title: Painful camptocormia: the relevance of shaking your patient's hand.
abstract: 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).
authors: 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
authors: Arnaud
authors: A
authors: Dupeyron
authors: Nina
authors: N
authors: Stober
authors: Anthony
authors: A
authors: Gelis
authors: Giovani
authors: G
authors: Castelnovo
authors: Pierre
authors: P
authors: Labauge
authors: Jacques
authors: J
authors: Pélissier
mesh_terms: 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*