一例因越野滑雪导致胸小肌触发点引起的假性心绞痛病例。
A case of pseudo-angina pectoris from a pectoralis minor trigger point caused by cross-country skiing.
作者信息
Lawson Gordon E, Hung Laurie Y, Ko Gordon D, Laframboise Michelle A
机构信息
Assistant Professor, Canadian Memorial Chiropractic College, Toronto, Ontario, Canada.
出版信息
J Chiropr Med. 2011 Sep;10(3):173-8. doi: 10.1016/j.jcm.2011.01.008. Epub 2011 Aug 6.
OBJECTIVE
The aim of this article is to illustrate the pectoralis minor muscle as a possible pain source in patients with anterior chest pain, especially those who are known to be beginner cross-country skiers.
CLINICAL FEATURES
A 58-year-old man presented with anterior chest pain and normal cardiac examination findings. Upon history taking and physical examination, the chest pain was determined to be caused by active trigger points in the pectoralis minor muscle.
INTERVENTION AND OUTCOME
The patient was treated with Graston Technique and cross-country skiing technique advice. The subject's symptoms improved significantly after 2 treatments and completely resolved after 4 treatments.
CONCLUSION
This case demonstrates the importance of differential diagnosis and mechanism of injury in regard to chest pain and that chiropractic management can be successful when addressing patients with chest wall pain of musculoskeletal origin.
目的
本文旨在阐明胸小肌作为前胸疼痛患者，尤其是那些已知为越野滑雪初学者的患者可能的疼痛来源。
临床特征
一名58岁男性出现前胸疼痛，心脏检查结果正常。经病史采集和体格检查，确定胸痛是由胸小肌活跃触发点引起的。
干预与结果
患者接受了格拉森技术治疗和越野滑雪技术建议。该患者在2次治疗后症状显著改善，4次治疗后完全缓解。
结论
本病例证明了胸痛鉴别诊断和损伤机制的重要性，以及整脊治疗在处理肌肉骨骼源性胸壁疼痛患者时可能取得成功。
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