The Management of Osteoarthritis in Movement Disorders: A Case Discussion

Stafford, Giles H.; Howard, Robin S.; Lavelle, Jonathon

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.


Also Published In

Tremor and Other Hyperkinetic Movements

More About This Work

Academic Units
Center for Parkinson's Disease and Other Movement Disorders
Published Here
October 3, 2013