Atlantoaxial subluxation in systemic lupus erythematosus: Further evidence of tendinous alterations
We prospectively determined the frequency of atlantoaxial subluxation in a group of patients with systemic lupus erythematosus (SLE) and analyzed its relationship with tendinous laxity, Jaccoud's syndrome and other features of the disease. Five of 59 patients (8.5%) had atlantoaxial subluxation...
Guardado en:
Autores principales: | , , , , , |
---|---|
Formato: | JOUR |
Materias: | |
Acceso en línea: | http://hdl.handle.net/20.500.12110/paper_0315162X_v17_n2_p173_Babini |
Aporte de: |
id |
todo:paper_0315162X_v17_n2_p173_Babini |
---|---|
record_format |
dspace |
spelling |
todo:paper_0315162X_v17_n2_p173_Babini2023-10-03T15:23:09Z Atlantoaxial subluxation in systemic lupus erythematosus: Further evidence of tendinous alterations Babini, S.M. Maldonado Cocco, J.A. Babini, J.C. De la Sota, M. Arturi, A. Marcos, J.C. Atlantoaxial subluxation Jaccoud's syndrome Joint hypermobility Secondary hyperparathyroidism Systemic lupus erythematosus Tendon laxity adult article atlantoaxial subluxation female human hyperparathyroidism jaccoud disease joint hypermobility major clinical study male methodology priority journal radiography spine radiography systemic lupus erythematosus tendon Adult Arthritis, Rheumatoid Atlanto-Axial Joint Creatinine Dislocations Female Human Joint Instability Kidney Failure, Chronic Knee Joint Lupus Erythematosus, Systemic Male Parathyroid Hormones Prospective Studies Syndrome Tendons Time Factors We prospectively determined the frequency of atlantoaxial subluxation in a group of patients with systemic lupus erythematosus (SLE) and analyzed its relationship with tendinous laxity, Jaccoud's syndrome and other features of the disease. Five of 59 patients (8.5%) had atlantoaxial subluxation. No patient presented atlantoaxial subluxation in neutral lateral cervical radiographs but all 5 had anterior atlantoaxial subluxation in full flexion films; one patient also had lateral subluxation. The 5 patients with atlantoaxial subluxation were compared with the remaining 54. Mean SLE disease duration was longer in patients with atlantoaxial subluxation (12 years) than in those without (6.6 years) (p < 0.01). Jaccoud's syndrome, patellar tendon elongation and articular hypermobility were significantly more frequent in patients with atlantoaxial subluxation. The presence or history of arthritis failed to distinguish patients with and without atlantoaxial subluxation, while chronic renal failure and increased serum parathyroid hormone levels were significantly associated to the presence of atlantoaxial subluxation. We suggest that atlantoaxial subluxation is further evidence of tendinous alterations seen in patients with SLE. JOUR info:eu-repo/semantics/openAccess http://creativecommons.org/licenses/by/2.5/ar http://hdl.handle.net/20.500.12110/paper_0315162X_v17_n2_p173_Babini |
institution |
Universidad de Buenos Aires |
institution_str |
I-28 |
repository_str |
R-134 |
collection |
Biblioteca Digital - Facultad de Ciencias Exactas y Naturales (UBA) |
topic |
Atlantoaxial subluxation Jaccoud's syndrome Joint hypermobility Secondary hyperparathyroidism Systemic lupus erythematosus Tendon laxity adult article atlantoaxial subluxation female human hyperparathyroidism jaccoud disease joint hypermobility major clinical study male methodology priority journal radiography spine radiography systemic lupus erythematosus tendon Adult Arthritis, Rheumatoid Atlanto-Axial Joint Creatinine Dislocations Female Human Joint Instability Kidney Failure, Chronic Knee Joint Lupus Erythematosus, Systemic Male Parathyroid Hormones Prospective Studies Syndrome Tendons Time Factors |
spellingShingle |
Atlantoaxial subluxation Jaccoud's syndrome Joint hypermobility Secondary hyperparathyroidism Systemic lupus erythematosus Tendon laxity adult article atlantoaxial subluxation female human hyperparathyroidism jaccoud disease joint hypermobility major clinical study male methodology priority journal radiography spine radiography systemic lupus erythematosus tendon Adult Arthritis, Rheumatoid Atlanto-Axial Joint Creatinine Dislocations Female Human Joint Instability Kidney Failure, Chronic Knee Joint Lupus Erythematosus, Systemic Male Parathyroid Hormones Prospective Studies Syndrome Tendons Time Factors Babini, S.M. Maldonado Cocco, J.A. Babini, J.C. De la Sota, M. Arturi, A. Marcos, J.C. Atlantoaxial subluxation in systemic lupus erythematosus: Further evidence of tendinous alterations |
topic_facet |
Atlantoaxial subluxation Jaccoud's syndrome Joint hypermobility Secondary hyperparathyroidism Systemic lupus erythematosus Tendon laxity adult article atlantoaxial subluxation female human hyperparathyroidism jaccoud disease joint hypermobility major clinical study male methodology priority journal radiography spine radiography systemic lupus erythematosus tendon Adult Arthritis, Rheumatoid Atlanto-Axial Joint Creatinine Dislocations Female Human Joint Instability Kidney Failure, Chronic Knee Joint Lupus Erythematosus, Systemic Male Parathyroid Hormones Prospective Studies Syndrome Tendons Time Factors |
description |
We prospectively determined the frequency of atlantoaxial subluxation in a group of patients with systemic lupus erythematosus (SLE) and analyzed its relationship with tendinous laxity, Jaccoud's syndrome and other features of the disease. Five of 59 patients (8.5%) had atlantoaxial subluxation. No patient presented atlantoaxial subluxation in neutral lateral cervical radiographs but all 5 had anterior atlantoaxial subluxation in full flexion films; one patient also had lateral subluxation. The 5 patients with atlantoaxial subluxation were compared with the remaining 54. Mean SLE disease duration was longer in patients with atlantoaxial subluxation (12 years) than in those without (6.6 years) (p < 0.01). Jaccoud's syndrome, patellar tendon elongation and articular hypermobility were significantly more frequent in patients with atlantoaxial subluxation. The presence or history of arthritis failed to distinguish patients with and without atlantoaxial subluxation, while chronic renal failure and increased serum parathyroid hormone levels were significantly associated to the presence of atlantoaxial subluxation. We suggest that atlantoaxial subluxation is further evidence of tendinous alterations seen in patients with SLE. |
format |
JOUR |
author |
Babini, S.M. Maldonado Cocco, J.A. Babini, J.C. De la Sota, M. Arturi, A. Marcos, J.C. |
author_facet |
Babini, S.M. Maldonado Cocco, J.A. Babini, J.C. De la Sota, M. Arturi, A. Marcos, J.C. |
author_sort |
Babini, S.M. |
title |
Atlantoaxial subluxation in systemic lupus erythematosus: Further evidence of tendinous alterations |
title_short |
Atlantoaxial subluxation in systemic lupus erythematosus: Further evidence of tendinous alterations |
title_full |
Atlantoaxial subluxation in systemic lupus erythematosus: Further evidence of tendinous alterations |
title_fullStr |
Atlantoaxial subluxation in systemic lupus erythematosus: Further evidence of tendinous alterations |
title_full_unstemmed |
Atlantoaxial subluxation in systemic lupus erythematosus: Further evidence of tendinous alterations |
title_sort |
atlantoaxial subluxation in systemic lupus erythematosus: further evidence of tendinous alterations |
url |
http://hdl.handle.net/20.500.12110/paper_0315162X_v17_n2_p173_Babini |
work_keys_str_mv |
AT babinism atlantoaxialsubluxationinsystemiclupuserythematosusfurtherevidenceoftendinousalterations AT maldonadococcoja atlantoaxialsubluxationinsystemiclupuserythematosusfurtherevidenceoftendinousalterations AT babinijc atlantoaxialsubluxationinsystemiclupuserythematosusfurtherevidenceoftendinousalterations AT delasotam atlantoaxialsubluxationinsystemiclupuserythematosusfurtherevidenceoftendinousalterations AT arturia atlantoaxialsubluxationinsystemiclupuserythematosusfurtherevidenceoftendinousalterations AT marcosjc atlantoaxialsubluxationinsystemiclupuserythematosusfurtherevidenceoftendinousalterations |
_version_ |
1807320909180043264 |