Congenital dislocation of the hip (CDH) in an adult can accompany or cause mechanical low-back pain. This in turn, can create confusion in making the proper diagnosis. The mechanical alterations caused by CDH create an added strain to the lumbosacral spine. Manipulative treatment for back pain in these patients must not subject the dislocated hips
Psoriatic arthritis involving the spine is uncommon. However, when it does, atlanto-axial instability may occur. Clinical and radiographic aspects of psoriatic arthritis are reviewed and illustrated with a case report. (JCCA 1988; 32(2):85-87) Key Words: atlanto-axial instability, psoriasis, psoriatic arthritis, chiropractic, manipulation L’arthrite psoriatique envahit rarement l’épine dorsale. Cependant, lorsque le cas se présente, une
One of the causes of death in rheumatoid patients is cord compression following atlanto-axial subluxation. Dislocations in the cervical spine are common with patients who have rheumatoid arthritis. Anterior subluxation occurs in up to 35%, followed by vertical subluxation in 22.2%, lateral subluxation in 20.6% and rarely posterior subluxation. A case report is presented to
Skeletal metastatic disease is usually a disastrous cause of musculoskeletal pain. Although much has been learned concerning metastatic disease, patients presenting with skeletal pain or neuropathy and a history of carcinoma should be regarded with great suspicion. An overview, and study of one such case is discussed. (JCCA 1988; 32(3):127-132) Key Words: metastatic disease, back