Post-traumatic Tietze syndrome as an occupational accident: A case report study

Asma Koubaa; Nesrine Kammoun; Nada Kotti; Yosr Hentati; Rawdha Tekaya; Mejda Bani; Habib Nouaigui

doi:10.1016/j.tcr.2023.100894

Post-traumatic Tietze syndrome as an occupational accident: A case report study

Trauma Case Rep. 2023 Aug 12:47:100894. doi: 10.1016/j.tcr.2023.100894. eCollection 2023 Oct.

Authors

Asma Koubaa¹, Nesrine Kammoun¹, Nada Kotti², Yosr Hentati³, Rawdha Tekaya⁴, Mejda Bani¹, Habib Nouaigui¹

Affiliations

¹ Occupational Health and Safety Institute, Faculty of Medicine of Tunis, University Tunis Manar, Tunisia.
² Department of Occupational Medicine, Hedi Chaker Hospital, University of Sfax, Sfax, Tunisia.
³ Department of Radiology, Hedi Chaker Hospital, University of Sfax, Sfax, Tunisia.
⁴ Department of Rheumatology, Charles Nicolle Hospital, Faculty of Medicine of Tunis, University Tunis Manar, Tunisia.

Abstract

Tietze syndrome is an inflammatory arthropathy of costochondral junction characterized by chest pain, tenderness and swelling. We reported the case of a 35-year-old worker with post traumatic Tietze syndrome. He had a history of two occupational chest traumas. They both occurred in the third left costo-chondral joint. Chest computed tomography showed located osteolysis. Differential diagnoses were excluded. He was treated with non-steroidal anti-inflammatory drugs and analgesics. As for partial permanent disability, we suggested 17% given the importance of the pain and its impact on mobility. Tietze syndrome diagnosis was based on eliminating differential diagnoses. This study raises knowledge about post-traumatic etiology in Tietze syndrome. A better understanding of this pathology could help practitioners with patients facing chest wall pain.

Keywords: Accident; Joint; Occupational; Sternocostal; Tietze syndrome.

Publication types

Case Reports