E W Brien, J M Lane, J Healey
To our knowledge, progressive coxa valga, femoral anteversion, and hip subluxation after surgical resection of soft tissue tumors of the gluteal muscles have not been described. The importance of this paper is to document proximal femoral deformity and hip subluxation in children after tumor resection of the hip abductor muscles, to provide guidelines for diagnosis and management of this problem, and to avoid late complications of progressive joint incongruity. Late deformity was seen in two cases after limb salvage surgery for a soft tissue buttock tumor...
January 1995: Journal of Pediatric Orthopedics
F J Laplaza, L Root
A consecutive sample of 411 hip roentgenograms in 215 patients with cerebral palsy was evaluated. Femoral anteversion and neck-shaft angles were measured and compared with hip stability indexes to determine which of the two angles is more important in hip instability. The correlation coefficients were higher and statistically significant for femoral anteversion and lower and statistically nonsignificant for neck-shaft angles. These findings suggest that increased femoral anteversion has greater correlation than increased coxa valga with hip instability in cerebral palsy patients and therefore should be addressed primarily when surgically treating these hips...
November 1994: Journal of Pediatric Orthopedics
M Masuno, K Imaizumi, G Nishimura, K Kurosawa, Y Makita, Y Shimazaki, Y Kuroki
We describe a 22-month-old Japanese girl with severe microcephaly with a prominent nose and a receding chin, developmental delay, marked intrauterine and postnatal dwarfism with limb shortening and brachydactyly, and distinctive radiological changes of the skeleton. The radiological findings include hypoplasia of the short tubular bones, multiple pseudoepiphyses in the bases of the metacarpals, coxa valga, a wide pelvis with iliac flaring, thoracolumbar scoliosis, and disharmonious ossification delay. The clinical and radiological features are somewhat different from those of previously reported cases with osteodysplastic primordial dwarfism...
January 1995: Clinical Dysmorphology
E Delaporte, R Wendehenne, S Descamps, V Bitbol-Duneton, P Y Hatron, F Piette, H Bergoend
BACKGROUND: Hamartomatous dysplasias with hemihypertrophy are a part of several congenital diseases, sometimes difficult to classify when their symptomatology is relatively poor. CASE REPORTS: Case 1. A girl, 11 year-old, suffered from gigantism of the feet, left hemihypertrophy of the limbs, scoliosis and kyphosis. X-rays showed frontal hyperostose, bony and soft tissues overgrowth involving the left limbs and pelvis with hip dislocation and coxa valga. The vertebrae were hypertrophic and dysplastic...
January 1995: Archives de Pédiatrie: Organe Officiel de la Sociéte Française de Pédiatrie
P González-Herranz, J Burgos-Flores, J M Rapariz, J A Lopez-Mondejar, J G Ocete, S Amaya
We have studied the medium- and long-term effects of femoral intramedullary nailing in 34 children. There was a high incidence of abnormality at the proximal end of the femur, including coxa valga, arrest of growth of the greater trochanter and thinning of the neck of the femur, because of damage to the trochanterocervical growth plate. These disorders affected 30% of the patients, mostly under the age of 13 years (p < 0.05), and were seen more frequently when the nail had been introduced through the piriform fossa...
March 1995: Journal of Bone and Joint Surgery. British Volume
P R Miller, K N Kuo, J P Lubicky
The association of Down's syndrome (trisomy 21) with clubfeet has not previously been elaborated. Eight patients with a total of 15 clubfeet were identified for review. Five of these had trisomy 21 noted by chromosomal analysis, and 1 had a mosaic pattern. Two patients did not have chromosomal documentation, but had characteristic features of Down's syndrome. Interestingly, 2 patients had evidence of arthrogryposis as well as Down's syndrome. Four of the 8 patients had other orthopedic anomalies, including scoliosis, atlantoaxial instability, brachydactyly, and coxa valga...
May 1995: Orthopedics
N N Sylkin
The development of the proximal femur was studied in a follow up of 64 patients--on average 24.4 years of age--with congenital hip dislocation and 101 subsequent aseptic necroses of the femoral head. For measurement of the angle of antetorsion and the femoral neck-shaft angle, biplanar radiographs were taken. A coxa valga with a true femoral neck-shaft of 137 to 164 degrees was present in one third of the cases with partial necrosis and in the group without necrosis. An increasing degree of necrosis led to coxa vara...
July 1995: Zeitschrift Für Orthopädie und Ihre Grenzgebiete
R Hegenbarth
The special features governing roentgen examinations of the hip joint in children in respect of positioning, x-ray technique and radiation protection, are explained. Particular attention is paid to the criteria of an accurate focussing of the pelvis in infants. Furthermore, standard focussing procedures and x-ray symptoms are described for the following diseases and malpositionings: changes of the centre-collum-diaphysis angle (coxa vara, coxa valga), torsional hip, epiphysiolysis capitis femuris, aseptic necrosis of the femoral head (M...
January 1980: Röntgen-Blätter; Zeitschrift Für Röntgen-Technik und Medizinisch-wissenschaftliche Photographie
Z Jaffer, M Nelson, P Beighton
Clinical examinations and radiographic skeletal surveys have been carried out in 15 patients with foetal alcohol syndrome. Fusion of the capitate and hamate bones in the carpus was bilateral in one patient and unilateral in two. All three had accessory ossification centres at the proximal ends of both second metacarpals. Two of these patients also had radio-ulnar synostosis. Digital shortening, which was demonstrated by pattern profile analysis, was very variable in degree and anatomical distribution. Other skeletal changes of uncertain significance were a "beaten copper" appearance of the calvarium in four patients, and coxa valga in one other...
1981: Journal of Bone and Joint Surgery. British Volume
G Anders, S Siedek
The first part of the investigation was concerned with the evaluation of radiographs of 64 children in whom 97 intertrochanteric adduction-derotation osteotomies were performed when the patients were between two and ten years old. Prior to surgery, immediately thereafter and two and six years later, the CCD, AC, ACM and CE angles of all the patients were measured on plain pelvic radiographs. On the radiographs made after six years 70% of the CCD angles were normal, while pathologic coxa valga was found in 15% and coxa vara also in 15%...
April 1982: Zeitschrift Für Orthopädie und Ihre Grenzgebiete
C S Houston, W A Zaleski, B Rozdilsky
The clinical, radiological, and neuropathological findings in early onset Cockayne syndrome are illustrated in identical twins and their brother. Their appearance of dwarfism with small head and prominent beaked nose strongly resembled that seen in the Seckel syndrome, but unlike patients with that syndrome they had a normal birth weight (for twins), thick cranial vaults, intracranial calcification, and a severe degree of mental retardation. The twins were deaf and blind, with optic atrophy and retinal pigmentation, while their brother had cataracts...
October 1982: American Journal of Medical Genetics
H Peltola, I Salmi, V Vahvanen, J Ahlqvist
Ten patients with osteomyelitis and three with a subcutaneous abscess, all caused by BCG vaccination, are described. All patients were less than 3 years old and had as newborns been vaccinated intracutaneously in the left gluteal or hip area. Pain, limping, or a slightly tender subcutaneous induration were the primary symptoms. The sites of predilection of osteomyelitis were the metaphysis or epiphysis of the femur, these being affected in five out of 10 cases. All three subcutaneous abscesses were in the thoracic region...
February 1984: Archives of Disease in Childhood
F U Niethard
Osteochondritis of the centers of ossification is a frequent condition during pubertal growth spurt. The ossification of the acetabulum is completed during that period by fusion of the primary and secondary ossification centers (Os acetabuli etc.). During that time of maximal longitudinal growth the pressure within the hip joint can impair the formation of the acetabulum. Usually the acetabular roof is involved to a lesser degree and spontaneous healing of the changes is observated (grade I). Under biomechanically disadvantageous conditions (e...
January 1984: Zeitschrift Für Orthopädie und Ihre Grenzgebiete
H Judet, J Judet
No abstract text is available yet for this article.
1983: Chirurgie; Mémoires de L'Académie de Chirurgie
H Gierse
No abstract text is available yet for this article.
January 1983: Zeitschrift Für Orthopädie und Ihre Grenzgebiete
J G Gamble
Two cases of Hutchinson-Gilford progeria syndrome are presented with a focus on hip disease. A severe coxa valga is the first abnormality. The femoral head becomes increasingly uncovered as the acetabulum becomes more dysplastic. The center edge angle decreases, the acetabular index increases, and the medial wall of the acetabulum widens. Hip pain, subluxation, and eventually dislocation are the sequelae of these changes. Late osteotomy is unpredictable; thus the best therapeutic regimen is early osteotomy (age 4-6 years) and a regular exercise program to maintain muscle strength and range of motion...
September 1984: Journal of Pediatric Orthopedics
G P Mitchell
Congenital dislocation of the hip in a child over the age of 4 may be discovered as a late untreated displacement, presenting with subluxation or dislocation, or as a late treated displacement presenting as a subluxating or subluxated hip. Conservative treatment is inadequate in untreated dislocations. Surgical reduction is the only possible procedure, associated with shortening femoral. The procedure may be used up to the age of 7 in bilateral cases, and up to the age of 12 in unilateral cases. Subluxating hips are recognised on the anteroposterior radiograph by a break in Shenton's line...
1981: Revue de Chirurgie Orthopédique et Réparatrice de L'appareil Moteur
P Vichard, B Bouffier, A Noir, D Arnould
The authors report a case of bilateral recurrent anterior dislocation of the hip in a child suffering from Seckel's disease (bird-headed dwarf). There were no neurological abnormalities. The dislocations appeared to relate to coxa valga and dysplastic acetabula. Femoral osteotomies together with a shelf procedure were performed. The dislocations had ceased when the child was reviewed in a two-year follow-up.
July 1980: Revue de Chirurgie Orthopédique et Réparatrice de L'appareil Moteur
R Stanescu, V Stanescu, P Maroteaux
A case presenting a peculiar type of spondylo-epiphyseal dysplasia was studied. Clinically, the normal height was striking. The X-rays showed large epiphysis and wide metaphysis. Bilateral coxa valga with very large femoral necks was present. The height of the vertebral bodies was slightly reduced. The study of the upper tibial growth cartilage showed glycoprotein inclusions in the chondrocytes and large dilatations of the rough endoplasmic reticulum. The gel electrophoresis of the non collagenous proteins extracted from the growth cartilage had an abnormal densitometric tracing...
March 1984: Archives Françaises de Pédiatrie
H Weisl
In spina bifida the femoral neck can develop either the well-known coxa valga or the hitherto unreported coxa vara. Twenty-three cases of coxa vara in spina bifida are reported. These result from spontaneous separation of the upper femoral epiphysis (10 cases), spontaneous fracture of the femoral neck (three cases) and iatrogenic avascular necrosis of the upper femoral epiphysis (10 cases).
March 1983: Journal of Bone and Joint Surgery. British Volume
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