Zebra Cards > Update > Musculoskeleton > MU-001  
 

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Stooped posture, including flexion of hips, knees, and lower back
    Differential Diagnosis[Top] [Nav]
spinal stenosis
    Discussion -- not available online[Top] [Nav]
    Update Comments[Top] [Nav]
  • In differentiating vascular from spinal limitation on walking, consider factors associated with dissipation of pain. Symptoms of claudication remit quickly, usually after one to five minutes, regardless of body position. By contrast, persons with spinal stenosis find that pain diminishes after exercise only if the spine is flexed, and persists sometimes for hours after rest begins. [101]
  • A difficult case of claudication-like symptoms. [102]
  • Older description of parkinsonian persons who can run much easier than walk. [103]
    Footnotes in Print Edition[Top] [Nav]
    (1) Simian stance: a sign of spinal stenosis.
  Simkin PA.   Lancet 1982 Sep 18;2(8299):652-3.  Pubmed  Similars
    (2) Lumbar spinal stenosis. Clinical features, diagnostic procedures, and results of surgical treatment in 68 patients.
  Hall S, Bartleson JD, et al.   Ann Intern Med 1985 Aug;103(2):271-5.  Pubmed+Abstract  Similars
    (3) Bicycle sign in spinal stenosis [letter].
  Dixon AS.   Lancet 1982 Oct 9;2(8302):825.  Pubmed  Similars
    (4a) Mnemonics, Rhetorics and Poetics for Medics.
  Bloomfield RL, Chandler ET. Winston-Salem, NC: Harbinger Press, 1982: 187.
    (4b) The Basal Ganglia and Posture.
  Martin JP. Philadelphia: Lippincott, 1967: 23, 92.
    (-) [This footnote was a comment, not a reference.]
    New References[Top] [Nav]
    101.Claudication with normal pulses [letter; comment].
  Panoskaltsis N.   N Engl J Med 1996 Nov 28;335(22):1686; discussion 1687.  Pubmed  Similars
    102.The illusion of certainty [see comments].
  Wolinsky AP.   N Engl J Med 1996 Jul 4;335(1):46-8.  Pubmed  Similars
    103.Kinésie paradoxale.
  Souques AA.   Revue Neurologique. 1921;37:559-560.
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    ©1986-2000 John Sotos, MD. All rights reserved.  Last updated 16:34 PDT on July 4, 2000.[Top]

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