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Polio
Lauren M. Ladd, MD; B. J. Manaster, MD, PhD, FACR
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KEY FACTS

  • Terminology

    • Imaging

      • Clinical Issues

        TERMINOLOGY

        • Definitions

          • RNA virus that affects motor neurons in anterior horn and brainstem, resulting in muscle wasting &/or flaccid paralysis
            • Paralysis may be temporary or (if severe) permanent
          • Postpolio syndrome (PPS): new muscle weakness for ≥ 1 year, occurring at least 15 years after initial paralytic infection
            • Found in 64-68% of prior paralytic polio cases

        IMAGING

        • General Features

          CLINICAL ISSUES

          • Demographics

            • Treatment

              Selected References

              1. Checa Betegón P et al: Fractures in patients with poliomyelitis: past or current challenge? Injury. 51 Suppl 1:S48-54, 2020
              2. Garceau SP et al: Management options and outcomes for patients with femoral fractures with post-polio syndrome of the lower extremity: a critical analysis review. JBJS Rev. 8(6):e0146, 2020
              3. World Health Organization: Poliomyelitis Fact Sheet. Published July 22, 2019. Accessed December 11, 2021.https://www.who.int/news-room/fact-sheets/detail/poliomyelitis
              4. Mannheim D et al: Childhood limb poliomyelitis as a suspected etiology for a contra-lateral femoral arteriomegaly and aneurysm formation. Isr Med Assoc J. 20(7):454-5, 2018
              5. Li Q et al: The role of ultrasonography in the diagnosis of gluteal muscle contracture. Skeletal Radiol. 40(2):215-21, 2011
              6. Boyer FC et al: Post-polio syndrome: pathophysiological hypotheses, diagnosis criteria, medication therapeutics. Ann Phys Rehabil Med. 53(1):34-41, 2010
              7. Marafi FA et al: Baseline patterns of bone scintigraphy in patients with established post-poliomyelitis paralysis. Skeletal Radiol. 39(9):891-5, 2010
              8. Tiffreau V et al: Post-polio syndrome and rehabilitation. Ann Phys Rehabil Med. 53(1):42-50, 2010
              Related Anatomy
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              Related Differential Diagnoses
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              References
              Tables

              Tables

              KEY FACTS

              • Terminology

                • Imaging

                  • Clinical Issues

                    TERMINOLOGY

                    • Definitions

                      • RNA virus that affects motor neurons in anterior horn and brainstem, resulting in muscle wasting &/or flaccid paralysis
                        • Paralysis may be temporary or (if severe) permanent
                      • Postpolio syndrome (PPS): new muscle weakness for ≥ 1 year, occurring at least 15 years after initial paralytic infection
                        • Found in 64-68% of prior paralytic polio cases

                    IMAGING

                    • General Features

                      CLINICAL ISSUES

                      • Demographics

                        • Treatment

                          Selected References

                          1. Checa Betegón P et al: Fractures in patients with poliomyelitis: past or current challenge? Injury. 51 Suppl 1:S48-54, 2020
                          2. Garceau SP et al: Management options and outcomes for patients with femoral fractures with post-polio syndrome of the lower extremity: a critical analysis review. JBJS Rev. 8(6):e0146, 2020
                          3. World Health Organization: Poliomyelitis Fact Sheet. Published July 22, 2019. Accessed December 11, 2021.https://www.who.int/news-room/fact-sheets/detail/poliomyelitis
                          4. Mannheim D et al: Childhood limb poliomyelitis as a suspected etiology for a contra-lateral femoral arteriomegaly and aneurysm formation. Isr Med Assoc J. 20(7):454-5, 2018
                          5. Li Q et al: The role of ultrasonography in the diagnosis of gluteal muscle contracture. Skeletal Radiol. 40(2):215-21, 2011
                          6. Boyer FC et al: Post-polio syndrome: pathophysiological hypotheses, diagnosis criteria, medication therapeutics. Ann Phys Rehabil Med. 53(1):34-41, 2010
                          7. Marafi FA et al: Baseline patterns of bone scintigraphy in patients with established post-poliomyelitis paralysis. Skeletal Radiol. 39(9):891-5, 2010
                          8. Tiffreau V et al: Post-polio syndrome and rehabilitation. Ann Phys Rehabil Med. 53(1):42-50, 2010