Neck Hump
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Original Editor - Sehriban Ozmen
Top Contributors - Sehriban Ozmen and Lucinda hampton
Definition[edit | edit source]
The neck hump, also called buffalo hump, is a postural change that develops in the dorso-cervical area due to different causes such as hyperkyphosis, some of diseases, medications, obesity and genetic factors.
Clinically Relevant Anatomy[edit | edit source]
Aetiology[edit | edit source]
- Cervical Lipodystrophy: Refers to a metabolic change seen in HIV-infected patients receiving highly active antiretroviral therapy. Due to lipohypertrophy, localized abnormal fat accumulation may occur in the dorso-cervical area. [1]
- Dowager’s hump: It refers to the curvature with a Cobb angle of more than 40 degrees in hyperkyphosis. [2] It can be due to muscle weakness or sensory deficits [3] and if left untreated can lead to functional limitations, increased risk of falls and vertebral fractures, and low quality of life. [2]
- Cushing's Syndrome
- Madelung's disease: Also known as Launois-Bensaude syndrome [4], is a rare disorder of adipose metabolism, and refers to the multiple, symmetrical lipomatosis / benign symmetric lipomatosis. [5][6] Nonencapsulated lipomas (fatty masses) can present in different parts of the body, including the neck. [7]
- Osteoporosis
- Obesity
- Genetics
Treatment[edit | edit source]
Resources[edit | edit source]
References[edit | edit source]
- ↑ Carrese E, Morandi U, Stefani A, Aramini B. Total thyroidectomy in HIV positive patient with buffalo hump and taurine neck. International Journal of Surgery Case Reports. 2019 Jan 1;61:64-6.
- ↑ 2.0 2.1 Chau C, Chu EC, Huang KH, Tam D, Cheung G. Remission of Dowager’s hump by manipulative correction of spinal alignment: a case report. Journal of Medicine and Life. 2023 Jun;16(6):957.
- ↑ Chu EC, Wong AY. Cervicogenic dizziness in an 11-year-old girl: a case report. Adolescent Health, Medicine and Therapeutics. 2021 Nov 26:111-6.
- ↑ Jang N, Shin HW, Kim J, Yoon KC. A case report of Madelung’s disease. Archives of Craniofacial Surgery. 2020 Oct;21(5):305.
- ↑ Tsilivigkos C, Mastronikolis S, Lygeros S, Tsilimpoti D, Papadas T. Multiple symmetric lipomatosis (Madelung's disease) with symptoms and signs of hypertension, lipodystrophy, and dyspnea: A case report and literature review. Clinical Case Reports. 2021 Jun;9(6):e04288.
- ↑ Liu SZ, Zhou X, Wang YP, Liu Y, Song A. The Madelung’s disease and the buffalo hump sign. QJM: An International Journal of Medicine. 2020 Mar 1;113(3):219-.
- ↑ Nisi G, Sisti A. Madelung's disease. New England Journal of Medicine. 2016;374(6):572-.
