Editing Xiphoid process (section)

==Clinical significance==
During chest compressions in [[cardiopulmonary resuscitation]] (CPR), it is possible to fracture or dislodge the xiphoid process, potentially leading to punctures or lacerations of the [[Thoracic diaphragm|diaphragm]]. Furthermore, inadvertent liver puncture resulting in life-threatening internal bleeding can occur.

[[Xiphodynia|Xiphoidalgia]] (xiphodynia) represents a distinctive [[syndrome]] characterized by sternum-related pain and tenderness. While some sources categorize this disorder as uncommon, others suggest it may be relatively prevalent but overlooked by medical professionals. Xiphoidalgia is a musculoskeletal ailment capable of producing an array of symptoms that may mimic various common abdominal and thoracic disorders and diseases.<ref>{{cite web |url= https://medlicker.com/984-xiphoid-process-pain|title=Xiphoid process pain (Xiphoidalgia): the ultimate guide | website= medlicker.com| publisher= }}</ref>

Symptoms associated with xiphoidalgia may include abdominal pain, chest discomfort, nausea, and radiating pain extending to the back, neck, and shoulders. Activities such as lifting heavy objects or chest trauma may precipitate this musculoskeletal ailment, and symptoms may intensify with bending or twisting. Common therapeutic approaches include anesthetic and steroid injections.<ref>{{cite web| url= http://cmbi.bjmu.edu.cn/uptodate/coronary%20heart%20disease/evaluation/major%20causes%20of%20musculoskeletal%20chest%20pain.htm | title= Major causes of musculoskeletal chest pain | website= cmbi.bjmu.edu.cn |publisher= |archiveurl= https://web.archive.org/web/20101213025042/http://cmbi.bjmu.edu.cn/uptodate/coronary%20heart%20disease/evaluation/major%20causes%20of%20musculoskeletal%20chest%20pain.htm |archivedate=December 13, 2010 }}</ref> The earliest documented case dates back to 1712.<ref name="PMC2045657">{{cite journal| pmc= 2045657 | pmid=17868466 | doi= 10.1186/1746-1340-15-13 | volume=15 | title= Xiphodynia: a diagnostic conundrum | journal=Chiropr Osteopat | page=13 | last1 = Simpson | first1 = JK | last2 = Hawken | first2 = E| year=2007 | doi-access=free }}</ref>

Beyond age 40, individuals may become aware of their partially ossified xiphoid process and potentially misinterpret it as an abnormality.<ref name="Moore Clinically Oriented Anatomy"/>

In the context of [[pericardiocentesis]], a medical procedure involving the aspiration of fluid from the [[pericardium]] of the heart, the xiphoid process often serves as an [[anatomical landmark]] for guiding the procedure.<ref>{{cite book |last= Sam |first= Amir H. |author2=James T.H. Teo  |title= Rapid Medicine |publisher= [[Wiley-Blackwell]] |date= September 2010 |isbn= 978-1-4051-8323-9}}</ref>[[File:Final CD.jpg|85px|thumb|right|[[Sternum|Substernal]] fossa as superficial pendant of xiphoid process]]