klippel-feil syndrome is known by the classic triad of shortness of the neck , limitation of neck movements, and a low posterior hairline. there are often accompanying cervical spinal abnormalities such as kyphoscoliosis as well as urogenital and cardiac abnormalities. presented here we have a 20 year old young man with hypoesthesia and decreased motor function in the right hand. the problem be...

Ankylosing spondylitis is a chronic illness affecting the spine/pelvic limb joints and sacroiliac, resulting in ankylosis deformity of spine. Hip can be affected on both sides, making them more susceptible prone to significant injury than other joints. Even though novel biological therapies have drastically altered management this illness, surgical intervention still necessary some cases. To ev...

background: β-thalassemia major is a hereditary life threatening anemia which requires regular blood transfusion. clinical symptoms of the disease are growth retardation, pallor, jaundice and skeletal alternations. the variety of bone disease in thalassemia major is manifested by diffuse bone pain or deformity, spontaneous and pathologic fractures and osteopenia or osteoporosis. this study aime...

PURPOSE Many patients presenting with hip disease also have coexisting lumbar spine disease (LSD). At present there is a paucity of literature examining the effect of arthroscopic hip surgery in patients with coexisting LSD. The purpose of this systematic review was to examine the relationship between the hip and lumbar spine to determine whether low back pain impacts the indications and outcom...

Introduction: Osteoporosis is a growing healthcare problem in societies with aging populations and DXA is increasingly important to evaluate patients at risk and measure effects of osteoporosis treatment. In Switzerland, as in most Western countries, growing expense of public healthcare forces public authorities to take cost-saving action. The restriction of reimbursement for DXA measurement of...

KEY POINTS Significantly lower BMD in PD compared to healthy subjects in both genders.Less than 35 mg(2)/dl(2) of Ca-P product in >80% of PD patients.Significant correlations between BMD and severity of PD.Lower BMD at H&Y stage III/IV than that at H&Y stage I/II. OBJECTIVES Although several lines of evidence have suggested that patients with Parkinson's disease (PD) have a higher risk of ost...

The iliotibial band is a thick, condensed fascia that, when contracted, leads to a hip flexion, abduction, and external rotation contracture in addition to other joint contractures. Iliotibial band tightness occurs secondary to iliotibial band friction syndrome, which commonly occurs at the lateral femoral epicondylar region. However, a proximal cause of iliotibial band/tensor fascia lata frict...

Objectives: Hip–spine syndrome is a phenomenon commonly seen in the geriatric population presenting with concurrent hip osteoarthritis and lumbar spine degenerative disease. Secondary hip-spine can develop when compensatory stresses are placed on lumbosacral due to pathologies that limit range of motion, such as femoroacetabular impingement (FAI). The literature remains conflicted impact arthro...

OBJECTIVE Osteoarthritis (OA) and osteoporosis are often considered to lie at opposite ends of a spectrum of bone phenotypes. Lumbar degenerative disc disease (LDD) may be associated with low back pain (LBP) and is similar in many ways to OA. LDD is reported in small studies to be associated with increased spine bone mineral density (BMD). The present work aimed to confirm this association in a...

PURPOSE Mortality from breast cancer has decreased in large part because of adjuvant chemotherapy. Sequelae of therapy include ovarian failure and bone loss, loss that would increase these patients' risk of fracture with aging. In this study, we assessed the efficacy of pamidronate in preventing such loss. PATIENTS AND METHODS The study was a 1-yr randomized, double-blind, placebo-controlled ...