Noor Nazir, Amgalan Ariunzaya, Vij Neeraj, Habib Kelly, Anantuni Lekha, An Daniel, Kassem Hisham, Paladini Antonella, Varrassi Giustino, Kaye Alan D
Anesthesiology, Critical Care, and Pain Medicine, Mount Sinai Medical Center.
Georgetown University School of Medicine.
Orthop Rev (Pavia). 2022 Aug 25;14(3):37070. doi: 10.52965/001c.37070. eCollection 2022.
Xiphodynia is a rare but debilitating condition that can be described as a form of pain on the xiphisternal joint or any related structures that are anchored to the xiphoid process. Although xiphodynia is a musculoskeletal pain in nature, the pain located in the anterior chest can commonly mislead physicians into pursuing other diagnoses such as cardiac diseases. This leads to a prolonged duration of pain before receiving treatment. In the attempt to alleviate pain resulting from this condition, physicians have previously utilized a range of treatment options, including conservative management, injections, or in severe cases, xiphoidectomy. In this review, we aim to give a brief overview of xiphodynia, including clinical diagnoses and current treatment modalities.
Xiphodynia can be described as pain radiating from an irritated xiphoid process that can travel to the chest, abdomen, throat, and arms Risk factors for developing secondary xiphoidalgia include GERD, gall-bladder disease, angina pectoris, and coronary-artery disease The treatment of xiphodynia can range from conservative management to injections or a xiphoidectomy Further research is required to develop a standardized treatment protocol and currently the choice of treatment depends on the patient's individual case and the degree of severity.
剑突痛是一种罕见但使人衰弱的病症，可被描述为剑胸关节或附着于剑突的任何相关结构上的一种疼痛形式。尽管剑突痛本质上是一种肌肉骨骼疼痛，但位于前胸的疼痛通常会误导医生去寻求其他诊断，如心脏病。这导致在接受治疗前疼痛持续时间延长。为了缓解由这种病症引起的疼痛，医生们此前采用了一系列治疗方法，包括保守治疗、注射，或在严重情况下进行剑突切除术。在本综述中，我们旨在简要概述剑突痛，包括临床诊断和当前的治疗方式。
剑突痛可被描述为源自受刺激的剑突的疼痛，可放射至胸部、腹部、喉咙和手臂。继发性剑突痛的危险因素包括胃食管反流病、胆囊疾病、心绞痛和冠状动脉疾病。剑突痛的治疗范围可从保守治疗到注射或剑突切除术。需要进一步研究以制定标准化的治疗方案，目前治疗方法的选择取决于患者的具体情况和严重程度。
