-
Indian Pediatrics May 2003
-
Archivum Chirurgicum Neerlandicum 1971
Topics: Adolescent; Ankylosis; Child; Child, Preschool; Cleft Palate; Elbow; Elbow Joint; Hip Dislocation, Congenital; Humans; Infant; Knee; Knee Joint; Male; Osteoblasts; Radiography
PubMed: 5148467
DOI: No ID Found -
Revue D'odonto-stomatologie 1972
Topics: Ankylosis; Humans; Maxillofacial Injuries; Maxillofacial Prosthesis; Methods; Mouth; Mouth Mucosa; Surgery, Plastic; Tongue; Tongue Diseases; Transplantation, Autologous; Wounds, Gunshot
PubMed: 4507955
DOI: No ID Found -
Memoires. Academie de Chirurgie (France) Feb 1967
Topics: Adolescent; Adult; Ankylosis; Child; Child, Preschool; Female; Humans; Male; Mandibular Fractures; Temporomandibular Joint
PubMed: 5600870
DOI: No ID Found -
Revue de Stomatologie Et de Chirurgie... Nov 2005The ankylosing spondylitis is a chronic inflammatory rheumatoid disease with predilection in the axial structures. The temporomandibular joint (TMJ) is involved in 10 to...
INTRODUCTION
The ankylosing spondylitis is a chronic inflammatory rheumatoid disease with predilection in the axial structures. The temporomandibular joint (TMJ) is involved in 10 to 24% of cases. Ankylosis of the TMJ is exceptional, only 11 cases being reported to date.
OBSERVATION
A 48-year-old patient had been followed since 1987 for severe ankylosing spondylitis. The patient, known to be positive for tissue antigen HLA B27, was admitted for limitation of mouth opening. At physical examination, mouth opening was reduced to 1cm with no mandibular movements and a stiffness of the cervical spine in flexion. Computed tomography of the TMJs highlighted a bilateral lesion with ankylosis of the left joint and of C1-C2. Surgical treatment consisted in block resection of the two TMJs using a cartilaginous rib. With a follow up of 9 months, results have been satisfactory.
DISCUSSION
Complementary explorations should be undertaken in ankylosing spondylitis patients with clinical symptoms suggestive of TMJ lesions in order to establish the diagnosis and initiate treatment and avoid the development of ankylosic forms.
Topics: Ankylosis; Bone Transplantation; Cervical Vertebrae; HLA-B27 Antigen; Humans; Male; Middle Aged; Range of Motion, Articular; Spondylitis, Ankylosing; Temporomandibular Joint Disorders; Tomography, X-Ray Computed
PubMed: 16292227
DOI: 10.1016/s0035-1768(05)86047-4 -
International Orthopaedics Aug 2009Fifteen patients with 17 post-burn bony ankylosed elbows (two bilateral) fixed at a mean of 72.5 degrees +/- 27.5 degrees flexion were treated with Baksi sloppy hinge...
Fifteen patients with 17 post-burn bony ankylosed elbows (two bilateral) fixed at a mean of 72.5 degrees +/- 27.5 degrees flexion were treated with Baksi sloppy hinge elbow arthroplasty. All patients agreed to avoid strenuous use of their replaced elbows. There were four males and 11 females whose ages varied from 21 to 48 years (average 31.6 years). One of the five patients who had severe anterior skin contracture required release. One patient died during the early follow-up period. During the follow-up studies which ranged from 11 to 23 years (average 14.1), eleven patients (68.7%) regained painless stable motion with mean recovery of arc of flexion from 20 degrees +/-10 degrees to 107.5 degrees +/-17.5 degrees with mean range of flexion 90 degrees +/-20 degrees . Good forearm motion was retained in all cases. According to the assessment score (Morrey BF, The elbow and it's disorder, 2nd edn. W.B. Saunders, Philadelphia, 1993), nine (56.2%) patients were recorded as excellent, two (12.5%) as good, and five (31.5%) as poor who were considered as failures. The five failures required removal of the prosthesis but retained acceptable elbow function due to periprosthetic fibrosis connecting the adjacent bone ends.
Topics: Adult; Ankylosis; Arthroplasty, Replacement; Burns; Elbow Joint; Female; Follow-Up Studies; Humans; Joint Prosthesis; Longitudinal Studies; Male; Middle Aged; Radiography; Range of Motion, Articular; Treatment Outcome
PubMed: 18629497
DOI: 10.1007/s00264-008-0595-y -
The Journal of Craniofacial Surgery Sep 2001Distraction osteogenesis has recently become a mainstay for treatment of craniofacial syndromes with mandibular hypoplasia. This article presents the difficult case of a...
Distraction osteogenesis has recently become a mainstay for treatment of craniofacial syndromes with mandibular hypoplasia. This article presents the difficult case of a patient with a previous costochondral rib graft who underwent mandibular distraction and developed a fibrous pseudoarthrosis at the distraction site. This was attributed in part to an associated temporomandibular joint ankylosis. Resorption of the pseudoarthrosis occurred once the distractor was removed. It appears that distraction osteogenesis of a mandible with an ankylosed temporomandibular joint can result in healing with a fibrous union, presumably because of movement at the distraction site when masticating. This can result in a pseudo "temporomandibular joint" at the distraction site. A temporomandibular joint arthroplasty was performed, followed by repeat distraction. We conclude that if there is an ankylosed temporomandibular joint or a stiff temporomandibular joint that may ankylose during the course of the distraction process, then a temporomandibular joint arthroplasty should be performed before or at the time the distractor is placed.
Topics: Adolescent; Ankylosis; Bone Transplantation; Cartilage; Facial Asymmetry; Female; Humans; Mandible; Microstomia; Oral Surgical Procedures; Osteogenesis, Distraction; Pseudarthrosis; Temporomandibular Joint Disorders
PubMed: 11572253
DOI: 10.1097/00001665-200109000-00013 -
Modern Rheumatology Case Reports Jan 2020Bow hunter's syndrome, or rotational vertebral artery (VA) occlusion, refers to vertebrobasilar insufficiency due to mechanical occlusion of the VA. We present a case of...
Bow hunter's syndrome, or rotational vertebral artery (VA) occlusion, refers to vertebrobasilar insufficiency due to mechanical occlusion of the VA. We present a case of surgical treatment for bow hunter's syndrome that occurred after cervical laminoplasty in a patient with rheumatoid arthritis with bony ankylosis of the facet joints. A 59-year-old female with rheumatoid arthritis experienced sudden incomplete left hemiplegia. Fifteen months earlier, the patient had undergone cervical decompression surgery between C3 and C7. MRI of the head showed cerebral infarction in the right VA area, while vertebral angiography with the head rotated to the right revealed that the right VA was occluded at the level of C3-C4. The patient was successfully treated via posterior cervical fusion from C2 to C7. Patients with rheumatoid arthritis have a potential risk of cervical bony ankyloses. Cervical laminoplasty for patients with cervical bony ankyloses can induce rotational VA occlusion due to spinal rotational instability.
Topics: Ankylosis; Arthritis, Rheumatoid; Cervical Vertebrae; Decompression, Surgical; Female; Humans; Laminoplasty; Magnetic Resonance Imaging; Middle Aged; Vertebrobasilar Insufficiency
PubMed: 33086970
DOI: 10.1080/24725625.2019.1662985 -
Clinical and Experimental Rheumatology 2009A 56-year-old woman with psoriatic arthritis is presented whose initially ankylosed digit was later found to develop pencil-in-cup change. The patient was treated over...
A 56-year-old woman with psoriatic arthritis is presented whose initially ankylosed digit was later found to develop pencil-in-cup change. The patient was treated over that period with etanercept and had no signs of active arthritis. The possible mechanisms for these changes are discussed.
Topics: Ankylosis; Antirheumatic Agents; Arthritis, Psoriatic; Female; Finger Phalanges; Hand Deformities, Acquired; Humans; Methotrexate; Middle Aged; Radiography; Toe Phalanges; Treatment Outcome
PubMed: 19772803
DOI: No ID Found -
The Journal of Bone and Joint Surgery.... May 2003Although uncommon, complete ankylosis of the elbow secondary to heterotopic ossification results in severe disability. The results of surgical management remain unclear.
BACKGROUND
Although uncommon, complete ankylosis of the elbow secondary to heterotopic ossification results in severe disability. The results of surgical management remain unclear.
METHODS
A single surgeon used a consistent operative technique to treat complete osseous ankylosis of the elbow in eleven limbs in seven patients after severe burns and in nine elbows in eight patients after trauma. The elbows in the burn cohort were more often ankylosed in extension (average, 47 degrees of flexion) compared with those in the trauma cohort (66 degrees of flexion), and they had more skin problems (three elbows required a free microvascular muscle transfer for coverage) and associated problems of the shoulder, wrist, and hand.
RESULTS
Four patients in the burn cohort and three patients in the trauma cohort failed to regain at least 80 degrees of ulnohumeral motion. After a repeat release in three burn patients and three trauma patients, and at an average follow-up of forty months, the average arc of ulnohumeral motion was 81 degrees in the burn cohort and 94 degrees in the trauma cohort. Six of the eleven limbs in the burn cohort and five of the nine in the trauma cohort had a good result. The average score according to the American Shoulder and Elbow Surgeons elbow assessment form was 72 points for the burn cohort and 76 points for the trauma cohort.
CONCLUSIONS
Osseous ankylosis of the elbow is a severely disabling problem, and attempts to regain mobility are both worthwhile and safe. The results are comparable when the ankylosis is caused by burns or trauma despite the greater complexity of osseous ankylosis in the burned arm. Patients and surgeons should be aware of the small risk of recurrent heterotopic ossification and the moderate risk of pain or recurrent contracture after operative release.
Topics: Adult; Ankylosis; Burns; Elbow Joint; Female; Follow-Up Studies; Fractures, Bone; Humans; Joint Dislocations; Male; Middle Aged; Orthopedic Procedures; Ossification, Heterotopic; Range of Motion, Articular; Treatment Outcome
PubMed: 12728035
DOI: 10.2106/00004623-200305000-00012