Ankylosing hyperostosis. I. Clinical and radiological features.

Harris, John H.; Carter, A R; Glick, Eitan; Storey, Geoffrey O

doi:10.1136/ard.33.3.210

Cited by 76 publications

(31 citation statements)

References 16 publications

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“…In comparison to other previously published studies (Table V), the frequency of back pain of the examined DISH positive probands and controls in this study did not differ. Previous studies [1,3,5,9,14,15] were uncontrolled or may have suffered from a selection bias, in that probands were collected from specialized departments for locomotor diseases. Both facts (i.e.…”

Section: Discussionmentioning

confidence: 99%

Diffuse Idiopathic Skeletal Hyperostosis (Dish) of the Spine: A Cause of Back Pain? A Controlled Study

et al. 1989

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SUMMARYThis is the first controlled study of the frequency of back pain in a European Caucasian population with diffuse idiopathic skeletal hyperostosis (DISH).Elderly patients admitted to hospital for reasons other than back pain were assessed for the presence of spinal DISH using the routine lateral chest radiograph films. A total of 106 probands (82 males, 24 females) with a mean age of 70 years fulfilled the criteria for DISH as defined previously. One hundred and seventyeight patients (117 males, 61 females) not meeting these criteria were used as controls. The prevalence of back pain was assessed by a blinded interviewer using a structured questionnaire. Our primary hypothesis was that spinal DISH positive probands had not had back pain more often than controls. This controlled study showed no statistically significant difference in pain frequency between spinal DISH positive probands and controls at any spinal level.We conclude that back pain does not occur more often in radiographically defined DISH positive probands than in controls. The radiological finding of spinal DISH, as far as it does not lead to stenosis of the spinal canal or dysphagia, thus seems to be a finding without clinical relevance.

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Section: Discussionmentioning

confidence: 99%

Diffuse Idiopathic Skeletal Hyperostosis (Dish) of the Spine: A Cause of Back Pain? A Controlled Study

et al. 1989

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“…Due to the occurrence of both spinal and extraspinal findings, the term diffuse idiopathic skeletal hyperostosis (DISH) was introduced [3]. It is characterized by spinal anterolateral ligamentous calcification or ossification [3][4][5][6], and extraspinal enthesial ossification with bony spur formation [3][4][5], commonly seen at sites such as shoulder, elbow, knee and heel [7][8][9][10][11][12][13][14][15][16][17].…”

mentioning

confidence: 99%

Diffuse Idiopathic Skeletal Hyperostosis (Dish) of the Shoulder: A Cause of Shoulder Pain?

et al. 1990

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SUMMARYShoulder pain is a common complaint and shoulder hyperostosis a frequent radiological condition. However, little is known about the association between the clinical and radiological findings. To evaluate the clinical relevance of shoulder hyperostosis we performed a controlled, blind study of 99 hospitalized probands with and without thoracospinal hyperostosis on lateral chest X-rays. The study included grading of the shoulder hyperostosis on the basis of three bilateral standard radiographs, assessing shoulder pain in a standardized way by an interviewer and recording extraskeletal causes of shoulder pain. The prevalence of shoulder hyperostosis was doubled in probands with thoracospinal hyperostosis compared to controls (/ -5.90, F<0.025, n = 99). Shoulder hyperostosis, irrespective of thoracospinal hyperostosis, predisposed to shoulder pain (40% versus 18%, x 2 = 4.06, F<0.05, n = 74). Shoulder hyperostosis in combination with thoracospinal hyperostosis (shoulder DISH) predisposed to shoulder pain to an even greater extent (46% versus 12%, x 2 = 6.64, P<0.01, n = 47). We conclude that shoulder hyperostosis is a radiological finding of potential clinical relevance.

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“…They also stated that these hyperostotic bony growths may co-exist with osteophytes, but have entirely different anatomical features. According to a clinical and radiological study of patients with ASH by Harris et al (1974), bony spurs and bridges seen in the spine predominate on the right and anterior aspects of the vertebrae, particularly in the lower thoracic region with the maximum number being situated at the Th8/9 level. They also pointed out that 60 percent of the patients showed "fluffy" new bone formation in the pelvic radiographs , and this was also observed on the femoral and tibial condyles, as well as other peripheral joints.…”

Section: Results (Pathological Descriptions)mentioning

confidence: 99%

A study of Skeletal Remains with Diffuse Idiopathic Skeletal Hyperostosis(DISH) from the Edo Period, Japan.

Suzuki

Fujita

Narasaki

et al. 1993

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Ankylosing hyperostosis. I. Clinical and radiological features.

Cited by 76 publications

References 16 publications

Diffuse Idiopathic Skeletal Hyperostosis (Dish) of the Spine: A Cause of Back Pain? A Controlled Study

Diffuse Idiopathic Skeletal Hyperostosis (Dish) of the Spine: A Cause of Back Pain? A Controlled Study

Diffuse Idiopathic Skeletal Hyperostosis (Dish) of the Shoulder: A Cause of Shoulder Pain?

A study of Skeletal Remains with Diffuse Idiopathic Skeletal Hyperostosis(DISH) from the Edo Period, Japan.

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