Objective: To identify and summarizes the spectrum of orthopedic problems reported in patients with movement disorders

Background: Movement disorders such as Parkinson’s disease, Dystonia, Essential tremor, and Huntington’s disease are characterized by abnormalities of motor control that can lead to significant musculoskeletal complications. Orthopedic manifestations resulting from abnormal posture, rigidity, repetitive movements, and impaired balance contribute substantially to disability and reduced quality of life. This review summarizes the spectrum of orthopedic problems reported in patients with movement disorders.

Method: A literature review was performed using PubMed, Scopus, and Web of Science databases for studies published between 2010 and 2025. Keywords included “movement disorders,” “orthopedic complications,” “musculoskeletal manifestations,” and “fractures.” Observational studies and systematic reviews reporting orthopedic conditions in patients with movement disorders were included.

Results: The literature demonstrates a wide range of orthopedic complications associated with movement disorders. Fragility fractures, particularly Hip fracture and vertebral compression fractures, are common due to frequent falls and reduced bone mineral density. Characteristic spinal deformities such as Camptocormia and Pisa syndrome are frequently observed in Parkinsonian syndromes. Joint disorders including osteoarthritis, shoulder dysfunction, and contractures are also prevalent, particularly in long-standing disease. Repetitive abnormal movements in dystonia may lead to degenerative joint changes and soft-tissue injuries. Patients with movement disorders often experience delayed rehabilitation and higher complication rates following orthopedic procedures.

Conclusion: Orthopedic complications represent an important but underrecognized aspect of movement disorders. Early identification and multidisciplinary management involving neurologists, orthopedic surgeons, and rehabilitation specialists are essential to improve functional outcomes and quality of life.

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MDS Abstracts - https://www.mdsabstracts.org/abstract/spectrum-of-orthopaedic-problems-in-patients-with-movement-disorders-a-systematic-review-of-clinical-manifestations/