Osteophyte


Osteophyte
Bone spur
Classification and external resources

Small marginal osteophytes (arrows) of the processus anconeus of the ulna can be seen in this gross pathological specimen of a sow.
ICD-10 M25.7
ICD-9 726.91
DiseasesDB 18621
MeSH D054850

Osteophytes, commonly referred to as bone spurs,[1] are bony projections that form along joint margins.[2] They should not be confused with enthesophytes, which are bony projections which form at the attachment of a tendon or ligament.[3]

Contents

Pathophysiology

Osteophytes form because of the increase in a damaged joint's surface area. This is most common from the onset of arthritis. Osteophytes usually limit joint movement and typically cause pain.[1]

Osteophytes form naturally on the back of the spine as a person ages and are a sign of degeneration in the spine. In this case the spurs are not the source of back pains, but instead are the common symptom of a deeper problem. However, bone spurs on the spine can impinge on nerves that leave the spine for other parts of the body. This impingement can cause pain in both upper and lower limbs and a numbness or tingling sensations in the hands and feet because the nerves are supplying sensation to their dermatomes.[4]

Spurs can also appear on the feet, either along toes or the heel, as well as on the hands. In extreme cases bone spurs have grown along a person's entire skeletal structure: along the knees, hips, shoulders, ribs, arms and ankles. Such cases are only exhibited with multiple exostoses.

Osteophytes on the fingers or toes are known as Heberden's nodes (if on the DIP joint) or Bouchard's nodes (if on the PIP joints).

Osteophytes may also be the end result of certain disease processes. Osteomyelitis, a bone infection, may leave the adjacent bone with a spur formation. Charcot foot, the neuropathic breakdown of the feet seen primarily in diabetics, will also leave bone spurs which may then become symptomatic.

Cause

Osteophyte formation has been classically related to any sequential and consequential changes in bone formation which is due to aging, degeneration, mechanical instability, and disease (such as Diffuse Idiopathic Skeletal Hyperostosis). Often osteophytes form in osteoarthritic joints as a result of damage and wear from inflammation. Calcification and new bone formation can also occur in response to mechanical damage in joints.[5]

Treatments

Normally, asymptomatic cases are not treated. NSAIDs and surgeries are two typical options for the rest.

Fossil record

Evidence for bone spurs found in the fossil record is studied by paleopathologists, specialists in ancient disease and injury. Bone spurs have been reported in dinosaur fossils from several species, including Allosaurus fragilis, Neovenator salerii, and Tyrannosaurus rex.[6]

References

  1. ^ a b Bone spurs MayoClinic.com
  2. ^ "osteophyte" at Dorland's Medical Dictionary
  3. ^ Rogers J, Shepstone L, Dieppe P (Feb 1997). "Bone formers: osteophyte and enthesophyte formation are positively associated". Annals of the Rheumatic Diseases 56 (2): 85–90. doi:10.1136/ard.56.2.85. PMC 1752321. PMID 9068279. http://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pmcentrez&artid=1752321. 
  4. ^ Laser Spine Institute
  5. ^ Nathan M, Pope MH, Grobler LJ (Aug 1994). "Osteophyte formation in the vertebral column: a review of the etiologic factors--Part II". Contemporary Orthopaedics 29 (2): 113–9. PMID 10150240. 
  6. ^ Molnar, R. E., 2001, Theropod paleopathology: a literature survey: In: Mesozoic Vertebrate Life, edited by Tanke, D. H., and Carpenter, K., Indiana University Press, p. 337-363.

External links


Wikimedia Foundation. 2010.

Look at other dictionaries:

  • OSTÉOPHYTE — Formation osseuse juxta articulaire exubérante, paraissant souvent prolonger la surface cartilagineuse vers l’extérieur; elle se rencontre surtout dans les rhumatismes dégénératifs (arthrose). Au niveau de la partie supérieure de la colonne… …   Encyclopédie Universelle

  • osteophyte — [äs′tē ō fīt΄] n. [ OSTEO + PHYTE] a small bony outgrowth osteophytic [äs′tē ōfit′ik] adj …   English World dictionary

  • Ostéophyte — L ostéophyte est une excroissance osseuse entourant une articulation où le cartilage est désagrégé par l arthrose. Les ostéophytes, qui sont de nature extra articulaires, n empêchent pas le fonctionnement de l articulation, mais font que la masse …   Wikipédia en Français

  • osteophyte — A bony outgrowth or protuberance. [osteo + G. phyton, plant] * * * os·teo·phyte äs tē ə .fīt n a pathological bony outgrowth os·teo·phyt·ic .äs tē ə fit ik adj * * * n. a projection of bone, usually shaped like a rose thorn, that occurs at sites… …   Medical dictionary

  • osteophyte — n. a projection of bone, usually shaped like a rose thorn, that occurs at sites of cartilage degeneration or destruction near joints and intervertebral discs. Osteophyte formation is an X ray sign of osteoarthritis but is not a cause of symptoms… …   The new mediacal dictionary

  • osteophyte — noun Date: 1846 a pathological bony outgrowth …   New Collegiate Dictionary

  • osteophyte — osteophytic /os tee euh fit ik/, adj. /os tee euh fuyt /, n. Pathol. a small osseous excrescence or outgrowth on bone. [1840 50; OSTEO + PHYTE] * * * …   Universalium

  • osteophyte — noun Any small, abnormal growth of bone, often near a joint Syn: bone spur See Also: osteophytic, osteophytosis …   Wiktionary

  • ostéophyte — (o sté o fi t ) s. m. Terme de médecine. Production osseuse qui naît quelquefois des lames profondes du périoste dans le voisinage des portions d os cariées. ÉTYMOLOGIE    Ostéo..., et terme grec signifiant végétation …   Dictionnaire de la Langue Française d'Émile Littré

  • osteophyte — É‘stɪəfaɪt / É’s n. outgrowth on a bone, protrusion on a bone …   English contemporary dictionary


Share the article and excerpts

Direct link
Do a right-click on the link above
and select “Copy Link”

We are using cookies for the best presentation of our site. Continuing to use this site, you agree with this.