Atlantoaxial instability & Joint hypermobility

소개

Atlantoaxial instability & Joint hypermobility 에 대한 각각의 연관 질환에 대한 파워포인트입니다.

자세한 사진 설명 등이 함께 있습니다.

목차

1. Atlantoaxial instability
1) ADI (ATLANTO-DENS INTERVAL)
2) SAC
3) Associated conditions
: Congenital scoliosis
Down syndrome
Osteogenesis imperfecta
Neurofibromatosis
Morquio syndrome
Larsen syndrome
Spondyloepiphyseal dysplasia congenita
Chondrodysplasia punctata
Metatropic dysplasia (a rare syndrome that can present with AAI)
Kniest syndrome (also can present with AAI; a workup must be performed prior to any operative interventions)
Odontoid abnormalities
Os odontoideum
Ossiculum terminale
Third condyle
Hypoplasia or absence of the dens
Dwarfism
Pseudoachondroplasia
Cartilage-hair hyperplasia
Rheumatoid arthritis
Ankylosing spondylitis
Scott syndrome
Infections of the head and neck
Tumors
Trauma
Cerebral palsy
Steroid therapy
Grisel syndrome
Ehlers-Danlos syndrome
Klippel- Feil sundrome

2. Joint hypermobility
Cleidocranial dysplasia
Cohen syndrome
Ehlers-Danlos syndrome
Fragile X syndrome
Glactosamine-6-sulfatase deficiency
Hypermobility syndrome
Joint hyper mobility syndrome
Langer-Gledion syndrome
Lenz-Majewski hyperostosis syndrome
Loewenthal syndrome
Lowe syndrome
Marfan syndrome
Mirhosseini-Holmes-Waton syndrome
Morquio syndrome
Nonkeratan-sulfate-excreting Morquio syndrome
Occipital horn syndrome
Osteodysplasty(Menlnick-Needles)
Osteogenesis imperfecta
Osteoporosis-psuedoglioma syndrome
Psuedoxanthoma elasticum dominant type2
SHORT syndrome
Shprintzen Goldnerg syndrome
Spinal muscular Atrophy type I
Stickler’s syndrome
Ullrich congenital muscular dystrophy
Williams syndrome
Xylosylprotein 4 beta galatosyltransferase deficicency
Zimmerman Lanband syndrome

본문내용

Associated conditions
: Congenital scoliosis
Down syndrome
Generalized ligamentous laxity
C0-C1 instability 60 %
C1-C2 instability 15%
Progressive instability most common in males > 10 yr
Surgical complications common
Graft resorption
Instability above, below fusion
Immobilize 6 mo post-op

Congenital scoliosis
Caused by disturbances in vertebral development during the sixth to eighth week of embryologic development

Morquio`s syndrome
Error of mucopolysaccharide metabolism with excretion of keratan sulfate in urine
Skeletal defects with short stature
Severe deformity of spine and thorax
Long bones with irregular epiphyses shafts of normal length
Enlarged joint
Flaccid ligaments
Waddling gait
AR inheritance
- type IV A mucopolysaccharidosis : absence of galactose-1-sulfatase
- type IV B : deficiency of a beta-galactosidase.

참고자료

· Campbell`s Orthopaedic surgery