Painful Camptocormia: the Relevance of Shaking Your Patient's Hand

Overview

Journal Eur Spine J

Specialty Orthopedics

Date 2009 Jul 11

PMID 19590905

Citations 3

Authors

Arnaud Dupeyron

Nina Stober

Anthony Gelis

Giovani Castelnovo

Pierre Labauge

Jacques Pelissier

Affiliations

Soon will be listed here.

Abstract

Camptocormia is an abnormal posture with marked flexion of thoracolumbar spine that abates in the recumbent position. Camptocormia has been described in various neurological (Parkinsonism), muscular (myopathy), psychogenic or orthopedic disorders. There are several hypotheses that can explain this impaired posture but they are usually related to the concomitant pathologies. We report the first case of a patient with confirmed myotonic dystrophy addressed to our medical center for impaired posture who underwent extensive medical exams and explorations because of a myotonic hand. Axial weakness and muscle atrophy, validated by CT-scan imaging, are discussed independent of the concomitant pathology (Parkinson, myopathy).

Citing Articles

Pathophysiological Concepts and Treatment of Camptocormia.

Margraf N, Wrede A, Deuschl G, Schulz-Schaeffer W J Parkinsons Dis. 2016; 6(3):485-501.

PMID: 27314757 PMC: 5008234. DOI: 10.3233/JPD-160836.

Camptocormia in Parkinson's disease: definition, epidemiology, pathogenesis and treatment modalities.

Srivanitchapoom P, Hallett M J Neurol Neurosurg Psychiatry. 2015; 87(1):75-85.

PMID: 25896683 PMC: 5582594. DOI: 10.1136/jnnp-2014-310049.

Spinal surgery in patients with Parkinson's disease: experiences with the challenges posed by sagittal imbalance and the Parkinson's spine.

Koller H, Acosta F, Zenner J, Ferraris L, Hitzl W, Meier O Eur Spine J. 2010; 19(10):1785-94.

PMID: 20422434 PMC: 2989214. DOI: 10.1007/s00586-010-1405-y.

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