The costovertebral joint capsules enclose the articulations between the rib heads and the adjacent vertebral bodies and intervertebral discs, providing the fibrous joint containment reinforced by the radiate and interarticular costovertebral ligaments.
Contain the costovertebral synovial joints, allow the gliding rotation of the rib heads during breathing, are reinforced by the radiate ligaments, and are the capsules involved in costovertebral joint arthritis.
Costovertebral joint dysfunction produces paraspinal thoracic pain reproduced by trunk rotation and deep breathing, mimicking thoracic disc disease. Fluoroscopic-guided costovertebral joint injection is both diagnostic and therapeutic. In posterior thoracic tumour resection, the costovertebral joint capsules are released during costotransversectomy.
Degenerative costovertebral joint capsule changes producing posterior thoracic paraspinal pain reproduced by deep breathing and trunk rotation, managed by targeted injection.
Division of the costovertebral joint capsule during posterior thoracic tumour resection or thoracic disc approach via costotransversectomy, allowing rib removal for lateral vertebral body access.
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