Painful camptocormia: the relevance of shaking your patient's hand.
Camptocormia is an abnormal posture with marked flexion of thoracolumbar spine that abates in the recumbent position. Camptocormia has been described in various neurological (Parkinsonism), muscular (myopathy), psychogenic or orthopedic disorders. There are several hypotheses that can explain this impaired posture but they are usually related to the concomitant pathologies. We report the first case of a patient with confirmed myotonic dystrophy addressed to our medical center for impaired posture who underwent extensive medical exams and explorations because of a myotonic hand. Axial weakness and muscle atrophy, validated by CT-scan imaging, are discussed independent of the concomitant pathology (Parkinson, myopathy).
Dupeyron
Arnaud
A
Département de Médecine Physique et Réadaptation, Centre Hospitalo-Universitaire de Montpellier Nîmes, CHU Carémeau, Place du Pr Robert Debré, 30029 Nîmes Cedex 09, France. arnaud.dupeyron@chu-nimes.fr
Stober
Nina
N
Gelis
Anthony
A
Castelnovo
Giovani
G
Labauge
Pierre
P
Pélissier
Jacques
J
D001416:Back Pain / Q000209:etiology / Q000503:physiopathology*; D003937:Diagnosis, Differential; D004185:Disability Evaluation; D005260:Female; D006225:Hand / Q000473:pathology / Q000503:physiopathology; D006801:Humans; D008875:Middle Aged; D018908:Muscle Weakness / Q000209:etiology / Q000503:physiopathology*; D018482:Muscle, Skeletal / Q000473:pathology / Q000503:physiopathology; D009133:Muscular Atrophy / Q000209:etiology / Q000473:pathology / Q000503:physiopathology*; D009223:Myotonic Dystrophy / Q000150:complications / Q000473:pathology / Q000503:physiopathology*; D004856:Postural Balance / Q000502:physiology*; D013122:Spinal Diseases / Q000209:etiology / Q000473:pathology / Q000503:physiopathology*