Rib Tenderness: Causes & Reasons

Possible Causes for Rib Tenderness

Symptoms include: a sharp pain in your upper ribs tenderness around the area of your upper ribs swelling around the area of your upper ribs Sudden movements of your ribs, [hse.ie]

When the costochondral joint becomes inflamed, it results in pain, tenderness and (in the case of Tietze’s syndrome) swelling over the ribs and cartilage around the breastbone [your.md]

The predominant symptom is a sharp pain in the affected area – most commonly involving the second or third ribs that are often very tender to touch. [netdoctor.co.uk]

Rib Fracture

Imaging: Chest Precaution Rib Fracture is a clinical diagnosis based on injury mechanism and exam (e.g. focal, exquisite rib tenderness) Imaging can confirm Rib Fracture, [fpnotebook.com]

Tenderness when feeling the rib involved (although this may be hard to locate). [sportsinjuryclinic.net]

Signs Focal point tenderness over rib Referred pain along rib course Bony crepitus over Fracture Ecchymosis, abrasions or swelling over Rib Fracture Complication findings [fpnotebook.com]

Rib Tumor

The whole side of my rib cage seems to be tender. A cyst has already been ruled out. Should I see a specialist? [healthcentral.com]

It was painless and non tender and fixed to the rib anteriorly (Fig 1). [jocr.co.in]

I have tenderness in my rib area on the right side (cancer side) but I'm afraid to feel around. I have tenderness in my breast and under my arm, too. [community.breastcancer.org]

Chest Wall Injury

In such cases, pain is often felt in the back, with tenderness over the affected rib. [sportsinjurybulletin.com]

Symptoms of broken or bruised ribs include: tenderness over the site of injury; a broken rib may be palpated (the health care professional can feel the rib fracture move when [medicinenet.com]

Clavicular tenderness is not included as “chest wall tenderness.” [mdcalc.com]

Vitamin D Deficiency

In this study, we looked for vitamin D deficiency in patients with flank pain associated with tenderness over the tips of the lowermost ribs. [ncbi.nlm.nih.gov]

Bones can feel painful to moderate pressure (often more noticeable in the ribs or shin bones). [patient.info]

In patients presenting with flank pain, the existence of tenderness of the last ribs instead of the renal angle proper should alert to a possible cause in the rib cage. [ncbi.nlm.nih.gov]

Chest Trauma

The most common signs and symptoms are: pain in the chest that gets worse when laughing, coughing or sneezing tenderness bruising swelling Symptoms of a fractured rib are: [healthdirect.gov.au]

[…] or rib 'crunching' indicating rib fractures Feel for subcutaneous emphysema Listen Listen for normal, equal breath sounds on both sides. [trauma.org]

(A) Examination of the chest wall showed bruising as sign of injury and chest wall tenderness. (B) Subsequent computed tomography showed a rib fracture. Figure 1. [ekjm.org]

Osteomalacia

There is tenderness on percussion of bones, especially over the tibial shins. [boneandspine.com]

The first noticeable signs of osteomalacia are: bone pain in the thigh or the lower back that extends to the ribs and to the arms, and bone tenderness. [medicalterms.info]

Pain is symmetric and involves the lower back, later spreading to the pelvic girdle, hips and upper thighs, and ribs. [boneandspine.com]

Rickets

Dental deformity Delayed formation of teeth Decreased muscle strength Impaired growth Short stature Skeletal deformities- bow legs rachitic rosary(rib cage abnormalities) [goqii.com]

Bowed (curved) legs Large forehead Stunted growth Abnormally curved spine Large abdomen Abnormally shaped ribs and breastbone Wide wrist and elbow joints Teeth abnormalities [rarediseases.info.nih.gov]

[…] or prominent knobs on the bone between the ribs and the breast plate. [medicalnewstoday.com]

Bronchogenic Carcinoma

We report a case of localized fibrous mesothelioma (LFM) of the pleura with bronchogenic carcinoma. LFM arose in the visceral pleura of the upper lobe in the left lung, and lung adenocarcinoma was located in the ipsilateral lower lobe. LFM is a rare mesenchymal tumor of the pleura. Concomitant occurrence with[…] [ncbi.nlm.nih.gov]

Pathological Fracture

A three-year-old girl with chronic myelogenous leukemia (CML) experienced a pathological fracture of her femur after a demonstrated osteolytic bone lesion. Extramedullary disease (EMD) was diagnosed following the histologic findings of a biopsy of the osteolytic lesion. Frank blast crisis in the bone marrow followed[…] [ncbi.nlm.nih.gov]

Multiple Myeloma

Overview Plasma cell neoplasms occur when abnormal plasma cells form cancerous tumors in bone or soft tissue. When there is only one tumor, the disease is called a plasmacytoma. When there are multiple tumors, it is called multiple myeloma. Explore the links on this page to learn more about multiple myeloma treatment,[…] [cancer.gov]

Empyema

BMJ Case Rep. 2015 Sep 2;2015. pii: bcr2015211351. doi: 10.1136/bcr-2015-211351. Abstract A 67-year-old woman with myelodysplastic syndrome (MDS) and transfusional haemosiderosis developed Salmonella empyema caused by direct extension from splenic abscesses. She was successfully treated with antibiotics, pleural[…] [ncbi.nlm.nih.gov]

X-Linked Hypophosphatemia

(OMIM phenotype number #307800 ) See FACT SHEET X-Linked Hypophosphatemia (XLH) X-linked, dominant, hypophosphatemic rickets (XLHR) is a genetic disorder caused by inactivating mutations in the PHEX gene (phosphate-regulating gene with homologies to endopeptidase on the X chromosome). XLHR, first described by[…] [iofbonehealth.org]

Familial Hypophosphatemia

Abstract The fate of an intravenous dose of tritiated vitamin D(3) was studied in seven normal subjects, four children with vitamin D-resistant rickets, and four adults with a familial history of vitamin D-resistant rickets and persistent hypophosphatemia. An abnormal metabolism of vitamin D in vitamin D-resistant[…] [ncbi.nlm.nih.gov]

Pulmonary Actinomycosis

We report a case of pulmonary actinomycosis, stimulating a bronchial neoplasm, in which serological tests for actinomycosis were positive. [ncbi.nlm.nih.gov]

Tietz Syndrome

Symptoms include: a sharp pain in your upper ribs tenderness around the area of your upper ribs swelling around the area of your upper ribs Sudden movements of your ribs, [hse.ie]

When the costochondral joint becomes inflamed, it results in pain, tenderness and (in the case of Tietze’s syndrome) swelling over the ribs and cartilage around the breastbone [your.md]

Swelling in the area around your upper ribs. The presence of tenderness around the upper ribs area. [healthresearchfunding.org]

Intercostal Neuralgia

Sometime the space between two ribs is tender to touch. Due to pain there is restricted movement of the chest. [tandurust.com]

Point tenderness is noticeable over the misaligned rib head, close to the spine. [academychiro.com]

SYMPTOMS The main symptom of intercostal neuralgia is pain in the rib cage area, often described as stabbing, sharp, spasm-like, tearing, tender, aching or gnawing. [academychiro.com]

Thin Ribs - Tubular Bones - Dysmorphism Syndrome

[…] dysmorphism * Achondrogenesis - short ribs * Atelosteogenesis, type 2 - short ribs * Beemer-Langer syndrome - short ribs * Bornholm disease - rib muscle tenderness * Bowing [checkorphan.org]

congenital, short bones - short ribs Prevention - Thin ribs tubular bones dysmorphism Not supplied. [checkorphan.org]

Symptoms - Thin ribs tubular bones dysmorphism * Thin ribs * Prominent forehead * High arched palate * Retarded fetal growth * Large head Causes - Thin ribs tubular bones [checkorphan.org]

Myocardial Contusion

Those with anterior chest wall cr ntusions, sternal or anterior rib fractures, or pain/tenderness of the anterior c.' [uthsc.pure.elsevier.com]

Those with anterior chest wall contusions, sternal or anterior rib fractures, or pain/tenderness of the anterior chest (n = 140, 13%) underwent immediate and daily ECG, and [ncbi.nlm.nih.gov]

[…] heartbeat Low blood pressure Rapid or shallow breathing Tenderness to the touch Abnormal chest wall movement from rib fractures Tests may include: Blood tests (cardiac enzymes [coordinatedhealth.com]

Lichtenstein Syndrome

Rib pain Rib swelling Rib tenderness Scoliosis Skull pain Skull swelling Skull tenderness [fr.wikidoc.org]

* Rib swelling * Rib pain Causes - Lichtenstein syndrome Haematoma Lung cancer Leiomyoma Cyst Bronchial adenoma Xiphoid process Chronic osteomyelitis (type of Osteomyelitis [checkorphan.org]

Symptoms Bone cyst Facial bone pain Facial bone swelling Facial bone tenderness Fractures Leontiasis ossea appearance Long bone pain Long bone swelling Long bone tenderness [fr.wikidoc.org]

Splenic Hematoma

L= ocalized tenderness over LUQ of abdomen, as well as L lower ribs. Ches= t x-ray normal. [trauma.org]

Some signs of splenic rupture include: Pain in the left hypochondrium, localized to behind the ribs, with tenderness to palpation. [news-medical.net]

Clinicians should check this area for pain and tenderness. [physio-pedia.com]

Ribbing Disease

The pain will be localized and sporadic, and there might be tenderness in the legs or thighs. [verywellhealth.com]

Most people with Ribbing disease will present to their healthcare providers with pain that has no known cause. [verywellhealth.com]

Ribbing disease does not cause all-over pain or inflammation because it is not a systemic disease—a disease that affects other parts of the body or the whole body. [verywellhealth.com]

Kidney Contusion

(especially lower ribs) Abdominal mass Abdominal tenderness Possible complications: [ Fernandez-Ibieta, 2018 ] Urine extravasation Most common complication of Stage IV injuries [pedemmorsels.com]

Flank contusions Lower rib fractures Patients who develop gross hematuria after relatively minor trauma may have a previously undiagnosed congenital renal anomaly. [merckmanuals.com]

[…] penetrating trauma ~35-65% of blunt trauma Signs suggestive of renal trauma: [ Fernandez-Ibieta, 2018 ] Hematuria Flank ecchymosis Penetrating injury in the region Fractured ribs [pedemmorsels.com]

Fitz-Hugh-Curtis Syndrome

There is usually also tenderness on palpation of the right upper abdomen and tenderness to percussion of the lower ribs which protect the liver. [en.wikipedia.org]

Surprisingly there is often no or only minimal pelvic pain, vaginal discharge or cervical motion tenderness, which may lead to the diagnosis being missed. [en.wikipedia.org]

Herpes Zoster Infection of the Chest Wall

Movement of the rib cage can be assessed with deep breathing exercises. [aafp.org]

- Rib angle most usually affected. - Typical fracture signs - tenderness and swelling, local spasm, percussion/ vibration/compression may be provocative. [quizlet.com]

[…] the tender spot ( 22 ). [docsopinion.com]

Anisakiasis

A blood test indicated inflammation and the area below his ribs was tender, leading doctors to believe he had anisakiasis. [express.co.uk]

Physical examination found that the area below the ribs was tender, and the blood test results showed mild inflammation. [news-medical.net]

A blood test showed mild inflammation and the area below his ribs was found to be tender. [bbc.com]

Gallamine Allergy

increased hunger increased thirst increased urination loss of appetite loss of sexual desire or ability lower back or side pain menstrual irregularities muscle pain or tenderness [mayoclinic.org]

[…] muscle wasting or weakness nausea pain in the back, ribs, arms, or legs painful or difficult urination skin rash sleeplessness sweating trouble healing trouble sleeping unexplained [mayoclinic.org]

Spleen Disease

Some signs of splenic rupture include: Pain in the left hypochondrium, localized to behind the ribs, with tenderness to palpation. [news-medical.net]

Signs of a ruptured spleen are: pain behind your left ribs and tenderness when you touch this area dizziness and a rapid heart rate (a sign of low blood pressure caused by [nhsinform.scot]

[…] reduced number of white blood cells bleeding or bruising, caused by a reduced number of platelets A painful spleen Spleen pain is usually felt as a pain behind your left ribs [nhs.uk]

Splenic Subcapsular Hematoma

L= ocalized tenderness over LUQ of abdomen, as well as L lower ribs. Ches= t x-ray normal. [trauma.org]

Clinicians should check this area for pain and tenderness. [physio-pedia.com]

Damage to the spleen may cause localized or general abdominal pain, tenderness, and swelling. Fractured ribs may be present. [medical-dictionary.thefreedictionary.com]

Traumatic Rupture of the Kidney

Flank contusions Lower rib fractures Patients who develop gross hematuria after relatively minor trauma may have a previously undiagnosed congenital renal anomaly. [merckmanuals.com]

Signs and Symptoms of Renal Trauma Acute signs and symptoms: History of abdominal trauma or deceleration injury Bruising and hematoma of abdomen or flank Abdominal tenderness [urology-textbook.com]

[…] and/ or swelling Haemodynamic instability Fracture of the lower posterior ribs, lower thoracic or lumbar vertebrae may also be present Imaging CT abdomen with IV contrast [lifeinthefastlane.com]