Rheumatology: Current Research
Open Access

Understanding Bony Ankylosis: Causes, Symptoms, and Treatment

Kerry Dwan^{* *}Correspondence: Kerry Dwan, Department of Orthopaedics, University of Oxford, Oxford, UK, Email:

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About the Study

Bony ankylosis is a medical condition that occurs when a joint in the body becomes fused with bone tissue. This fusion may happen as a result of injury, disease, or infection and it can cause severe pain and limited mobility in the affected area.

This can happen in any joint in the body, but it is most commonly seen in the spine, hips, and knees. Bony ankylosis can occur as a result of injury, disease, or infection. When a joint is injured, the body may attempt to repair the damage by forming bone tissue around the joint. Over time, this bone tissue can fuse with the joint, causing bony ankylosis.

Causes of bony ankylosis

The most common causes of bony ankylosis are injury, disease, and infection. Joint injuries can occur as a result of trauma, such as a car accident or a fall. When a joint is injured, the body may respond by forming bone tissue around the joint, which can lead to bony ankylosis [1]. Diseases such as ankylosing spondylitis, rheumatoid arthritis, and psoriatic arthritis can also cause bony ankylosis. These diseases cause inflammation in the joints, which can lead to the formation of bone tissue. Infections such as tuberculosis and syphilis can also cause bony ankylosis [2].

Symptoms of bony ankylosis

The most common symptoms of bony ankylosis are pain and limited mobility in the affected area. The pain may be constant or may only occur when the joint is moved. The affected joint may also be stiff and difficult to move. In some cases, bony ankylosis can cause deformities in the affected joint [3].

Diagnosis of bony ankylosis

Bony ankylosis is typically diagnosed using X-rays or CT scans. These imaging tests can show the extent of the bone growth around the affected joint [4]. Blood tests may also be done to check for underlying diseases or infections that may be causing bony ankylosis.

Treatment of bony ankylosis

The treatment for bony ankylosis depends on the cause of the condition. If bony ankylosis is caused by an underlying disease or infection, treating that condition may help to prevent further bone growth and improve mobility in the affected joint. In some cases, surgery may be necessary to remove the excess bone tissue and restore mobility in the joint [5]. Physical therapy may also be recommended to help improve strength and flexibility in the affected joint [6-8].

Prevention of bony ankylosis

Preventing bony ankylosis can be difficult, especially if the condition is caused by an injury. However, taking steps to prevent joint injuries, such as wearing protective gear when playing sports or working in hazardous environments, can help to reduce the risk of developing bony ankylosis [9-11]. Additionally, managing underlying diseases that can cause bony ankylosis, such as arthritis, can also help to prevent the condition from occurring. Bony ankylosis is a medical condition in which a joint becomes fused with bone tissue. This can cause severe pain and limited mobility in the affected area. The most common causes of bony ankylosis are injury, disease, and infection [12]. Treatment for bony ankylosis depends on the underlying cause of the condition and may include medication, surgery, or physical therapy. Preventing joint injuries and managing underlying diseases can help to reduce the risk of developing bony ankylosis.

References

1. Acri TM, Shin K, Seol D, Laird NZ, Song I, Geary SM, et al. Tissue engineering for the temporomandibular joint. Adv Healthc Mater. 2019;8(2):e1801236.

   [Crossref] [Google scholar] [Pubmed]

2. Sawhney CP. Bony ankylosis of the temporomandibular joint: follow-up of 70 patients treated with arthroplasty and acrylic spacer interposition. Plast Reconstr Surg. 1986;77(1):29-40.

   [Crossref] [Google scholar] [Pubmed]

3. Deng TG, Liu CK, Wu LG, Liu P, Wang JJ, Sun XZ, et al. Association between maximum mouth opening and area of bony fusion in simulated temporomandibular joint bony ankylosis. Int J Oral Maxillofac Surg. 2020;49(3):369-376.

   [Crossref] [Google scholar] [Pubmed]

4. Chouinard AF, Kaban LB, Peacock ZS. Acquired abnormalities of the temporomandibular joint. Oral Maxillofac Surg Clin North Am. 2018;30(1):83-96.

   [Crossref] [Google scholar] [Pubmed]

5. Chidzonga MM. Temporomandibular joint ankylosis: review of thirty-two cases. Br J Oral Maxillofac Surg. 1999;37(2):123-126.

   [Crossref] [Google scholar] [Pubmed]

6. El-Sheikh MM. Temporomandibular joint ankylosis: the Egyptian experience. Ann R Coll Surg Engl. 1999;81(1):12-18.

   [Google scholar] [Pubmed]

7. Zhang Y, He DM, Ma XC. Posttraumatic temporomandibular joint ankylosis: clinical development and surgical management. Zhonghua Kou Qiang Yi Xue Za Zhi. 2006;41(12):751-744.

   [Google scholar] [Pubmed]

8. Long X, Li X, Cheng Y, Yang X, Qin L, Qiao Y, et al. Preservation of disc for treatment of traumatic temporomandibular joint ankylosis. J Oral Maxillofac Surg. 2005;63(7):897-902.

   [Crossref] [Google scholar] [Pubmed]

9. Zhang PP, Liang SX, Wang HL, Yang K, Nie SC, Zhang TM, et al. Differences in the biological properties of mesenchymal stromal cells from traumatic temporomandibular joint fibrous and bony ankylosis: a comparative study. Anim Cells Syst (Seoul). 2021;25(5):296-311.

   [Crossref] [Google scholar] [Pubmed]

10. Haq J, Patel N, Weimer K, Matthews NS. Single stage treatment of ankylosis of the temporomandibular joint using patient-specific total joint replacement and virtual surgical planning. Br J Oral Maxillofac Surg. 2014;52(4):350-355.

    [Crossref] [Google scholar] [Pubmed]

11. Liu CK, Meng FW, Tan XY, Xu J, Liu HW, Liu SX, et al. Clinical and radiological outcomes after treatment of Sagittal Fracture of Mandibular Condyle (SFMC) by using occlusal splint in children. Br J Oral Maxillofac Surg. 2014;52(2):144-148.

    [Crossref] [Google scholar] [Pubmed]

12. Li JM, An JG, Wang X, Yan YB, Xiao E, He Y, et al. Imaging and histologic features of traumatic temporomandibular joint ankylosis. Oral Surg Oral Med Oral Pathol Oral Radiol. 2014;118(3):330-337.

    [Crossref] [Google scholar] [Pubmed]