Article Text


Costovertebral joint dysfunction: another misdiagnosed cause of atypical chest pain.
  1. J. F. Arroyo,
  2. P. Jolliet,
  3. A. F. Junod
  1. Department of Internal Medicine, Geneva University Hospital, Switzerland.


    The diagnostic work-up of atypical chest pain frequently leads to invasive procedures. However, this painful symptomatology can sometimes be of benign origin and respond to simple therapeutic manoeuvres. A number of musculoskeletal conditions such as costovertebral joint dysfunctions should be carefully considered. We report five cases in which patient discomfort and high costs could have been avoided if awareness of these conditions had led to a correct diagnosis upon initial physical examination.

    Statistics from

    Request permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.