1
|
Aulia TN, Djufri D, Gatam L, Yaman A. Etiopathogenesis of adolescent idiopathic scoliosis (AIS): Role of genetic and environmental factors. NARRA J 2023; 3:e217. [PMID: 38455619 PMCID: PMC10919743 DOI: 10.52225/narra.v3i3.217] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/03/2023] [Accepted: 09/22/2023] [Indexed: 03/09/2024]
Abstract
Adolescent idiopathic scoliosis (AIS) has been known to be related closely to genetic factors. Higher prevalence of AIS among individuals with family history of scoliosis suggesting critical roles of genetic in the pathogenesis of AIS. However, evidence also suggested that environmental factors such as latitude and sun exposure also play a critical role in the pathogenesis of the disease. While genetic factors played an important role in the occurrence of AIS, environmental factors are more likely to affect the progression of the disease. Although the pathogenesis of AIS remains elusive, current knowledge suggests that genetic factors and its interaction with environmental factors are crucial in the development of the disease, explaining differences in clinical characteristics of AIS across the globe. The aim of this review is to summarize the current knowledge of genetic and environmental factors contributing to AIS and their interactions.
Collapse
Affiliation(s)
- Teuku N. Aulia
- Division of Orthopedic, Department of Surgery, Dr. Zainoel Abidin Hospital, Banda Aceh, Indonesia
- Doctoral Program in Medical Science, Faculty of Medicine, Universitas Syiah Kuala, Banda Aceh, Indonesia
| | - Djufri Djufri
- Department of Biology, Faculty of Teaching, Training, and Education, Universitas Syiah Kuala, Banda Aceh, Indonesia
| | - Luthfi Gatam
- Division of Spine, Department of Orthopedic, Fatmawati General Hospital, Jakarta, Indonesia
| | - Aman Yaman
- Department of Animal Husbandry, Faculty of Agriculture, Universitas Syiah Kuala, Banda Aceh, Indonesia
| |
Collapse
|
2
|
Morimoto T, Yamamoto Y, Suzuki S, Yagi M, Kobayashi T, Mawatari M, Matsumoto M, Watanabe K. Analysis of the sacroiliac joint vacuum phenomenon in adolescent thoracic idiopathic scoliosis (Lenke types 1 and 2). Medicine (Baltimore) 2023; 102:e34487. [PMID: 37653771 PMCID: PMC10470709 DOI: 10.1097/md.0000000000034487] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/13/2023] [Revised: 06/19/2023] [Accepted: 06/28/2023] [Indexed: 09/02/2023] Open
Abstract
The sacroiliac joint (SIJ) is the largest axial joint in the human body, and the SIJ vacuum phenomenon (SIJ VP) is a common finding in computed tomography studies of the abdomen, pelvis, and lumbosacral spine in adults, with the incidence increasing with age. Adolescent idiopathic scoliosis (AIS) is an abnormal spinal curvature that appears during adolescence and places abnormal stress on the SIJs. This retrospective observational study aimed to investigate the incidence of the SIJ VP in thoracic AIS (Lenke types 1 and 2). Sixty-seven patients with AIS (age: 12-19 years) and 76 controls (age: 11-19 years) were retrospectively analyzed to investigate SIJ VP, subchondral bone cysts, and SIJ degeneration (Eno classification: type 0, no degenerative change; type 1, mild degenerative changes; type 2, substantial degenerative changes; and type 3, ankylosis). SIJ degeneration was defined as type ≥ 2. The association between SIJ VP, cysts, SIJ degeneration, and sagittal/coronal spinopelvic alignment was assessed. SIJ VP (59% vs. 35.5%, P < .01), cysts (32.8% vs. 1.3%, P < .01), and SIJ degeneration (3.2% vs. 2.6%, P = .823) differed significantly between the 2 groups. There were 0 cases of SIJ ankylosis (Eno classification type 3) in both groups. The VP was not correlated with lumbar lordosis, sacral slope, or Cobb angle. All lumbar modifier type C belonged to the VP present group, whereas none to VP absent group. Our results suggest an association between AIS and SIJ VP and SIJ cysts. SIJ VP and SIJ cysts in AIS may be caused and accelerated by abnormal mechanical stress on SIJ due to spinal deformity.
Collapse
Affiliation(s)
- Tadatsugu Morimoto
- Department of Orthopaedic Surgery, Faculty of Medicine, Saga University, Saga, Japan
| | - Yusuke Yamamoto
- Department of Orthopaedic Surgery, Faculty of Medicine, Nara Medical University, Nara, Japan
| | - Satoshi Suzuki
- Department of Orthopaedic Surgery, Keio University School of Medicine, Tokyo, Japan
| | - Mitsuru Yagi
- Department of Orthopaedic Surgery, Faculty of Medicine, Nara Medical University, Nara, Japan
| | - Takaomi Kobayashi
- Department of Orthopaedic Surgery, Faculty of Medicine, Saga University, Saga, Japan
| | - Masaaki Mawatari
- Department of Orthopaedic Surgery, Faculty of Medicine, Saga University, Saga, Japan
| | - Morio Matsumoto
- Department of Orthopaedic Surgery, Keio University School of Medicine, Tokyo, Japan
| | - Kota Watanabe
- Department of Orthopaedic Surgery, Keio University School of Medicine, Tokyo, Japan
| |
Collapse
|
3
|
Nokariya S, Kotani T, Sakuma T, Iijima Y, Okumura T, Katogi T, Okuwaki S, Miyagi M, Inoue G, Akazawa T, Shiga Y, Minami S, Ohtori S, Takaso M. Trunk flexibility using a sit-and-reach test after surgery for adolescent idiopathic scoliosis. Spine Deform 2023; 11:297-303. [PMID: 36331800 DOI: 10.1007/s43390-022-00608-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/14/2022] [Accepted: 10/22/2022] [Indexed: 11/06/2022]
Abstract
PURPOSE Spinal fusion reduces flexibility, but we do not have detailed knowledge that accounts for growth or sex differences. We sought to determine trunk flexibility pre- and postoperatively in patients with adolescent idiopathic scoliosis (AIS). METHODS We included data from 109 patients with AIS in this retrospective, single-center observational study. Patients had performed a sit-and-reach (SR) test preoperatively, and 1 and 2 years postoperatively, and measurements were standardized to Z scores according to age and sex. The patient data were divided into three groups according to the level of lower instrumented vertebra (LIV): (1) Group A (fusion above L2); (2) Group B (fusion to L2), and (3) Group C (fusion to L3 or L4). The change in the Z score for various levels was determined and compared. RESULTS The preoperative Z score for all patients was -0.622. At 2 years postoperatively, the Z score in Groups A and B was not significantly different from the preoperative score; in Group C, the Z score decreased by 1 year postoperatively, improved during the second year, but remained significantly lower than the preoperative score. Our study was the first to assess trunk flexibility using the SR test in patients with scoliosis. CONCLUSIONS Preoperatively, patients with AIS had lower SR test Z-scores than the general population, indicating a lower trunk flexibility in these patients. At 2 years after surgery in these patients, trunk flexibility had returned to preoperative levels when LIV was at L2 or above, but when LIV was at L3 or L4, trunk flexibility was less than it was preoperatively. LEVEL OF EVIDENCE Prognostic Level II: retrospective study.
Collapse
Affiliation(s)
- Shun Nokariya
- Department of Orthopedic Surgery, Seirei Sakura Citizen Hospital, 2-36-2 Ebaradai Sakura-Shi, Sakura, Chiba, 285-8765, Japan
- Department of Orthopedic Surgery, Kitasato University School of Medicine, Sagamihara, Japan
| | - Toshiaki Kotani
- Department of Orthopedic Surgery, Seirei Sakura Citizen Hospital, 2-36-2 Ebaradai Sakura-Shi, Sakura, Chiba, 285-8765, Japan.
| | - Tsuyoshi Sakuma
- Department of Orthopedic Surgery, Seirei Sakura Citizen Hospital, 2-36-2 Ebaradai Sakura-Shi, Sakura, Chiba, 285-8765, Japan
| | - Yasushi Iijima
- Department of Orthopedic Surgery, Seirei Sakura Citizen Hospital, 2-36-2 Ebaradai Sakura-Shi, Sakura, Chiba, 285-8765, Japan
| | - Taro Okumura
- Department of Physical Therapy, Seirei Sakura Citizen Hospital, Sakura, Japan
| | - Takehide Katogi
- Department of Physical Therapy, Seirei Sakura Citizen Hospital, Sakura, Japan
| | - Shun Okuwaki
- Department of Orthopedic Surgery, Seirei Sakura Citizen Hospital, 2-36-2 Ebaradai Sakura-Shi, Sakura, Chiba, 285-8765, Japan
| | - Masayuki Miyagi
- Department of Orthopedic Surgery, Kitasato University School of Medicine, Sagamihara, Japan
| | - Gen Inoue
- Department of Orthopedic Surgery, Kitasato University School of Medicine, Sagamihara, Japan
| | - Tsutomu Akazawa
- Department of Orthopedic Surgery, School of Medicine, St. Marianna University, Kawasaki, Japan
| | - Yasuhiro Shiga
- Department of Orthopedic Surgery, Graduate School of Medicine, Chiba University, Chiba, Japan
| | - Shohei Minami
- Department of Orthopedic Surgery, Seirei Sakura Citizen Hospital, 2-36-2 Ebaradai Sakura-Shi, Sakura, Chiba, 285-8765, Japan
| | - Seiji Ohtori
- Department of Orthopedic Surgery, Graduate School of Medicine, Chiba University, Chiba, Japan
| | - Masashi Takaso
- Department of Orthopedic Surgery, Kitasato University School of Medicine, Sagamihara, Japan
| |
Collapse
|
4
|
Systematic review of the association between isolated musculoskeletal hypermobility and adolescent idiopathic scoliosis. Arch Orthop Trauma Surg 2022; 143:3055-3076. [PMID: 35841409 DOI: 10.1007/s00402-022-04508-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/02/2022] [Accepted: 06/08/2022] [Indexed: 11/02/2022]
Abstract
INTRODUCTION Adolescent idiopathic scoliosis (AIS) affects 1-3% of the population, but its pathogenesis remains unclear. The coexistence of musculoskeletal hypermobility and scoliosis in many inherited syndromes raises the possibility that isolated musculoskeletal hypermobility may contribute to AIS development or progression. METHODS We performed a systematic review of the evidence for a relationship between isolated musculoskeletal hypermobility and AIS. A meta-analysis was planned, but if not possible, a narrative evidence synthesis was planned. RESULTS Nineteen studies met eligibility criteria for inclusion. One study was excluded due to insufficient quality. Substantial heterogeneity in study design and methodology negated meta-analysis, so a narrative review was performed. Of the 18 studies included, seven suggested a positive association and eight found no association. Three reported the prevalence of musculoskeletal hypermobility in individuals with AIS. Overall, there was no convincing population-based evidence for an association between musculoskeletal hypermobility and AIS, with only two case-control studies by the same authors presenting compelling evidence for an association. Although populations at extremes of hypermobility had a high prevalence of spinal curvature, these studies were at high risk of confounding. Wide variation in methods of measuring musculoskeletal hypermobility and the challenge of assessing AIS in population-based studies hinder study comparison. CONCLUSIONS There is a paucity of high-quality evidence examining the association between isolated musculoskeletal hypermobility and AIS. Large-scale prospective studies with adequate adjustment for potential confounding factors could clarify the relationship between musculoskeletal hypermobility and AIS to elucidate its role in the pathogenesis of AIS.
Collapse
|
5
|
Liu Z, Hussien AA, Wang Y, Heckmann T, Gonzalez R, Karner CM, Snedeker JG, Gray RS. An adhesion G protein-coupled receptor is required in cartilaginous and dense connective tissues to maintain spine alignment. eLife 2021; 10:67781. [PMID: 34318745 PMCID: PMC8328515 DOI: 10.7554/elife.67781] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2021] [Accepted: 07/22/2021] [Indexed: 12/11/2022] Open
Abstract
Adolescent idiopathic scoliosis (AIS) is the most common spine disorder affecting children worldwide, yet little is known about the pathogenesis of this disorder. Here, we demonstrate that genetic regulation of structural components of the axial skeleton, the intervertebral discs, and dense connective tissues (i.e., ligaments and tendons) is essential for the maintenance of spinal alignment. We show that the adhesion G protein-coupled receptor ADGRG6, previously implicated in human AIS association studies, is required in these tissues to maintain typical spine alignment in mice. Furthermore, we show that ADGRG6 regulates biomechanical properties of tendon and stimulates CREB signaling governing gene expression in cartilaginous tissues of the spine. Treatment with a cAMP agonist could mirror aspects of receptor function in culture, thus defining core pathways for regulating these axial cartilaginous and connective tissues. As ADGRG6 is a key gene involved in human AIS, these findings open up novel therapeutic opportunities for human scoliosis.
Collapse
Affiliation(s)
- Zhaoyang Liu
- Department of Pediatrics, Dell Pediatric Research Institute, 1400 Barbara Jordan Blvd, The University of Texas at Austin, Dell Medical School, Austin, United States.,Department of Nutritional Sciences, The University of Texas at Austin, Austin, United States
| | - Amro A Hussien
- Department of Orthopedics, Balgrist University Hospital, University of Zurich, Zurich, Switzerland.,Institute for Biomechanics, ETH Zurich, Zurich, Switzerland
| | - Yunjia Wang
- Department of Pediatrics, Dell Pediatric Research Institute, 1400 Barbara Jordan Blvd, The University of Texas at Austin, Dell Medical School, Austin, United States.,Department of Spine Surgery and Orthopaedics, Xiangya Hospital, Central South University, Changsha, China
| | - Terry Heckmann
- Department of Pediatrics, Dell Pediatric Research Institute, 1400 Barbara Jordan Blvd, The University of Texas at Austin, Dell Medical School, Austin, United States
| | - Roberto Gonzalez
- Department of Pediatrics, Dell Pediatric Research Institute, 1400 Barbara Jordan Blvd, The University of Texas at Austin, Dell Medical School, Austin, United States
| | - Courtney M Karner
- Department of Internal Medicine, Charles and Jane Pak Center for Mineral Metabolism and Clinical Research, University of Texas Southwestern Medical Center, Dallas, United States
| | - Jess G Snedeker
- Department of Orthopedics, Balgrist University Hospital, University of Zurich, Zurich, Switzerland.,Institute for Biomechanics, ETH Zurich, Zurich, Switzerland
| | - Ryan S Gray
- Department of Pediatrics, Dell Pediatric Research Institute, 1400 Barbara Jordan Blvd, The University of Texas at Austin, Dell Medical School, Austin, United States.,Department of Nutritional Sciences, The University of Texas at Austin, Austin, United States
| |
Collapse
|
6
|
Tang NLS, Dobbs MB, Gurnett CA, Qiu Y, Lam TP, Cheng JCY, Hadley-Miller N. A Decade in Review after Idiopathic Scoliosis Was First Called a Complex Trait-A Tribute to the Late Dr. Yves Cotrel for His Support in Studies of Etiology of Scoliosis. Genes (Basel) 2021; 12:1033. [PMID: 34356049 PMCID: PMC8306836 DOI: 10.3390/genes12071033] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2021] [Revised: 06/08/2021] [Accepted: 06/28/2021] [Indexed: 01/16/2023] Open
Abstract
Adolescent Idiopathic Scoliosis (AIS) is a prevalent and important spine disorder in the pediatric age group. An increased family tendency was observed for a long time, but the underlying genetic mechanism was uncertain. In 1999, Dr. Yves Cotrel founded the Cotrel Foundation in the Institut de France, which supported collaboration of international researchers to work together to better understand the etiology of AIS. This new concept of AIS as a complex trait evolved in this setting among researchers who joined the annual Cotrel meetings. It is now over a decade since the first proposal of the complex trait genetic model for AIS. Here, we review in detail the vast information about the genetic and environmental factors in AIS pathogenesis gathered to date. More importantly, new insights into AIS etiology were brought to us through new research data under the perspective of a complex trait. Hopefully, future research directions may lead to better management of AIS, which has a tremendous impact on affected adolescents in terms of both physical growth and psychological development.
Collapse
Affiliation(s)
- Nelson L. S. Tang
- KIZ/CUHK Joint Laboratory of Bioresources and Molecular Research in Common Diseases, Department of Chemical Pathology, Li Ka Shing Institute of Health Sciences, The Chinese University of Hong Kong, Hong Kong SAR, China
- Functional Genomics and Biostatistical Computing Laboratory, CUHK Shenzhen Research Institute, Shenzhen 518000, China
| | - Matthew B. Dobbs
- Dobbs Clubfoot Center, Paley Orthopedic and Spine Institute, West Palm Beach, FL 33401, USA;
| | - Christina A. Gurnett
- Department of Neurology, Washington University in St Louis, St Louis, MO 63110, USA;
| | - Yong Qiu
- Department of Spine Surgery, The Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing 210000, China;
| | - T. P. Lam
- Department of Orthopaedics & Traumatology and SH Ho Scoliosis Research Lab, Joint Scoliosis Research Center of the Chinese University of Hong Kong and Nanjing University, The Chinese University of Hong Kong, Hong Kong SAR, China; (T.P.L.); (J.C.Y.C.)
| | - Jack C. Y. Cheng
- Department of Orthopaedics & Traumatology and SH Ho Scoliosis Research Lab, Joint Scoliosis Research Center of the Chinese University of Hong Kong and Nanjing University, The Chinese University of Hong Kong, Hong Kong SAR, China; (T.P.L.); (J.C.Y.C.)
| | - Nancy Hadley-Miller
- Department of Orthopedics, University of Colorado Anschutz Medical Campus, Aurora, CO 80012, USA;
| |
Collapse
|
7
|
Gillas F, Mekki A, Foy M, Carlier R, Benistan K. Prevalence of Scoliosis in Hypermobile Ehlers-Danlos Syndrome. EUROPEAN MEDICAL JOURNAL 2021. [DOI: 10.33590/emj/20-00284] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
Abstract
Objective: The main purpose of this study was to evaluate the prevalence, form, and severity of scoliosis in a population of adults meeting the 2017 criteria for hypermobile Ehlers-Danlos syndrome (hEDS). The second objective was to compare the prevalence of scoliosis versus other criteria at initial hEDS diagnosis.
Methods: A retrospective study looking at the frequency and severity of scoliosis in adults (N=28) meeting the 2017 diagnostic criteria for hEDS through analysis of a full spine EOS® X-ray (EOS imaging, Paris, France) performed at the initial diagnosis. Severity was defined by the Cobb angle.
Results: At the initial diagnosis, the mean age was 30.1 years (standard deviation [SD]: ±10.18 years). Twenty-nine percent (n=8/28) of patients fulfilling hEDS criteria presented with scoliosis. Thirty-two percent (n=9/28) of patients had scoliotic inflection and 39% (n=11/28) had no scoliosis. Scoliosis was mild-to-moderate with a mean Cobb angle of 13.6° (SD: ±3.5°). None of the patients had severe scoliosis requiring surgery. Compared to the 2017 diagnostic criteria, it is noteworthy that scoliosis prevalence in this present study population ranks at the level of the most frequent ones.
Conclusion: This study provides interesting information regarding frequency of scoliosis and scoliotic inflection in a group of patients with hEDS. Although the patients did not present with severe forms of scoliosis at initial diagnosis, the results highlight the importance of systematically looking for scoliosis in adult and young patients, in order to follow progression and ensure appropriate management.
Collapse
Affiliation(s)
- Fabrice Gillas
- Department for Non-vascular Ehlers-Danlos Syndromes, Raymond Poincaré Hospital, Garches, France
| | - Ahmed Mekki
- DMU Smart Imaging, Department of Radiology, Raymond Poincaré Hospital, Garches, France
| | - Malika Foy
- Department for Non-vascular Ehlers-Danlos Syndromes, Raymond Poincaré Hospital, Garches, France
| | - Robert Carlier
- DMU Smart Imaging, Department of Radiology, Raymond Poincaré Hospital, Garches, France; INSERM U1179, Versailles Saint-Quentin-en-Yvelines University, Montigny-le-Bretonneux, France
| | - Karelle Benistan
- Department for Non-vascular Ehlers-Danlos Syndromes, Raymond Poincaré Hospital, Garches, France; INSERM U1179, Versailles Saint-Quentin-en-Yvelines University, Montigny-le-Bretonneux, France
| |
Collapse
|
8
|
Davydov BN, Domenyuk DA, Dmitrienko SV, Kondratyeva TA, Harutyunyan YS. Cephalometric features of connective tissue dysplasia manifestation in children and adolescents. Pediatr Dent 2020. [DOI: 10.33925/1683-3031-2020-20-3-174-183] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Relevance. The high prevalence of dysplastic disorders involving connective tissue, and its negative effecton the development of dentoalveolar anomalies, carious and non-carious lesions of the teeth, periodontopathy, temporomandibular joint issues in the child population, lay the basis for improving diagnostics algorithms. Enhancing the already available standards is of greatest importance for children at the initial stages of diagnostics when evaluating the external signs of dysplastic disorders.Purpose – improving diagnostics algorithms for connective tissue dysplasia (CTD) in children in primary dental care facilities based on the evaluation of external phenotype signs and maxillofacial morphological features.Materials and methods. Depending on the external phenotype manifestations severity, as well as on laboratory, clinical and instrumental signs, the 92 children with CTD were divided into groups with mild, moderate and severe degrees of undifferentiated dysplasia. Gnathometric and biometric examinations of the maxillofacial area were performed through traditional methods, whereas the diagnosis was set following the generally accepted classifications. The diagnosis confirmation implied evaluation through cone beam computed imaging.Results. The nature and the intensity of morphofunctional disorders in the craniofacial structures (“small” stigmas) depend on the severity of connective tissue dysplastic disorders.Conclusions. The change direction vector in the facial and brain parts of cranium in children with CTD is aimed at increasing hypoplastic tendencies and dolichocephalia, proof to that being the following constitutional and morphological features: the prevalence of the vertical type of face skeleton growth over the horizontal and neutral ones; a convex face profile with a disproportionate general heights of the face skeleton; reduction of latitudinal with an increase in altitude facial parameters; a narrow short branch of the lower jaw; the upper jaw displaced downwards and forward; a decrease in the size of the apical basis of the lower dentition, the lower jaw body, as well as the height and width of the lower jaw branches.
Collapse
Affiliation(s)
- B. N. Davydov
- Federal State Budgetary Educational Institution "Tver State Medical University" of the Ministry of Health of the Russian Federation
| | - D. A. Domenyuk
- Federal State Budgetary Educational Institution "Stavropol State Medical University" of the Ministry of Health of the Russian Federation
| | - S. V. Dmitrienko
- Volgograd State Medical University of the Ministry of Health of the Russian Federation
| | - T. A. Kondratyeva
- Federal State Budgetary Educational Institution "Stavropol State Medical University" of the Ministry of Health of the Russian Federation
| | - Yu. S. Harutyunyan
- Federal State Budgetary Educational Institution "Stavropol State Medical University" of the Ministry of Health of the Russian Federation
| |
Collapse
|
9
|
Nikolenko VN, Oganesyan MV, Vovkogon AD, Cao Y, Churganova AA, Zolotareva MA, Achkasov EE, Sankova MV, Rizaeva NA, Sinelnikov MY. Morphological signs of connective tissue dysplasia as predictors of frequent post-exercise musculoskeletal disorders. BMC Musculoskelet Disord 2020; 21:660. [PMID: 33032568 PMCID: PMC7545870 DOI: 10.1186/s12891-020-03698-0] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/06/2020] [Accepted: 10/01/2020] [Indexed: 12/01/2022] Open
Abstract
Background Connective tissue dysplasia (CTD) is a risk factor for musculoskeletal disorders. Changes caused by disorganization of collagen and elastin fibers lead to the inability of withstanding heavy mechanical stress. In clinical practice, diagnosis of these disorders depends on physical and anthropomorphic evaluation. Methods Forty-eight patients with frequent post-exercise musculoskeletal disorders were evaluated for CTD. The control group included 36 healthy participants. Both groups were evaluated via therapeutic examination with assessment of anthropometric indicators and physical-physiological evaluation, surveying and gathering of anamnesis. Based on testing results, study participants were evaluated on CTD presence and risk factors. Results All experimental group patients had connective tissue dysplasia of moderate and severe degree, with a total score of 49.44 ± 13.1. Certain morphological characteristics showed prevalence, allowing to determine pathognomonic predictors of high predisposition to frequent post-exercise musculoskeletal disorders. Back pain (100%), asthenic syndrome and kyphotic spinal deformation (75%), high gothic palate, hypermobility of joints and the auricles, excessive elasticity (63%), varicose veins of the lower extremities (56%) and hemorrhoids (56%), changes in the shape of the legs and temporomandibular joint (50%) showed to be significant clinical factors indicating possible connective tissue dysplasia. Conclusions The presence of these diagnostically significant morphological signs of CTD in humans is a pathognomonic predictor of a high predisposition to frequent injuries. Their early detection helps promote proper appointment of adequate physical activity regimen and develop treatment for the underlying cause.
Collapse
Affiliation(s)
- V N Nikolenko
- First Moscow State Medical University named after I.M.Sechenov (Sechenov University), st. Trubetskaya, 8, bld. 2, 119991, Moscow, Russia.,Lomonosov Moscow State University, Leninskie Gory, 1, 119991, Moscow, Russia
| | - M V Oganesyan
- First Moscow State Medical University named after I.M.Sechenov (Sechenov University), st. Trubetskaya, 8, bld. 2, 119991, Moscow, Russia
| | - A D Vovkogon
- First Moscow State Medical University named after I.M.Sechenov (Sechenov University), st. Trubetskaya, 8, bld. 2, 119991, Moscow, Russia.,European Osteopathic Clinical Center of the Moscow branch of the "Medical Academy of Osteopathic Education", Gavanskaya St., 4, block 2, 199106, St. Petersburg, Russia
| | - Yu Cao
- First Moscow State Medical University named after I.M.Sechenov (Sechenov University), st. Trubetskaya, 8, bld. 2, 119991, Moscow, Russia
| | - A A Churganova
- First Moscow State Medical University named after I.M.Sechenov (Sechenov University), st. Trubetskaya, 8, bld. 2, 119991, Moscow, Russia
| | - M A Zolotareva
- First Moscow State Medical University named after I.M.Sechenov (Sechenov University), st. Trubetskaya, 8, bld. 2, 119991, Moscow, Russia
| | - E E Achkasov
- First Moscow State Medical University named after I.M.Sechenov (Sechenov University), st. Trubetskaya, 8, bld. 2, 119991, Moscow, Russia
| | - M V Sankova
- First Moscow State Medical University named after I.M.Sechenov (Sechenov University), st. Trubetskaya, 8, bld. 2, 119991, Moscow, Russia
| | - N A Rizaeva
- First Moscow State Medical University named after I.M.Sechenov (Sechenov University), st. Trubetskaya, 8, bld. 2, 119991, Moscow, Russia
| | - M Y Sinelnikov
- Institute for Regenerative Medicine, Sechenov University, st. Trubetskaya, 8, bld. 2, 119991, Moscow, Russia.
| |
Collapse
|
10
|
Babaee T. Best in-brace curve correction is related to multiple variables in adolescents with idiopathic scoliosis. Spine J 2019; 19:1302. [PMID: 30928720 DOI: 10.1016/j.spinee.2019.01.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/01/2019] [Revised: 01/30/2019] [Accepted: 01/30/2019] [Indexed: 02/03/2023]
Affiliation(s)
- Taher Babaee
- Department of Orthotics and Prosthetics, School of Rehabilitation Sciences, Iran University of Medical sciences, Madadkaran Avenue, Shahnazari St., Madar Square, Mirdamad Blvd., Tehran, Iran.
| |
Collapse
|