Ankylosis () is a stiffness of a

joint A joint or articulation (or articular surface) is the connection made between bones, ossicles, or other hard structures in the body which link an animal's skeletal system into a functional whole.Saladin, Ken. Anatomy & Physiology. 7th ed. McGraw- ...

due to abnormal adhesion and rigidity of the

bone A bone is a rigid organ that constitutes part of the skeleton in most vertebrate animals. Bones protect the various other organs of the body, produce red and white blood cells, store minerals, provide structure and support for the body, ...

s of the joint, which may be the result of

injury Injury is physiological damage to the living tissue of any organism, whether in humans, in other animals, or in plants. Injuries can be caused in many ways, including mechanically with penetration by sharp objects such as teeth or with ...

disease A disease is a particular abnormal condition that adversely affects the structure or function (biology), function of all or part of an organism and is not immediately due to any external injury. Diseases are often known to be medical condi ...

. The rigidity may be complete or partial and may be due to

inflammation Inflammation (from ) is part of the biological response of body tissues to harmful stimuli, such as pathogens, damaged cells, or irritants. The five cardinal signs are heat, pain, redness, swelling, and loss of function (Latin ''calor'', '' ...

of the tendinous or

muscular MUSCULAR (DS-200B), located in the United Kingdom, is the name of a surveillance program jointly operated by Britain's Government Communications Headquarters (GCHQ) and the U.S. National Security Agency (NSA) that was revealed by documents release ...

structures outside the joint or of the tissues of the joint itself. When the structures outside the joint are affected, the term "false ankylosis" has been used in contradistinction to "true ankylosis", in which the disease is within the joint. When inflammation has caused the joint-ends of the bones to be fused together, the ankylosis is termed ''osseous'' or complete and is an instance of

synostosis Synostosis (; plural: synostoses) is fusion of two or more bones. It can be normal in puberty (e.g. fusion of the epiphyseal plate to become the epiphyseal line), or abnormal. When synostosis is abnormal it is a type of dysostosis. Examples of ...

. Excision of a completely ankylotic shoulder or elbow may restore free mobility and usefulness to the limb. "Ankylosis" is also used as an anatomical term, bones being said to ankylose (or anchylose) when, from being originally distinct, they coalesce, or become so joined that no motion can take place between them.

Causes

Ankylosing spondylitis Ankylosing spondylitis (AS) is a type of arthritis from the disease spectrum of axial spondyloarthritis. It is characterized by long-term inflammation of the joints of the spine, typically where the spine joins the pelvis. With AS, eye and bow ...

is a type of

arthritis Arthritis is a general medical term used to describe a disorder that affects joints. Symptoms generally include joint pain and stiffness. Other symptoms may include redness, warmth, Joint effusion, swelling, and decreased range of motion of ...

in which there is long-term

of the

joints A joint or articulation (or articular surface) is the connection made between bones, ossicles, or other hard structures in the body which link an animal's skeletal system into a functional whole.Saladin, Ken. Anatomy & Physiology. 7th ed. McGraw- ...

of the

spine Spine or spinal may refer to: Science Biology * Spinal column, also known as the backbone * Dendritic spine, a small membranous protrusion from a neuron's dendrite * Thorns, spines, and prickles, needle-like structures in plants * Spine (zoology), ...

. *Other forms of arthritis may sometimes also lead to ankylosis, including

rheumatoid arthritis Rheumatoid arthritis (RA) is a long-term autoimmune disorder that primarily affects synovial joint, joints. It typically results in warm, swollen, and painful joints. Pain and stiffness often worsen following rest. Most commonly, the wrist and h ...

and

reactive arthritis Reactive arthritis, previously known as Reiter's syndrome, is a form of inflammatory arthritis that develops in response to an infection in another part of the body (cross-reactivity). Coming into contact with bacteria and developing an infect ...

Osteoarthritis Osteoarthritis is a type of degenerative joint disease that results from breakdown of articular cartilage, joint cartilage and underlying bone. A form of arthritis, it is believed to be the fourth leading cause of disability in the world, affect ...

usually confers

osteophyte Osteophytes are Exostosis, exostoses (bony projections) that form along joint margins. They are distinct from enthesophytes, which are bone, bony projections that form at the attachment of a tendon or ligament. Osteophytes are not always distingui ...

formation, which may eventually fuse across joints. Osteoarthritis is believed to be caused by mechanical stress on the joint and low-grade inflammatory processes. *

Arthrodesis Arthrodesis, also known as artificial ankylosis or syndesis, is the artificial induction of joint ossification between two bones by surgery. This is done to relieve intractable pain in a joint which cannot be managed by pain medication, splin ...

is the intentional creation of ankylosis in a joint. *

Noma Noma, NoMa, or NOMA may refer to: Places * NoMa, the area North of Massachusetts Avenue in Washington, D.C., US ** NoMa–Gallaudet U station, on Washington Metro * Noma, Florida, US * NOMA, Manchester, a redevelopment in England * Noma District, ...

—a gangrenous disease still widespread among

malnourished Malnutrition occurs when an organism gets too few or too many nutrients, resulting in health problems. Specifically, it is a deficiency, excess, or imbalance of energy, protein and other nutrients which adversely affects the body's tissues a ...

children living on the borders of the

Sahara desert The Sahara (, ) is a desert spanning across North Africa. With an area of , it is the largest hot desert in the world and the list of deserts by area, third-largest desert overall, smaller only than the deserts of Antarctica and the northern Ar ...

—can cause ankylosis of the

maxilla In vertebrates, the maxilla (: maxillae ) is the upper fixed (not fixed in Neopterygii) bone of the jaw formed from the fusion of two maxillary bones. In humans, the upper jaw includes the hard palate in the front of the mouth. The two maxil ...

and

mandible In jawed vertebrates, the mandible (from the Latin ''mandibula'', 'for chewing'), lower jaw, or jawbone is a bone that makes up the lowerand typically more mobilecomponent of the mouth (the upper jaw being known as the maxilla). The jawbone i ...

, impairing the ability to speak and eat. * Fibrodysplasia ossificans progressiva is a rare bone disease in which muscle, tendons and ligaments turn to bone. This leads to progressive ankylosis of almost all joints.

Society and culture

Fossil record

Evidence for ankylosis found in the fossil record is studied by paleopathologists, specialists in ancient disease and injury. Ankylosis has been reported in dinosaur fossils from several species, including ''

Allosaurus fragilis ''Allosaurus'' ( ) is an extinct genus of theropoda, theropod dinosaur that lived 155 to 145 million years ago during the Late Jurassic Geologic time scale, period (Kimmeridgian to late Tithonian Geologic time scale, ages). The first fossil ...

'', ''

Becklespinax altispinax ''Altispinax'' (; "with high spines") is a genus of large predatory theropod dinosaur from the Early Cretaceous period (Valanginian, 140 to 133 million years ago) of what is now the Wadhurst Clay Formation of East Sussex, England. History Prob ...

'', ''

Poekilopleuron bucklandii ''Poekilopleuron'' (meaning "varied ribs") is a genus of carnosaurian theropod dinosaur, which lived during the middle Bathonian of the Jurassic, about 168 to 166 million years ago. The genus has been used under many different spelling variants, ...

'', and ''

Tyrannosaurus rex ''Tyrannosaurus'' () is a genus of large theropoda, theropod dinosaur. The type species ''Tyrannosaurus rex'' ( meaning 'king' in Latin), often shortened to ''T. rex'' or colloquially t-rex, is one of the best represented theropods. It live ...

'' (including the Stan specimen).

References

External links

{{Acquired deformities Arthropathies