medical management

Postoperative discitis

SymptomsT45 discitis

 

Period of pain relief after disc surgery

- followed by increasing back pain & occasional leg pain

 

Pain may be disproportionate to physical findings

 

Low grade fever common

 

SLR & femoral stretch tests elicit pain in some cases 

 

Bloods

 

Fibrous Dysplasia

Definition

 

Developmental hamartoma in which areas of the skeleton fail to mature normally

- remain indefinitely as immature, poorly mineralized trabeculae

 

Pathology

 

Hamartoma of bone and fibrous tissue

 

McCune - Albright's Syndrome

 

Rare triad of

 

1.  Fibrous Dysplasia

 

Rheumatoid Arthritis

Definition 

 

A chronic systemic, autoimmune inflammatory disease of unknown cause

 

Epidemiology

 

1% of population

 

M:F = 1:3

 

Peak onset 40 years

 

Most common inflammatory arthropathy

 

Aetiology

 

Autoimmune

- trigger not identified

- cell mediated immune response