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Diffuse Idiopathic Skeletal Hyperostosis

Discussion in 'General Issues and Discussion Forum' started by timharmey, Aug 22, 2011.

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  1. timharmey

    timharmey Active Member


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    I have seen a patient with the above just thought I would flag It up for interest was a new one to me any one who has treated such a patient if you would like to share that would be good.They where referred in with plantar fasciitis
    Tim
     
    timharmey, Aug 22, 2011
    #1
  2. Craig Payne

    Craig Payne Moderator

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    Difficult one ... DISH is associated with really big plantar heel spurs and you often see it written that that is a problem. Most I seen with DISH did not have heel pain and some even had a palpable spur present.

    Plantar fasciitis is common in the general population, so always keep in mind that if a DISH patient has heel pain, they could just be getting the pain from a chance occurrence of plantar fasiitis and nothing to do with the DISH. .... or it could be the body spur ...
     
    Craig Payne, Aug 23, 2011
    #2
  3. timharmey

    timharmey Active Member

    Thanks , thats useful , I was not sure if the patient having DISH would make the presence of a spur any more significant than usual .
    Tim
     
    timharmey, Aug 23, 2011
    #3
  4. nigelroberts

    nigelroberts Active Member

    Hi Tim
    Having spent many years working with a Rheumatology team, I would agree with Craig and treat the patient as you would if the patient did not have DISH.
    Regards
    Nigel
     
    nigelroberts, Aug 26, 2011
    #4
  5. admin

    admin Administrator Staff Member

    Diffuse idiopathic skeletal hyperostosis

    Diffuse idiopathic skeletal hyperostosis (DISH) is a condition characterized by abnormal calcification/bone formation (hyperostosis) of the soft tissues surrounding the joints of the spine, and also of the peripheral or appendicular skeleton.[1] In the spine, there is bone formation along the anterior longitudinal ligament and sometimes the posterior longitudinal ligament, which may lead to partial or complete fusion of adjacent vertebrae. The facet and sacroiliac joints tend to be uninvolved. The thoracic spine is the most common level involved.[2] In the peripheral skeleton, DISH manifests as a calcific enthesopathy, with pathologic bone formation at sites where ligaments and tendons attach to bone.

    1. ^ Resnick, D.; Shaul, S. R.; Robins, J. M. (June 1975). "Diffuse idiopathic skeletal hyperostosis (DISH): Forestier's disease with extraspinal manifestations". Radiology. 115 (3): 513–524. doi:10.1148/15.3.513. ISSN 0033-8419. PMID 1129458.
    2. ^ Sarwark, John, ed. (2010). "Diffuse Idiopathic Skeletal Hyperostosis". Essentials of Musculoskeletal Care (4 ed.). Rosemont, IL: American Academy of Orthopaedic Surgeons. ISBN 978-0-89203-579-3.
    Read More
     
    admin, Aug 26, 2011
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