Two cases of patients with evidence of both vascular and spinal intermittent claudication are presented. When patients present with low back pain and post-exercise lower extremity pain, confusion may arise with respect to the etiology of the symptoms. These cases stress the need for a rational and logical approach to the patient with intermittent claudication.
The nature of calcium pyrophosphate dihydrate (CPPD) crystal deposition disease is reviewed and illustrated with a case report. CPPD is one of several calcium-containing crystals to be found in various pathological tissues which are associated with abnormal cellular localizations of proteoglycan. Clinically and radiologically it is an age-related disorder which resembles osteoarthritis and is sometimes
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