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The Management of Osteoarthritis in Movement Disorders: A Case Discussion

BACKGROUND: A 37-year-old female with a hyperkinetic movement disorder due to chorea–acanthocytosis developed severe painful degenerative arthritis of her left knee as a consequence of repetitive involuntary flexion and extension dystonic and ballistic movements. CASE REPORT: Despite profound limita...

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Detalles Bibliográficos
Autores principales: Stafford, Giles H., Howard, Robin S., Lavelle, Jonathon
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Columbia University Libraries/Information Services 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3708351/
https://www.ncbi.nlm.nih.gov/pubmed/23858393
Descripción
Sumario:BACKGROUND: A 37-year-old female with a hyperkinetic movement disorder due to chorea–acanthocytosis developed severe painful degenerative arthritis of her left knee as a consequence of repetitive involuntary flexion and extension dystonic and ballistic movements. CASE REPORT: Despite profound limitation in her mobility a total knee replacement was successfully undertaken. DISCUSSION: The case emphasizes that patients with progressive neurodegenerative disorders may derive relief or resolution of pain by joint replacement even if mobility does not improve following surgery. A multidisciplinary approach to care is essential.