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剑突痛:一个诊断难题。

Xiphodynia: a diagnostic conundrum.

作者信息

Simpson J Keith, Hawken Erin

机构信息

Murdoch University Chiropractic Clinic, School of Chiropractic, Murdoch University, Murdoch, Western Australia, Australia.

出版信息

Chiropr Osteopat. 2007 Sep 15;15:13. doi: 10.1186/1746-1340-15-13.

DOI:10.1186/1746-1340-15-13
PMID:17868466
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2045657/
Abstract

This paper presents 3 case reports of xiphodynia that presented to a chiropractic clinic. The paper examines aspects of xiphodynia including relevant anatomy of the xiphoid, as well as the incidence, aetiology, symptoms, diagnosis, and treatment. A brief overview of the mechanism of referred pain is presented.

摘要

本文介绍了3例剑突痛患者到一家整脊诊所就诊的病例报告。该论文探讨了剑突痛的相关方面,包括剑突的相关解剖结构,以及发病率、病因、症状、诊断和治疗。还简要概述了牵涉痛的机制。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/570e/2045657/e6d1e4dca14b/1746-1340-15-13-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/570e/2045657/43984ca3f384/1746-1340-15-13-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/570e/2045657/e6d1e4dca14b/1746-1340-15-13-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/570e/2045657/43984ca3f384/1746-1340-15-13-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/570e/2045657/e6d1e4dca14b/1746-1340-15-13-2.jpg

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1
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2
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2
A case-control study evaluating CT signs of xiphoid process associated with xiphodynia.一项评估与剑突痛相关的剑突CT征象的病例对照研究。
PLoS One. 2025 May 20;20(5):e0303657. doi: 10.1371/journal.pone.0303657. eCollection 2025.
3
Xiphodynia with limited decrease in the xiphoid process-sternal angle but recognised compression of the rectus abdominis.

本文引用的文献

1
Pain syndromes of the chest muscles; resemblance to effort angina and myocardial infarction, and relief by local block.胸部肌肉疼痛综合征;与劳力性心绞痛和心肌梗死的相似性,以及局部阻滞缓解症状
Can Med Assoc J. 1948 Oct;59(4):333-8.
2
Comparison of the effects of laser, ultrasound, and combined laser + ultrasound treatments in experimental tendon healing.激光、超声以及激光联合超声治疗对实验性肌腱愈合效果的比较
Lasers Surg Med. 2004;35(1):84-9. doi: 10.1002/lsm.20046.
3
Referred pain is dependent on sensory input from the periphery: a psychophysical study.
剑突疼痛,剑突胸骨角仅有轻微减小,但可确认腹直肌受到压迫。
BMJ Case Rep. 2024 Feb 7;17(2):e259176. doi: 10.1136/bcr-2023-259176.
4
Xiphodynia Caused by a Large Xiphoid Process.巨大剑突引起的剑突痛
Cureus. 2023 Sep 1;15(9):e44516. doi: 10.7759/cureus.44516. eCollection 2023 Sep.
5
Xiphodynia as an Unusual Cause of Chest Pain: A Case Series.剑突痛作为胸痛的罕见原因:病例系列
Surg J (N Y). 2023 Feb 7;9(1):e39-e43. doi: 10.1055/s-0043-1761270. eCollection 2023 Jan.
6
Treatment and Management of Xiphoidalgia.剑突痛的治疗与管理
Orthop Rev (Pavia). 2022 Aug 25;14(3):37070. doi: 10.52965/001c.37070. eCollection 2022.
7
A case series: xiphoidectomy for xiphodynia, a rare thoracic wall disorder.病例系列:剑突切除术治疗剑突痛,一种罕见的胸壁疾病。
J Thorac Dis. 2021 Apr;13(4):2216-2223. doi: 10.21037/jtd-20-3396.
8
Operative results after xiphoidectomy in patients with xiphodynia.剑突痛患者行剑突切除术后的手术结果
Asian Cardiovasc Thorac Ann. 2021 Oct;29(8):779-783. doi: 10.1177/02184923211019179. Epub 2021 May 20.
9
Deer antler extract potentially facilitates xiphoid cartilage growth and regeneration and prevents inflammatory susceptibility by regulating multiple functional genes.鹿茸提取物通过调节多种功能基因促进胸骨软骨生长和再生,并预防炎症易感性。
J Orthop Surg Res. 2021 Mar 22;16(1):208. doi: 10.1186/s13018-021-02350-4.
10
An elongated dorsally curved xiphoid process.一个细长的、背侧弯曲的剑突。
Anat Cell Biol. 2019 Mar;52(1):102-104. doi: 10.5115/acb.2019.52.1.102. Epub 2019 Mar 29.
Eur J Pain. 1997;1(4):261-9. doi: 10.1016/s1090-3801(97)90035-5.
4
Perceptual integration of intramuscular electrical stimulation in the focal and the referred pain area in healthy humans.健康人体内肌肉内电刺激在局部和牵涉痛区域的感知整合。
Pain. 2003 Sep;105(1-2):125-31. doi: 10.1016/s0304-3959(03)00171-4.
5
The syndrome of the hypersensitive xiphoid.剑突过敏综合征
N Engl J Med. 1955 Oct 6;253(14):591-7. doi: 10.1056/NEJM195510062531403.
6
Therapeutic ultrasound in soft tissue lesions.软组织病变中的治疗性超声
Rheumatology (Oxford). 2001 Dec;40(12):1331-6. doi: 10.1093/rheumatology/40.12.1331.
7
Peripheral and central hyperexcitability: differential signs and symptoms in persistent pain.外周和中枢性过度兴奋:持续性疼痛中的不同体征和症状。
Behav Brain Sci. 1997 Sep;20(3):404-19; discussion 435-513. doi: 10.1017/s0140525x97251484.
8
Xiphodynia masking acute myocardial infarction: a diagnostic cul-de-sac.剑突下疼痛掩盖急性心肌梗死:诊断的死胡同。
Am J Emerg Med. 1998 Mar;16(2):177-8. doi: 10.1016/s0735-6757(98)90041-9.
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Somatic dysfunction and the phenomenon of visceral disease simulation: a probable explanation for the apparent effectiveness of somatic therapy in patients presumed to be suffering from true visceral disease.
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