PDF(Pubmed)
Abstract：
OBJECTIVE: Neck pain is commonly referred to an ENT specialist and can be caused by the little-known inflammatory condition of the lateral thyrohyoid ligament. The pathophysiology of this condition is believed to be inflammation subsequent to over-exertion or cervical trauma. Typically, patients present with chronic unilateral neck pain. Elicitation of localized tenderness over the axis of the lateral thyrohyoid ligament on palpation is a key finding for its diagnosis. We present an unusual case with an acute course and subcutaneous inflammation and discuss its management in an effort to raise awareness for this often-misdiagnosed syndrome.
METHODS: A systematic literature research on PubMed was performed selecting patients with a definitive diagnosis of thyrohyoid syndrome or lateral thyrohyoid ligament syndrome.
RESULTS: We collected 54 cases from three studies. This condition is an important differential diagnosis for acute or chronic antero-lateral or unilateral neck pain.
CONCLUSIONS: No specific radiological findings are defined and a CT scan is therefore not necessary for its diagnosis, but ultrasound is a useful tool to primarily assess any neck lesion. Once the diagnosis is made, a local infiltration of steroids is the most sustainable treatment option and relapse prevention.
METHODS: A systematic literature research on PubMed was performed selecting patients with a definitive diagnosis of thyrohyoid syndrome or lateral thyrohyoid ligament syndrome.
RESULTS: We collected 54 cases from three studies. This condition is an important differential diagnosis for acute or chronic antero-lateral or unilateral neck pain.
CONCLUSIONS: No specific radiological findings are defined and a CT scan is therefore not necessary for its diagnosis, but ultrasound is a useful tool to primarily assess any neck lesion. Once the diagnosis is made, a local infiltration of steroids is the most sustainable treatment option and relapse prevention.
摘要：
目的：颈部疼痛通常被称为耳鼻喉科专家，可由鲜为人知的甲状腺舌骨外侧韧带的炎症引起。这种情况的病理生理学被认为是过度劳累或宫颈创伤后的炎症。通常,患者表现为慢性单侧颈部疼痛。触诊时在甲状腺外侧韧带轴上局部压痛是诊断的关键发现。我们介绍了一个急性病程和皮下炎症的罕见病例，并讨论了其管理方法，以提高对这种经常误诊的综合征的认识。
方法：选择明确诊断为甲状舌骨综合征或甲状舌骨外侧韧带综合征的患者，对PubMed进行了系统文献研究。
结果：我们从三项研究中收集了54例病例。这种情况是急性或慢性前外侧或单侧颈部疼痛的重要鉴别诊断。
结论：没有明确的放射学发现，因此CT扫描对于其诊断是不必要的，但超声是主要评估任何颈部病变的有用工具。一旦做出诊断，类固醇的局部浸润是最可持续的治疗选择和预防复发。
方法：选择明确诊断为甲状舌骨综合征或甲状舌骨外侧韧带综合征的患者，对PubMed进行了系统文献研究。
结果：我们从三项研究中收集了54例病例。这种情况是急性或慢性前外侧或单侧颈部疼痛的重要鉴别诊断。
结论：没有明确的放射学发现，因此CT扫描对于其诊断是不必要的，但超声是主要评估任何颈部病变的有用工具。一旦做出诊断，类固醇的局部浸润是最可持续的治疗选择和预防复发。
