Neck Hump: Difference between revisions
No edit summary |
(The "Aetiology" section is updated.) |
||
| Line 10: | Line 10: | ||
== Definition == | == Definition == | ||
The neck hump, also called buffalo hump, is a postural change that develops in the | The neck hump, also called buffalo hump, is a postural change that develops in the dorso-[[Cervical Anatomy|cervical]] area due to different causes such as [[Thoracic Hyperkyphosis|hyperkyphosis]], some of diseases, medications, [[obesity]] and genetic factors. | ||
== Clinically Relevant Anatomy == | == Clinically Relevant Anatomy == | ||
| Line 16: | Line 16: | ||
== Aetiology == | == Aetiology == | ||
# Cervical Lipodystrophy: Refers to a metabolic change seen in [[Human Immunodeficiency Virus (HIV)|HIV]]-infected patients receiving highly active antiretroviral therapy. Due to lipohypertrophy, localized abnormal fat accumulation may occur in the dorso-cervical area. <ref>Carrese E, Morandi U, Stefani A, Aramini B. [https://www.sciencedirect.com/science/article/pii/S221026121930402X#bib0020 Total thyroidectomy in HIV positive patient with buffalo hump and taurine neck]. International Journal of Surgery Case Reports. 2019 Jan 1;61:64-6.</ref> | |||
# Dowager’s hump: It refers to the curvature with a [[Cobb Angle|Cobb angle]] of more than 40 degrees in [[Thoracic Hyperkyphosis|hyperkyphosis]]. <ref name=":0">Chau C, Chu EC, Huang KH, Tam D, Cheung G. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10478669/ Remission of Dowager’s hump by manipulative correction of spinal alignment: a case report]. Journal of Medicine and Life. 2023 Jun;16(6):957.</ref> It can be due to muscle weakness or sensory deficits <ref>Chu EC, Wong AY. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8636150/ Cervicogenic dizziness in an 11-year-old girl: a case report]. Adolescent Health, Medicine and Therapeutics. 2021 Nov 26:111-6.</ref> and if left untreated can lead to functional limitations, increased risk of falls and vertebral fractures, and low quality of life. <ref name=":0" /> | |||
# [[Cushing's Syndrome]] | # [[Cushing's Syndrome]] | ||
# [[ | # Madelung's disease: Also known as Launois-Bensaude syndrome <ref>Jang N, Shin HW, Kim J, Yoon KC. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7644345/ A case report of Madelung’s disease. Archives of Craniofacial Surgery]. 2020 Oct;21(5):305.</ref>, is a rare disorder of adipose metabolism, and refers to the multiple, symmetrical lipomatosis / benign symmetric lipomatosis. <ref>Tsilivigkos C, Mastronikolis S, Lygeros S, Tsilimpoti D, Papadas T. [https://onlinelibrary.wiley.com/doi/full/10.1002/ccr3.4288 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.</ref><ref>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-.</ref> Nonencapsulated lipomas (fatty masses) can present in different parts of the body, including the neck. <ref>Nisi G, Sisti A. Madelung's disease. New England Journal of Medicine. 2016;374(6):572-.</ref> | ||
# [[Osteoporosis]] | # [[Osteoporosis]] | ||
# Obesity | # Obesity | ||
Revision as of 18:43, 10 October 2023
This article or area is currently under construction and may only be partially complete. Please come back soon to see the finished work! (10/10/2023)
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-.
