Sternal tenderness

Introduction Symptoms of local pain, can not even stand upright, especially in deep breathing or coughing, increased pain, chest tightness, shortness of breath. There may be depressions, protrusions and bone sounds in the fracture; if there is gas, hemothorax and visceral injury, there may be hemoptysis, difficulty in breathing, fainting, etc. In most patients, the most obvious part of sternal tenderness is in the lower part of the sternum, which is equivalent to the fourth. The sternum of the fifth intercostal space.

Cause

The main cause of bone pain is due to the massive proliferation of leukemia cells in the bone marrow cavity, causing an increase in the volumetric pressure of the bone marrow cavity, and the infiltration of the periosteum by the leukemia cells to stimulate the sensory nerve. From an anatomical point of view, the sternum plate is very thin, the skin covering this part is also very thin, and the periosteal sensory nerve is also rich, so it is sensitive to the touch pressure, and tends to produce obvious tenderness.

an examination

Related inspection

Chest flat chest B super

In most patients, the most obvious part of sternal tenderness is in the lower part of the sternum, which is equivalent to the sternum of the fourth and fifth intercostal spaces. Different from the tenderness of other parts of the sternum.

The lower part of the sternum is the tenderness of the sternum corresponding to the fourth and fifth intercostals. It is one of the important signs of leukemia, especially acute leukemia. It can also be seen in malignant lymphoma and myeloproliferative diseases, but the latter two are rare.

Differential diagnosis

Post-sternal pain is often seen in the clinic. It refers to the pain between the neck and the lower edge of the thorax (the middle or the lateral side of the chest). The nature of the pain can be various. It is one of the common symptoms, usually caused by chest diseases (including chest wall disease). Caused by). After some people have post-sternal pain, they often suspect coronary heart disease and blindly treat them with coronary heart disease. In fact, there are many causes of post-sternal pain. Cardiovascular, pulmonary, mediastinal, esophageal, etc. may be sick. Once the sternal pain occurs, you should go to the hospital as soon as possible, and confirm the diagnosis with clinical symptoms.

Thoracic vertebrae pain is the main clinical manifestation of the symptoms of thoracic spondylosis, including thoracic vertebrae hyperplasia, spinal canal stenosis; thoracic compression fracture, dislocation, scoliosis, fascia incarceration; and thoracic disc herniation.

The tenderness of the lower sternum is one of the important signs of leukemia. In addition, it can also be seen in malignant lymphoma and myeloproliferative diseases, but the latter two are relatively rare.

The lower part of the sternum is the tenderness of the sternum corresponding to the fourth and fifth intercostals. It is one of the important signs of leukemia, especially acute leukemia. It can also be seen in malignant lymphoma and myeloproliferative diseases, but the latter two are rare.

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