What is the joint classification and type of movement for the Costotransverse joint?
The costotransverse joint is the joint formed between the facet of the tubercle of the rib and the adjacent transverse process of a thoracic vertebra. The costotransverse joint is a type of synovial type of joint which, under physiological conditions, allows only gliding movement.
What is Costovertebral osteoarthritis?
Isolated osteoarthritis of a costovertebral joint is a rare but treatable cause of thoracic back pain. It is possible to obtain excellent short- and intermediate-term relief from pain with resection arthroplasty in appropriately selected patients.
What is costovertebral pain?
Costovertebral pain is pain originating at the articulation of the head of the rib as it meets the vertebral body. The costovertebral joint is a synovial joint with a synovial cavity that contains innervations. Costovertebral pain often mimics cardiopulmonary-related pain.
How are the costotransverse and costovertebral joints related?
Closely related to the costovertebral and costotransverse joints, which articulate the ribs posteriorly with the thoracic vertebrae, are the costosternal and costochondral joints, which articulate the ribs anteriorly with the sternum.
How to diagnose a costovertebral joint sprain?
A thorough subjective and objective examination from a physiotherapist is usually sufficient to diagnose a costovertebral joint sprain. Investigations such as an MRI or CT scan may be required to confirm diagnosis and rule out other conditions.
How does the PRI clinic treat costotransverse joint pain?
Typically we perform a diagnostic injection with a local anti-inflammatory medication to confirm that the costotransverse or costovertebral joints are the source of pain. About 4 out of 10 patient’s have long-lasting relief from this simple injection and do not need to go on to have additional treatment.
Are there two types of costovertebral ligaments?
Costovertebral Joint. Each facet is a separate synovial joint. The first rib articulates with the T1 vertebra only and the lowest three ribs articulate only with their own vertebral body 1. There are two types of ligaments: