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Genu valgum

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https://www.readbyqxmd.com/read/27920870/pyle-disease-metaphyseal-dysplasia-presenting-in-two-adult-sisters
#1
Diego Ximenes Soares, Amália Mapurunga Almeida, André Rodrigues Façanha Barreto, Ilze Jucá Alencar E Silva, José Daniel Vieira de Castro, Francisco José Magalhães Pinto, Daniel Aguiar Dias, Lindenberg Barbosa Aguiar
Pyle's disease is an extremely rare skeletal disorder characterized by a benign course and an autosomal recessive genetic pattern of inheritance. Its causal mutation is still unknown. In the medical literature, fewer than 30 cases have been described to date. We report the case of two female siblings, daughters of consanguineous parents, referred to the radiology department complaining of genu valgum. Laboratory tests showed no other relevant findings. Conventional radiography plain films revealed Erlenmeyer flask deformity in bilateral femorotibial metaphyses, metaphyseal flaring of long bones, and mild sclerosis of the skull base...
December 2016: Radiology case reports
https://www.readbyqxmd.com/read/27869739/perinatal-risk-factors-and-genu-valgum-conducive-to-the-onset-of-growing-pains-in-early-childhood
#2
Angelos Kaspiris, Efstathios Chronopoulos, Elias Vasiliadis
The most prevalent musculoskeletal disorder of childhood with unclear aetiology is growing pains (GPs). Anatomic deformities and factors that change bone turnover are implicated in GP pathophysiology. Perinatal risk factors alter the bone metabolism affecting the bone mineral density and content. The aim of our study was to analyze the relationship between GPs, knock knees and perinatal factors. The examined population consisted of 276 children aged 3-7 years. Among them, ten pairs of dizygotic twins were evaluated...
November 18, 2016: Children
https://www.readbyqxmd.com/read/27818987/total-knee-arthroplasty-with-subvastus-approach-in-patient-with-chronic-post-traumatic-patellar-dislocation
#3
Jader Joel Machado Junqueira, Camilo Partezani Helito, Marcelo Batista Bonadio, Jose Ricardo Pécora, Marco Kawamura Demange
Chronic lateral dislocation of the patella is a rare condition and acquired causes are usually secondary to knee trauma. The neglected chronic dislocation leads to progressive genu valgum and external tibial torsion deformities with subsequent gonarthrosis, which becomes painful and debilitating. There is no consensus regarding treatment of these patients, but total knee arthroplasty (TKA) is a useful therapy in cases of painful symptomatic gonarthrosis. Few reports have shown that subvastus approach and lateral release may be a valid option for TKA, since it allows the correction of valgus deformity and patellar tracking without interrupting vascular blood supply of patella...
September 2016: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/27777911/long-term-clinical-outcome-and-the-identification-of-homozygous-cyp27b1-gene-mutations-in-a-patient-with-vitamin-d-hydroxylation-deficient-rickets-type-1a
#4
Ja Hyang Cho, Eungu Kang, Gu-Hwan Kim, Beom Hee Lee, Jin-Ho Choi, Han-Wook Yoo
Vitamin D hydroxylation-deficient rickets type 1A (VDDR1A) is an autosomal recessively-inherited disorder caused by mutations in CYP27B1 encoding the 1α-hydroxylase enzyme. We report on a female patient with VDDR1A who presented with hypocalcemic seizure at the age of 13 months. The typical clinical and biochemical features of VDDR1A were found, such as hypocalcemia, increased alkaline phosphatase, secondary hyperparathyroidism and normal 25-hydroxyvitamin D3 (25(OH)D3). Radiographic images of the wrist showed metaphyseal widening with cupping and fraying of the ulna and distal radius, suggesting rickets...
September 2016: Annals of Pediatric Endocrinology & Metabolism
https://www.readbyqxmd.com/read/27587531/prediction-of-rebound-phenomenon-after-removal-of-hemiepiphyseal-staples-in-patients-with-idiopathic-genu-valgum-deformity
#5
S-S Park, S Kang, J Y Kim
AIMS: Our aim was to investigate the predictive factors for the development of a rebound phenomenon after temporary hemiepiphysiodesis in children with genu valgum. PATIENTS AND METHODS: We studied 37 limbs with idiopathic genu valgum who were treated with hemiepiphyseal stapling, and with more than six months remaining growth at removal of the staples. All children were followed until skeletal maturity or for more than two years after removal of the staples. RESULTS: On multivariate logistic regression analysis, the rate of correction, body mass index (BMI), age, and initial valgus angle were significantly associated with a rebound phenomenon...
September 2016: Bone & Joint Journal
https://www.readbyqxmd.com/read/27585448/role-of-computer-assisted-surgery-in-osteotomies-around-the-knee
#6
D Saragaglia, B Chedal-Bornu, R C Rouchy, B Rubens-Duval, R Mader, R Pailhé
PURPOSE: The goal of this article is to present our experience on navigation for osteotomies around the knee and especially osteotomies for coronal deformities. The first computer-assisted osteotomy was performed in March 2001 and since that time more than 1000 osteotomies have been performed in our department. METHODS: All the osteotomies were performed with the Orthopilot(®) device (B-Braun-Aesculap, Tuttlingen, Germany). The main indication was for genu varum deformities but several cases were operated for genu valgum...
September 1, 2016: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/27574955/rebound-of-frontal-plane-malalignment-after-tension-band-plating
#7
Sebastian Farr, Hamza M Alrabai, Elisabeth Meizer, Rudolf Ganger, Christof Radler
BACKGROUND: Despite the popularity of tension band plating (TBP) current literature lacks clinical data concerning recurrence ("rebound") of frontal plane malalignment. This study investigated the rebound phenomenon after TBP in idiopathic genu varum/valgum deformities. We analyzed factors that may contribute to the development of rebound after removal of TBP. METHODS: Patients who had correction of idiopathic valgus or varus deformities by TBP at the distal femoral and/or proximal tibial growth plate were selected from a prospective consecutive database...
August 29, 2016: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/27478655/maxillofacial-changes-in-melnick-needles-syndrome
#8
Leilane Larissa Albuquerque do Nascimento, Monica da Consolação Canuto Salgueiro, Mariana Quintela, Victor Perez Teixeira, Ana Carolina Costa Mota, Camila Haddad Leal de Godoy, Sandra Kalil Bussadori
Background. Melnick-Needles Syndrome is rare congenital hereditary skeletal dysplasia caused by mutations in the FLNA gene, which codifies the protein filamin A. This condition leads to serious skeletal abnormalities, including the stomatognathic region. Case Presentation. This paper describes the case of a 13-year-old girl diagnosed with Melnick-Needles Syndrome presenting with different forms of skeletal dysplasia, such as cranial hyperostosis, short upper limbs, bowed long bones, metaphyseal thickening, genu valgum (knock-knee), shortened distal phalanges, narrow pelvis and shoulders, rib tapering and irregularities, elongation of the vertebrae, kyphoscoliosis, micrognathia, hypoplastic coronoid processes of the mandible, left stylohyoid ligament suggesting ossification, and dental development anomalies...
2016: Case Reports in Dentistry
https://www.readbyqxmd.com/read/27471596/bilateral-genu-valgum-an-unusual-presentation-of-juvenile-primary-hyperparathyroidism
#9
Shruti Sharma, Sunil Kumar
Primary hyperparathyroidism is a generalized disorder of bone and mineral metabolism caused by autonomous secretion of parathyroid hormone. It is primarily seen in adults with typical age of presentation between third and fifth decades of life. Juvenile hyperparathyroidism is a rare disorder. The common presentations in order of incidence are fatigue and lethargy, headache, nephrolithiasis, nausea, abdominal pain, vomiting and polydipsia. Though skeletal symptoms include bone pains and fractures, but the presence of limb deformity is atypical...
July 2016: Oxford Medical Case Reports
https://www.readbyqxmd.com/read/27466987/kinetic-and-kinematic-analysis-of-gait-pattern-of-13-year-old-children-with-unilateral-genu-valgum
#10
B Ganesan, K N K Fong, A Luximon, A Al-Jumaily
OBJECTIVE: Genu valgum is a common knee deformity in growing children. It alters the alignment of the lower extremity, body posture, and gait pattern of the children. Understanding of kinematic and kinetic parameters of gait in genu valgum is essential for planning and implementing the intervention to correcting the valgus deformity. The aim of this paper is to investigate the kinetic and kinematic gait differences in children with genu valgum. PATIENTS AND METHODS: A 13-year old girl with left side unilateral genu valgum and a closely matched healthy counterpart were recruited to compare the kinetic and kinematic parameters of their gait performances, and they were captured by The VICON motion analysis system...
July 2016: European Review for Medical and Pharmacological Sciences
https://www.readbyqxmd.com/read/27417295/comparative-study-between-staples-and-eight-plate-in-the-management-of-coronal-plane-deformities-of-the-knee-in-skeletally-immature-children
#11
Arvind Kumar, Sahil Gaba, Alok Sud, Pushpvardhan Mandlecha, Lakshay Goel, Mayur Nayak
PURPOSE: To compare two commonly used methods of temporary hemiepiphysiodesis (staples and figure of eight plate) in the management of coronal plane deformities of the knee in skeletally immature children. METHODS: This prospective study was conducted between November 2012 and November 2015. A total of 40 patients with 67 affected knee joints, having at least 1 year of skeletal growth remaining, were included in the study. Angular correction was measured by recording the mechanical lateral distal femoral angle (mLDFA), mechanical medial proximal tibial angle (mMPTA), and anatomical tibio-femoral angle (TFA) (for the overall alignment of lower limbs)...
October 2016: Journal of Children's Orthopaedics
https://www.readbyqxmd.com/read/27331074/opening-and-closing-wedge-distal-femoral-osteotomy-a-systematic-review-of-outcomes-for-isolated-lateral-compartment-osteoarthritis
#12
Jorge Chahla, Justin J Mitchell, Daniel J Liechti, Gilbert Moatshe, Travis J Menge, Chase S Dean, Robert F LaPrade
BACKGROUND: Lateral compartment osteoarthritis of the knee can be a challenging pathology in the younger, active population due to limited treatment options and high patient expectations. Distal femoral osteotomy (DFO) has been reported to be a potential treatment option. PURPOSE: To perform a systematic review on the survival, outcomes, and complications of DFO for treatment of genu valgum with concomitant lateral compartment osteoarthritis of the knee. STUDY DESIGN: Systematic review; Level of evidence, 4...
June 2016: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/27328682/hemi-wedge-osteotomy-in-the-management-of-large-angular-deformities-around-the-knee-joint
#13
Barakat Sayed El-Alfy
BACKGROUND: Angular deformity around the knee joint is a common orthopedic problem. Many options are available for the management of such problem with varying degrees of success and failure. The aim of the present study was to assess the results of hemi-wedge osteotomy in the management of big angular deformities about the knee joint. MATERIALS AND METHODS: Twenty-eight limbs in 21 patients with large angular deformities around the knee joint were treated by the hemi-wedge osteotomy technique...
August 2016: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/27279954/-knee-chondromatosis-complicated-by-secondary-genu-valgum-with-common-peroneal-nerve-compression
#14
Mohamed Amine Karabila, Ahmed Bardouni
No abstract text is available yet for this article.
2016: Pan African Medical Journal
https://www.readbyqxmd.com/read/27271325/-percutaneous-sclerotherapy-with-polidocanol-successful-relapse-therapy-of-infantile-aneurysmal-bone-cyst
#15
S Rieger, J Dickschas
The aneurysmal bone cyst (ABC) is well-known for its local expansile growth form and for the high risk of recurrence after treatment. We present the case of a 6‑year-old patient with a large ABC in the metaphysis of the proximal tibia, which showed recurrence only five months after treatment with curettage and autologous bone graft. By using six percutaneous intralesional injections of polidocanol the patient was successfully treated with no recurrence. After 18 months, a mild genu valgum was clinically noted...
September 2016: Der Unfallchirurg
https://www.readbyqxmd.com/read/27170613/mucopolysaccharidosis-type-i-disguised-as-rickets
#16
Partha Pratim Chakraborty, Sugata Narayan Biswas, Sayantan Ray, Santosh Kumar Dey
A 16-year-old boy with widening of the large joints of the extremities and bilateral genu valgum had been extensively treated with oral vitamin D, with little clinical benefit. A diagnosis of vitamin D-resistant rickets was considered initially but a thorough clinical examination and skeletal survey was suggestive of mucopolysaccharidosis. The diagnosis was confirmed biochemically and subtype classification pointed toward the type I variety of the storage disorder. Absence of mental retardation is very unusual in mucopolysaccharidosis type I, which itself is an uncommon clinical entity...
2016: BMJ Case Reports
https://www.readbyqxmd.com/read/27161510/growth-abnormalities-following-anterior-cruciate-ligament-reconstruction-in-the-skeletally-immature-patient-a-systematic-review
#17
REVIEW
Michael J Collins, Thomas A Arns, Timothy Leroux, Austin Black, Randy Mascarenhas, Bernard R Bach, Brian Forsythe
PURPOSE: To identify all reported cases of growth disturbances after anterior cruciate ligament (ACL) reconstruction in patients with open growth plates and analyze trends with respect to different surgical techniques, graft choices, and methods of fixation. METHODS: A systematic literature review was conducted using the MEDLINE, EMBASE, and SCOPUS databases with the following term: "((anterior cruciate ligament OR ACL) AND ((((immature) OR growth plates) OR physes) OR pediatric))...
August 2016: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/27125236/-causes-and-management-of-patellar-instability-after-total-knee-replacement-lateralization-subluxation-and-luxation
#18
K-D Heller
BACKGROUND: Patellofemoral complications after total knee arthroplasty are responsible for a variety of surgical revisions. OBJECTIVE: The causes of the various types of instability of the patella are listed in a differentiated way and the importance of clinical and imaging diagnostics as well as preventive strategies are elaborated. MATERIAL AND METHODS: This article is based on a selective literature search in the PubMed database and on the long-standing experience of the author...
May 2016: Der Orthopäde
https://www.readbyqxmd.com/read/27023140/commentary-on-genu-valgum-and-flat-feet-in-children-with-healthy-and-excessive-body-weight
#19
COMMENT
Sandra L Willett, Regina T Harbourne
No abstract text is available yet for this article.
2016: Pediatric Physical Therapy
https://www.readbyqxmd.com/read/26996346/allograft-and-autograft-transphyseal-anterior-cruciate-ligament-reconstruction-in-skeletally-immature-patients-outcomes-and-complications
#20
Christopher M Larson, Christie S Heikes, Christopher I Ellingson, Corey A Wulf, M Russell Giveans, Rebecca M Stone, Asheesh Bedi
PURPOSE: The purpose of the study was to evaluate outcomes, graft failure rates, and complications after transphyseal soft-tissue allograft and autograft anterior cruciate ligament (ACL) reconstruction (ACLR) in patients with open growth plates. METHODS: Twenty-nine skeletally immature athletes (30 knees) with a mean age of 13.9 years (range, 9 to 16 years) underwent transphyseal ACLR (22 with quadrupled hamstring autograft and 8 with tibialis anterior allograft)...
May 2016: Arthroscopy: the Journal of Arthroscopic & related Surgery
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