Abstract
Three syndromes should be looked after, when considering a pain of the anterior chest wall: the Tietze syndrome, the painful rib syndrome and xiphodynia. The pain can be misleading, mimicking thoracic or abdominal pain. The Tietze syndrome is related to an inflammation of the costo-sternal cartilage, mainly the 2nd or the 3rd. The painful rib syndrome consists of a repeated abnormal and painful movement of the tip of a false rib backward and upward, with an impingement of the corresponding intercostal nerve. Xiphodynia corresponds to a pain from the xiphoid process, related in certain cases to its forward protrusion under the skin. The treatment of these three syndromes is mainly conservative (injections) and very rarely surgical.
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