Bordoni Bruno, Escher Allan R
Department of Cardiology, Foundation Don Carlo Gnocchi IRCCS, Institute of Hospitalization and Care, S Maria Nascente, Via Capecelatro 66, 20100 Milan, Italy.
Anesthesiology/Pain Medicine, H. Lee Moffitt Cancer Center and Research Institute, 12902 USF Magnolia Drive, Tampa, FL 33612, USA.
Healthcare (Basel). 2023 Apr 14;11(8):1130. doi: 10.3390/healthcare11081130.
The clinical case describes the presence of hyoid bone syndrome (HBS) in a patient with a left ventricular assist device (LVAD) implantation, and the resolution of painful symptoms through an osteopathic manual technique (unwinding) applied to the tongue. To the knowledge of the authors, it is the first case report involving an LVAD patient with HBS treated with an osteopathic approach. The article briefly reviews the data relating to surgical therapy for patients with a clinical history of end-stage heart failure and symptoms related to HBS and posits some hypotheses on the presence of pain radiating from the hyoid bone to other areas of the body. The text reminds us to place greater clinical emphasis on the palpatory evaluation of the hyoid in the presence of non-specific painful symptoms.
该临床病例描述了一名植入左心室辅助装置（LVAD）的患者出现舌骨综合征（HBS），并通过应用于舌头的整骨手法技术（松解）缓解了疼痛症状。据作者所知，这是首例关于采用整骨疗法治疗HBS的LVAD患者的病例报告。本文简要回顾了与终末期心力衰竭临床病史及HBS相关症状患者的手术治疗相关数据，并对舌骨疼痛放射至身体其他部位的情况提出了一些假设。本文提醒我们，在出现非特异性疼痛症状时，应更加重视对舌骨的触诊评估。
