Index to Chiropractic Literature
Index to Chiropractic Literature
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Sunday, October 13, 2024
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ID 3905
  Title Diffuse idiopathic skeletal hyperostosis (DISH): A review of radiographic features and report of four cases
URL https://www.ncbi.nlm.nih.gov/pubmed/8583178
Journal J Manipulative Physiol Ther. 1995 Oct;18(8):547-553
Author(s)
Subject(s)
Peer Review Yes
Publication Type Review
Abstract/Notes

OBJECTIVE: To discuss the diagnostic criteria, clinical findings and radiographic findings of diffuse idiopathic skeletal hyperostosis (DISH).

CLINICAL FEATURES: DISH is a disease that affects elderly persons and is characterized by a bone-forming tendency with prominent radiographic findings, including proliferation of bone throughout the ligaments and tendons of the spine and extremities. Clinical symptoms are often mild and include mild pain and stiffness. DISH can coexist with other articular diseases, such as degenerative joint disease and rheumatoid arthritis, or can be complicated with myelopathy and fracture.

INTERVENTION AND OUTCOME: All four patients were men over the age of 75 and had DISH with associated neurological signs and symptoms. Three patients showed improvement after chiropractic manipulative treatment. One patient was referred for a surgical consultation for atlantoaxial instability from rheumatoid arthritis and was subsequently lost to follow-up.

CONCLUSION: DISH is a common disease of the elderly; clinicians should recognize its radiographic and diagnostic features.

This abstract is reproduced with the permission of the publisher. Article only available in print.


 

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