Xiphodyna

Dal, İsmail; Yardimci, Eyup Halit; DOĞANAY, Zahide

doi:10.1007/s12262-022-03409-0

Cited by 1 publication

(1 citation statement)

References 5 publications

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“…In prior research, many cases with decreased xiphisternal angle on CT images have been reported. Maigne et al reported three cases with angles of 105°, 120°, and 135° [6], Patel et al reported one case with an angle of 100° [14], Ono et al reported one case with an angle of 128° [7], Ishizuka et al reported one case with an angle of 133° [8], and Ismail et al reported one case with an angle of 138.4° [15]. Additionally, although not explicitly stated the angles, there are numerous reports of cases with images showing a prominently upwardly curved xiphoid process [9,16–18].…”

Section: Discussionmentioning

confidence: 99%

A case-control study evaluating CT signs of xiphoid process associated with xiphodynia

Ono,

Horibata

2024

Preprint

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Objectives To investigate whether CT signs of the xiphoid process, such as xiphisternal angle and evidence of soft tissue compression, are useful for diagnosing xiphodynia. Design A case-control study within a cohort. Setting/Participants Participants included 1560 individuals who visited a small urban hospital in Japan for chest or abdominal pain between January 2021 and September 2023. Those who underwent CT examinations including the xiphoid process were selected. Nine individuals diagnosed with xiphodynia were assigned to the case group, while 321 individuals diagnosed with other causes of pain were assigned to the control group. Interventions The xiphisternal angle, evidence of soft tissue compression anterior to the xiphoid process, anatomical features at the tip of the xiphoid process, and anatomical morphology of the xiphoid process were compared between the two groups. Results There was no significant difference in the xiphisternal angle between the two groups. No significant differences were observed in evidence of soft tissue compression anterior to the xiphoid process or anatomical features at the tip of the xiphoid process. New anatomical signs reveal that in approximately 70% of cases, the xiphoid process curves forward and then backward. Conclusions The xiphoid process sternal angle is not useful for diagnosing xiphodynia. The curvature of the xiphoid process is frequently observed regardless of the presence of xiphodynia.

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