Synostosis

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Synostosis

Radiological image showing synostosis

Synostosis is a condition characterized by the abnormal fusion of two or more bones. This fusion can occur in various parts of the body and can be congenital or acquired. Synostosis can lead to restricted movement and may require medical intervention depending on the severity and location of the fusion.

Types of Synostosis

Synostosis can be classified based on the location and cause of the bone fusion. Some common types include:

Craniosynostosis

Craniosynostosis is the premature fusion of one or more of the cranial sutures, which can affect the shape of the head and potentially lead to increased intracranial pressure. This condition often requires surgical intervention to correct the shape of the skull and allow for normal brain growth.

Radioulnar Synostosis

Radioulnar synostosis is the fusion of the radius and ulna bones in the forearm. This condition can limit the ability to rotate the forearm and may be present at birth or develop after an injury.

Tarsal Coalition

Tarsal coalition is a condition where there is an abnormal connection between two or more of the tarsal bones in the foot. This can lead to pain and limited mobility in the foot and ankle.

Causes

Synostosis can be caused by genetic factors, trauma, or as a result of certain medical conditions. Congenital synostosis is often due to genetic mutations that affect bone development. Acquired synostosis can occur after fractures, infections, or surgical procedures that lead to bone fusion.

Diagnosis

The diagnosis of synostosis typically involves a combination of physical examination and imaging studies. Radiography is commonly used to visualize the fused bones, as seen in the accompanying radiological image. Advanced imaging techniques such as CT scans or MRI may be used for more detailed assessment.

Treatment

Treatment for synostosis depends on the location and severity of the fusion. Surgical intervention may be necessary to separate the fused bones and restore normal function. In some cases, physical therapy and supportive measures may be sufficient to manage symptoms.

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Contributors: Prab R. Tumpati, MD