Forestier Disease: Difference between revisions

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== Definition/Description  ==
== Definition/Description  ==


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Forestier disease or diffuse idiopathic skeletal hyperostosis is a condition characterized by thickening, calcification and ossification of soft tissues, mainly ligaments, joint capsules and insertions of muscles and tendons (entheses). Another aspect of the disease is the formation of large, flowing osteophytes due to abnormal bone growth (Mader R 2005(A1), Sarzi-Puttini P 2004(A1), Mader R 2009(A1)) <ref name="1">Mader R, Current therapeutic options in the management of diffuse idiopathic skeletal hyperostosis. Expert Opinion Pharmacother 2005, 6(8): p.1313-1318  (level A1)</ref>&nbsp;<ref name="4">Sarzi-Puttini P, New developments in our understanding of DISH. Curr Opin Rheumatol 2004, vol.16: p.287-292  (level A1)</ref> <ref name="5">Mader R, Sarzi-Puttini P, Extraspinal manifestations of diffuse idiopathic skeletal hyperostosis. Rheumatology 2009, 48: p.1478-1481  (level A1)</ref>.&nbsp;<br>These ossifications are mostly seen in the axial skeleton, of which the thoracic region is the main location (Mader R 2005(A1), Mader R 2002(C)) <ref name="1" />&nbsp;<ref name="3">Mader R, Clinical manifestations of diffuse idiopathic skeletal hyperostosis of the cervical spine. Semin Arthritis Rheum 2002, vol 32, no 2, p.130-135 (level C)</ref>. Also peripheral entheses may be affected: peripatellar ligaments, Achilles tendon insertion, plantar fascia, shoulders, olecranon and metacarpophalangeal joints (Mader R 2005(A1), Sarzi-Puttini P 2004(A1), Mader R 2009(A1)) <ref name="1" />&nbsp;<ref name="4" /> <ref name="5" />.<br>Forestier disease or DISH has also been described by various other names, such as spondylosis hyperostotica, spondylitis ossificans ligamentosa, senile ankylosing hyperostosis and others (Giles LGF 2001) <ref name="9">Giles LGF, Singer KP, Vol.3: Clinical anatomy and management of cervical spine pain. Butterworth Heinemann, 2001, second edition, p.103-104</ref>.&nbsp;<br>&nbsp;<br>
   
 
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== Epidemiology/Etiology  ==
== Epidemiology/Etiology  ==

Revision as of 23:29, 25 May 2011

Welcome to Vrije Universiteit Brussel's Evidence-based Practice project. This space was created by and for the students in the Rehabilitation Sciences and Physiotherapy program of the Vrije Universiteit Brussel, Brussels, Belgium. Please do not edit unless you are involved in this project, but please come back in the near future to check out new information!!

Original Editors Lisa Pernet

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Search Strategy[edit | edit source]

Databases: Pubmed, web of knowledge
Search terms: forestier disease, diffuse idiopathic skeletal hyperostosis, treatment DISH, physical therapy DISH
 

Definition/Description[edit | edit source]

Forestier disease or diffuse idiopathic skeletal hyperostosis is a condition characterized by thickening, calcification and ossification of soft tissues, mainly ligaments, joint capsules and insertions of muscles and tendons (entheses). Another aspect of the disease is the formation of large, flowing osteophytes due to abnormal bone growth (Mader R 2005(A1), Sarzi-Puttini P 2004(A1), Mader R 2009(A1)) Cite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive title Cite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive title Cite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive title
These ossifications are mostly seen in the axial skeleton, of which the thoracic region is the main location (Mader R 2005(A1), Mader R 2002(C)) Cite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive title Cite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive title. Also peripheral entheses may be affected: peripatellar ligaments, Achilles tendon insertion, plantar fascia, shoulders, olecranon and metacarpophalangeal joints (Mader R 2005(A1), Sarzi-Puttini P 2004(A1), Mader R 2009(A1)) Cite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive title Cite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive title Cite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive title.
Forestier disease or DISH has also been described by various other names, such as spondylosis hyperostotica, spondylitis ossificans ligamentosa, senile ankylosing hyperostosis and others (Giles LGF 2001) Cite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive title
 

Epidemiology/Etiology[edit | edit source]

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Characteristics/Clinical Presentation[edit | edit source]

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Differential Diagnosis[edit | edit source]

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Management / Interventions[edit | edit source]

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Key Research[edit | edit source]

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Recent Related Research (from Pubmed)[edit | edit source]

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References[edit | edit source]

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