PSEUDOVISCERAL PAIN REFERRED FROM COSTOVERTEBRAL ARTHROPATHIES - 28 CASES

被引：18

作者：

BENHAMOU, CL

ROUX, C

TOURLIERE, D

GERVAIS, T

VIALA, JF

AMOR, B

机构：

[1] Service de Rhumatologie, Centre Hospitalier Regional Orlans La Source, Boulevard de l’Hopital, Orleans

[2] Clinique de Rhumatologie Hôpital, Cochin

[3] Service de Radiologique B, Centre Hospitalier Regional Orlans La Source, Orleans

来源：

SPINE | 1993年 / 18卷 / 06期

关键词：

D O I：

10.1097/00007632-199305000-00024

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Thoracic pain mimicking musculoskeletal disorders is sometimes related to visceral diseases12 such as gastroduodenal ulcer, pancreatitis, or aortic dissection. Inversely, abdominal or flank pain10 may be due to rib or spine disorders. Cyriax’s syndrome6 and slipping rib syndrome11, 23 are related to an anterior chondrocostal lesion of the floating ribs, responsible for abdominal pain.23 Twelfth rib syndrome, as described by Machin and Shennan, 13 consists of intercostal neuralgia associated with disease of the 11th or 12th rib. Spine tumors also may be revealed by such referred pain.20 The referral pattern of costovertebral (CV) arthropathies has been emphasized by Goldthwait, 9 Nathan et al, 16 Weinberg et al, 22 and Maigne.14 This referral pattern misleads clinicians, 18 so that extensive visceral work-ups such as intravenous pyelography, ultrasonography, tomodensitometry, and angiography are performed in these patients.1, 14 Undue surgicalprocedures still were performed in some cases for example, on the kidney. © 1993, J.B. Lippincott Company.

引用

页码：790 / 795

页数：6

共 23 条

[1]

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[2]

Benhamou C.L., Roux C., Gervais T., Viala J.F., Costo-vertebral arthropathy: Diagnostic and therapeutic value of arthrography, Clin Rheumatol, 7, pp. 220-223, (1988)

[3]

Benhamou C.L., Roux C., Viala J.F., Gervais T., Thoracic and lower cervical spine involvement in a case of rheumatoid arthritis, Rheumatol Int, 9, pp. 39-41, (1989)

[4]

Bywaters E., Thoracic intervertebral discitis in rheumatoid arthritis due to costovertebral joint involvement, Rheumatol Int, 1, pp. 83-97, (1981)

[5]

Carrera G.F., Lumbar facet joint injection in low-back pain and sciatica, Radiology, 137, pp. 661-667, (1980)

[6]

Cyriax E.F., On various conditions that may simulate the referred pains of visceral disease, and a consideration of these from the point of view of cause and effect, Practitioner, 102, pp. 314-322, (1919)

[7]

Eisenstein S.M., Parry C.R., The lumbar facet arthrosis syndrome: Clinical presentation and articular surface changes, J Bone Joint Surg, 69B, pp. 3-7, (1987)

[8]

Ellrodt A., Goldberg D., Oberlin F., Huchet B., Cayla J., Erosive arthritis of the costovertebral joint in seronegative spondylarthropathy, J Rheumatol, 13, pp. 452-454, (1986)

[9]

Goldthwait J.E., The Rib Joints. N Engl J Med, 223, pp. 568-573, (1940)

[10]

Harati Y., Niakan E., Diabetic thoraco-abdominal neuropathy: A cause for chest and abdominal pain, Arch Intern Med, 146, pp. 1493-1494, (1986)

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