696 results match your criteria Imaging in Diffuse Idiopathic Skeletal Hyperostosis


Zenker's Diverticulum in Forestier Disease: Chance or Causality?

Iran J Otorhinolaryngol 2022 Mar;34(121):107-112

Department of Biomedicine, Neuroscience and Advanced Diagnostic, University of Palermo, Palermo, Italy.

Introduction: Zenker's diverticulum is an acquired sac-like outpouching of the mucosa and submucosa layers originating at the pharyngoesophageal junction. The predominant symptom of Zenker's diverticulum is dysphagia. Videofluoroscopy confirms the diagnosis. Read More

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Subchondral bone attenuation coefficient utility of the sacroiliac margins to differentiate spondyloarthritis and osteitis condensans ilii.

RMD Open 2022 05;8(1)

Department of Rheumatology, CHU Besancon, Besancon, France

Introduction: Differentiating ankylosing spondylitis (AS) from osteitis condensans ilii (OCI) remains challenging for clinicians. The aim of this study was to determine whether Subchondral Bone Attenuation Coefficient of the SacroIliac margins (SBAC-SI) is different in AS, OCI and diffuse idiopathic skeletal hyperostosis (DISH).

Methods: A monocentric retrospective observational study was performed at the University Hospital of Besançon. Read More

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Difficult transesophageal echocardiography probe insertion due to cervical diffuse idiopathic skeletal hyperostosis.

Ann Card Anaesth 2022 Apr-Jun;25(2):246-247

Department of Anesthesiology, Kumamoto University Hospital, Kumamoto, Japan.

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No correlation between diffuse idiopathic skeletal hyperostosis and coronary artery disease on computed tomography using two different scoring systems.

Acta Radiol 2022 Apr 4:2841851221090890. Epub 2022 Apr 4.

Department of Diagnostic Imaging, 26744Sheba Medical Center, Tel Hashomer, Israel, affiliated with the Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.

Background: An association between diffuse idiopathic skeletal hyperostosis (DISH) and a history of coronary artery disease (CAD) was previously reported.

Purpose: To investigate the association between DISH and CAD as assessed using the coronary artery calcification score (CACS) and the CAD-Reporting and Data System (CAD-RADS) score in patients with symptomatic chest pain.

Material And Methods: Consecutive cardiac CT scans performed before and after IV contrast administration were evaluated for CACS (Agatston method), CAD-RADS, and the presence of DISH. Read More

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Osteophytes' position in subjects with DISH and right-sided aorta: verification of the "aortic pulsation protective effect" theory.

Rheumatology (Oxford) 2022 Mar 30. Epub 2022 Mar 30.

Department of Diagnostic Imaging, Sheba Medical Center, affiliated with the Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.

Objectives: To validate on a large cohort with right-sided aorta the theory that thoracic right-sided flowing osteophytes in diffuse idiopathic skeletal hyperostosis (DISH) result from a "protective" effect of the pulsating descending left sided thoracic aorta.

Methods: Chest CTs of patients with DISH and right-sided aorta and controls with left-sided aorta were evaluated and compared on each intervertebral space (IS) for the location of the aorta (right, left, center) and the location of the osteophyte relative to the aorta (contralateral, ipsilateral, bilateral).

Results: The study and control cohorts included 31/35 subjects) M/F : 22/9/27/8 median age: 64. Read More

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Diffuse idiopathic skeletal hyperostosis in a young woman treated with isotretinoin.

Reumatol Clin (Engl Ed) 2022 Mar;18(3):184-185

Department of Rheumatology, Hospital Son Llàtzer, Palma de Mallorca, Spain.

We present the case of a 36-year-old woman with diffuse idiopathic skeletal hyperostosis especially at cervical spine since she was 29 years old. The only relevant feature was the use of isotretinoin at regular doses in the past for severe acne. Read More

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Vertebral compression fracture with diffuse idiopathic skeletal hyperostosis.

J Gen Fam Med 2022 Mar 2;23(2):118-119. Epub 2021 Sep 2.

Department of Medical Education Studies International Research Center for Medical Education Graduate School of Medicine The University of Tokyo Tokyo Japan.

A 90-year-old Japanese man presented with back pain after falling. Imaging tests revealed compression fracture of the lumber vertebrae with diffuse idiopathic skeletal hyperostosis (DISH), and surgical intervention was performed. Back pain is common in primary care setting, and primary care physicians should recognize this condition well. Read More

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Diffuse Idiopathic Skeletal Hyperostosis Combined with Thoracic Spinal Stenosis Treated by Endoscopic Surgery: A Case Report.

JBJS Case Connect 2022 02 24;12(1). Epub 2022 Feb 24.

Department of Spinal Surgery, Xuzhou Central Hospital, Xuzhou, China.

Case: A 48-year-old man presented to our facility with debilitating motor and sensory symptoms due to advanced T10-11 thoracic spinal stenosis secondary to diffuse idiopathic skeletal hyperostosis (DISH). The patient's condition was addressed with endoscopic spine surgery through a yet-to-be-reported interlaminar approach, and at the 12-month follow-up, his neurologic function was significantly improved.

Conclusion: Select patients with symptomatic thoracic spinal stenosis secondary to DISH can be effectively managed with endoscopic spine surgery through an interlaminar approach by clinicians with extensive endoscopic spine experience. Read More

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February 2022

Cervical Diffuse Idiopathic Skeletal Hyperostosis: Rare Cause of Emergency Tracheostomy.

Cureus 2022 Jan 4;14(1):e20925. Epub 2022 Jan 4.

Otorhinolaryngology, Nicosia General Hospital, Nicosia, CYP.

Diffuse idiopathic skeletal hyperostosis (DISH) is a rare and potentially life-threatening syndrome. We present the case of a patient complaining about severe dyspnoea and diagnosed with vocal cord paresis. An emergency tracheotomy was performed to restore his breathing. Read More

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January 2022

Hyperextension-distraction fractures in ankylosing and spondylotic spines: injury profile and treatment results.

Int Orthop 2022 04 20;46(4):889-895. Epub 2022 Jan 20.

Department of Orthopedics - Division of Spine Surgery, Hospital del Trabajador, Santiago, Chile.

Study Design: Case series study.

Purpose: To describe demographic metrics, and clinical and radiographical outcomes of surgical treatment in patients with ankylosed spine (ASP) such as diffuse idiopathic skeletal hyperostosis (DISH) or ankylosing spondylitis (AS) and non-ankylosed spines (NAS) suffering from hyperextension-distraction spine fractures.

Methods: Patients diagnosed with hyperextension-distraction fractures between 2012 and 2020 were identified. Read More

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Historical bioarcheological aspects of diffuse idiopathic skeletal hyperostosis in humans.

Semin Arthritis Rheum 2022 02 30;52:151942. Epub 2021 Dec 30.

Emeritus Director Monash Health Rheumatology, Adjunct Clinical Professor, Monash University, Melbourne, Victoria, Australia. Electronic address:

Objective: To identify diffuse idiopathic skeletal hyperostosis (DISH) in the human bioarcheological record to seek out temporal, geographic and dietary information to enhance better understanding of this common condition.

Materials And Methods: A review of available literature was conducted.

Results: DISH has been identified in hominin populations over millions of years, including several different human species. Read More

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February 2022

Posterior Percutaneous Screw Fixation to Treat Vertebral Fracture Non-union in Diffuse Idiopathic Skeletal Hyperostosis.

Cureus 2021 Nov 25;13(11):e19895. Epub 2021 Nov 25.

Trauma and Orthopaedics, Royal Berkshire National Health Service Foundation Trust, Reading, GBR.

Diffuse idiopathic skeletal hyperostosis (DISH) alters the biomechanical properties of the spine, rendering it highly prone to fracture, following even minor trauma. Risk of delayed diagnosis of vertebral fractures is particularly high in this cohort of patients since radiographs are notoriously difficult to interpret and presentation is late, due to difficulty distinguishing new from pre-existing back pain. Our case describes a gentleman in his late sixties with a six-month delay in presentation to our services with a T12 fracture, secondary to previously undiagnosed DISH, which had progressed to non-union. Read More

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November 2021

The role of diffuse idiopathic skeletal hyperostosis (DISH) in positive identification.

J Forensic Sci 2022 May 29;67(3):877-888. Epub 2021 Dec 29.

Department of Anatomy & Neurobiology, Boston University School of Medicine, Boston, USA.

The use of skeletal pathologies in establishing positive identifications via radiographic comparison is often avoided-and thus understudied-due to the dynamic nature of the skeleton in response to pathological conditions. Using an online survey, this study tests the accuracy of diffuse idiopathic skeletal hyperostosis (DISH), a relatively common vertebral pathology, in making positive identifications through radiographic comparison. Three digital radiographic images from 51 DISH-positive individuals were obtained from the Boston Medical Center: one image taken at a baseline date (Group A), one image taken within 2 years from baseline (Group B), and one image taken greater than 4. Read More

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Risk Factors for Reoperation at Same Level after Decompression Surgery for Lumbar Spinal Stenosis in Patients with Diffuse Idiopathic Skeletal Hyperostosis Extended to the Lumbar Segments.

Spine Surg Relat Res 2021 9;5(6):381-389. Epub 2021 Feb 9.

Department of Orthopaedic Surgery, Osaka City University, Osaka, Japan.

Introduction: Diffuse idiopathic skeletal hyperostosis (DISH) extended to the lumbar segments (L-DISH) reportedly has adverse effects on the surgical outcomes of lumbar spinal stenosis (LSS). However, the risk factors in patients with L-DISH have not been clarified. The purpose of this study was to investigate the long-term risk factors for reoperation at the same level after decompression surgery alone for LSS in patients with L-DISH in a retrospective cohort study. Read More

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February 2021

[CME Rheumatology 24/Answers: DISH of the Hand and Undifferentiated Polyarthritis].

Praxis (Bern 1994) 2021 ;110(16):958-960

Imamed Radiologie Nordwest AG, Basel.

CME Rheumatology 24/Answers: DISH of the Hand and Undifferentiated Polyarthritis We present a case with undifferentiated, unclassified polyarthritis and with peripheral diffuse idiopathic skeletal hyperostosis (DISH). We discuss the differential diagnoses of "seronegative" polyarthritis and explain the radiographic findings of the little-known peripheral aspects of DISH. Read More

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December 2021

Maximum number of bone cross-linked vertebrae: an index for BMD in diffuse idiopathic skeletal hyperostosis.

J Bone Miner Metab 2022 Mar 29;40(2):308-316. Epub 2021 Nov 29.

Department of Orthopedic Surgery, Keio University, Tokyo, Japan.

Introduction: The maximum number of vertebral bodies with bony bridges between adjacent vertebrae (max VB) helps assess the risk of fracture in diffuse idiopathic skeletal hyperostosis (DISH). In addition to max VB, the maximum thickness of bone cross-bridges (max TB) may be an index of bone mineral density (BMD). Therefore, this study investigated the relationship among max VB, max TB, and BMD. Read More

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Association between diffuse idiopathic skeletal hyperostosis and thoracic kyphosis in patients with cervical myelopathy: a retrospective observational study.

BMC Musculoskelet Disord 2021 Nov 18;22(1):964. Epub 2021 Nov 18.

Department of Orthopedic Surgery, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8519, Japan.

Background: Diffuse idiopathic skeletal hyperostosis (DISH) is a structural abnormality of the thoracic spine that is known to impair posture. However, the relationship between DISH and sagittal balance in the whole spine is unclear. The aims of this study were to investigate the prevalence of DISH in patients with cervical myelopathy caused by cervical ossification of the posterior longitudinal ligament (OPLL) or cervical spondylosis and to compare sagittal alignment of the spine between patients with and without DISH. Read More

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November 2021

Diffuse idiopathic skeletal hyperostosis is associated with incident stroke in patients with increased cardiovascular risk.

Rheumatology (Oxford) 2021 Nov 13. Epub 2021 Nov 13.

Department of Vascular Medicine, University Medical Center Utrecht and Utrecht University, the Netherlands, Utrecht.

Objectives: Earlier retrospective studies have suggested a relation between diffuse idiopathic skeletal hyperostosis [DISH] and cardiovascular disease, including myocardial infarction. The present study assessed the association between DISH and incidence of cardiovascular events and mortality in patients with high cardiovascular risk.

Methods: In this prospective cohort study, we included 4624 patients (mean age 58. Read More

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November 2021

History Page: Leaders in MSK Radiology.

Semin Musculoskelet Radiol 2021 Aug 27;25(4):637-638. Epub 2021 Oct 27.

Department of Radiology, Radiologie B, Hôpital Cochin APHP, Paris, France.

This history page in the series "Leaders in MSK Radiology" is dedicated to the memory and achievements of the French physician Jacques Forestier, whose name is connected with the medical eponym Forestier's disease, later referred to as diffuse idiopathic skeletal hyperostosis. Read More

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[CME Rheumatology 24: DISH of the Hand and Undifferentiated Polyarthritis].

Praxis (Bern 1994) 2021 ;110(14):778-784

Imamed Radiologie Nordwest AG, Basel.

CME Rheumatology 24: DISH of the Hand and Undifferentiated Polyarthritis We present a case with undifferentiated, unclassified polyarthritis and with peripheral diffuse idiopathic skeletal hyperostosis (DISH). We discuss the differential diagnoses of "seronegative" polyarthritis and explain the radiographic findings of the little-known peripheral aspects of DISH. Read More

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October 2021

Identifying Clinicoradiological Phenotypes in Diffuse Idiopathic Skeletal Hyperostosis: A Cross-Sectional Study.

Medicina (Kaunas) 2021 Sep 24;57(10). Epub 2021 Sep 24.

Hospital Universitari de Bellvitge, Hospitalet de Llobregat, 08907 Barcelona, Spain.

: Diffuse idiopathic skeletal hyperostosis (DISH) is a bone formation disease in which only skeletal signs are considered in classification criteria. The aim of the study was to describe different phenotypes in DISH patients based on clinicoradiological features. : We evaluated 97 patients who met the Resnick or modified Utsinger classification criteria for DISH and were diagnosed at our hospital from 2004 to 2015. Read More

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September 2021

Incidental posterior rib hyperostosis on chest CT: incidence and etiology.

Skeletal Radiol 2022 Jun 18;51(6):1173-1178. Epub 2021 Oct 18.

Department of Radiology, University of Kansas Medical Center, 3901 Rainbow Blvd. MS 4032, Kansas City, KS, 66160, USA.

Objective: Incidental rib hyperostosis is defined as asymmetric cortical thickening and sclerosis of the medial posterior ribs and is important because it may lead to unnecessary laboratory testing, additional imaging and occasionally biopsy. The purpose of this study is to identify the incidence of rib hyperostosis within different patient groups known to have an increased propensity towards osteophyte formation and ankylosis.

Methods: This study was a retrospective cohort study reviewing chest CT examinations in a control group of patients over 50 years old and three different patient populations: psoriatic arthritis, ankylosing spondylitis, and diffuse idiopathic skeletal hyperostosis (DISH). Read More

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Osteophytes causing dysphagia in Forestier's disease.

Joint Bone Spine 2022 01 13;89(1):105294. Epub 2021 Oct 13.

Faculty of medicine of Tunis, University Tunis-el-Manar, Tunis, Tunisia; ENT department, Beja Hospital, avenue Habib-Bourguiba, 9000 Beja, Tunisia.

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January 2022

Negative impact of short-level posterior lumbar interbody fusion in patients with diffuse idiopathic skeletal hyperostosis extending to the lumbar segment.

J Neurosurg Spine 2021 Oct 15:1-7. Epub 2021 Oct 15.

Objective: The development of diffuse idiopathic skeletal hyperostosis (DISH) often requires further surgery after posterior decompression without fusion because of postoperative intervertebral instability. However, there is no information on whether fusion surgery is recommended for these patients as the standard surgery. The aim of this study was to review the clinical and imaging findings in lumbar spinal canal stenosis (LSS) patients with DISH affecting the lumbar segment (L-DISH) and to assess the indication for fusion surgery in patients with DISH. Read More

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October 2021

Sacroiliac joint in sarcoidosis on computed tomography: a monocentric retrospective study (SISTER).

Rheumatol Int 2022 03 12;42(3):431-440. Epub 2021 Oct 12.

Department of Rheumatology, Rennes University Hospital, Hôpital Sud, University of Rennes 1, 16 Boulevard de Bulgarie, 35000, Rennes, France.

Sacroiliitis and spondyloarthritis (SpA) have been associated to sarcoidosis. Sarcoidosis bone involvement of the sacral or iliac bones has been reported to mimic SpA. We aimed to evaluate the prevalence of structural sacroiliitis and structural changes of the sacroiliac joints (SIJ) in patients with sarcoidosis by abdominal-pelvic computed tomography (AP-CT). Read More

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Retro-odontoid pseudotumor: a rare complication of Diffuse Idiopathic Skeletal Hyperostosis.

Acta Reumatol Port 2021 Jul-Sep;46(3):279-280

Rheumatology Department, Centro Hospitalar e Universitário de Coimbra.

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January 2022

Management of spine fractures in ankylosing spondylitis and diffuse idiopathic skeletal hyperostosis: a challenge.

Neurosurg Focus 2021 10;51(4):E2

1Department of Neurosurgery and.

Objective: Ankylosing spinal disorders (ASDs) such as ankylosing spondylitis (AS) and diffuse idiopathic skeletal hyperostosis (DISH) are complex diseases regarding diagnostics, treatment, and patient outcome, especially in trauma. Originating from rigid biomechanics and low bone quality in considerably comorbid patients, serious spinal injury requires thorough and immediate imaging and is frequently missed. The aim of this study was to evaluate patient characteristics as well as procedures in patients with ASD in order to identify the major particularities of treatment. Read More

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October 2021

Surgical management of Diffuse Idiopathic Skeletal Hyperostosis (DISH) causing secondary dysphagia (Narrative review).

J Orthop Surg (Hong Kong) 2021 Sep-Dec;29(3):23094990211041783

Department of Orthopaedics, Faculty of Medicine, 37686Chiang Mai University, Chiang Mai, Thailand.

To summarize the current evidence on surgical treatment for large bridging osteophytes of the anterior cervical spine from Diffuse Idiopathic Skeletal Hyperostosis (DISH). In the current review, the surgical treatment of secondary dysphagia from DISH was the most useful treatment. We propose a treatment algorithm for management of this condition because currently there are only case reports and retrospective studies available. Read More

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October 2021

Diffuse Idiopathic Skeletal Hyperostosis of the Spine: Pathophysiology, Diagnosis, and Management.

J Am Acad Orthop Surg 2021 Dec;29(24):1044-1051

From the Department of Orthopaedic Surgery, University of California Davis School of Medicine, Sacramento, CA.

Diffuse idiopathic skeletal hyperostosis (DISH) is an ankylosing condition affecting up to 32.5% of the general cohort. Although often asymptomatic, affected individuals may present with back pain, stiffness, dysphagia, functional decline, and neurologic deficits. Read More

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December 2021

An unusual case of osteoarthritis?

Clin Case Rep 2021 Aug 21;9(8):e04662. Epub 2021 Aug 21.

Internal Medicine Department of Centro Hospitalar do Baixo Vouga Aveiro Portugal.

Forestier disease is a condition characterized by calcification and ossification of ligaments and entheses particularly affecting axial skeleton. Diagnosis is difficult and mandates a high suspicion level, but unexpensive and accessible examinations like a simple radiography might provide useful diagnostic clues in these challenging clinical scenarios and improve clinical assistance. Read More

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