal muscles, blood vessels, nerves and connective tissue membranes. The width of the rib gap is different, the gap of the upper rib is wider, and the lower part is narrower; the front part of the rib gap is wider, and the back part is narrower, but can change with the change of body position. Common is the left lower chest depression. Dysplasia, caused by malnutrition.
2, intercostal shoulder strap pain: clinically, the diagnosis of this disease is mainly based on the following three points:
1. History: It can be acutely ill, or it can occur slowly, and the symptoms are different. It should be fully understood, including previous examinations and treatment overview.
2. Clinical manifestations: Because the individual sagittal diameter of the patient's spinal canal is different, the difference in symptoms is also large, from general local pain to complete paralysis of the lower limbs. Therefore, such patients should pay attention to careful examination, in order to seek early Find.
