Rickets and Angulatory Bone Deformity

2014 ◽  
pp. 69-73
Author(s):  
J. Norgrove Penny
Keyword(s):  
Author(s):  
Srushti Yadahalli ◽  
Aditi Parmar ◽  
Prajakta Zambare ◽  
Rajendra Sawant

2021 ◽  
pp. 42-43
Author(s):  
Rahul Kumar ◽  
Rajni Kumari ◽  
Shailesh Kumar ◽  
Santosh Kumar

INTRODUCTION: - The X-linked vitamin D-resistant hypophosphatemic rickets (VDXLR) is a metabolic disorder. Medication treatment consists of oral phosphate substitution and supplementation of active vitamin D compounds. Our study aimed to review our patients with VDXLR, focusing on those undergoing surgery, mainly lengthening procedures. The main parameters of interest were growth, height, the axis of the lower limbs, pain, and degenerative arthropathy. METHODS: - Twelve patients with VDXLR were followed at our institution. Eight patients underwent surgical correction, and three of them in combination with bone lengthening. The corrections were executed at the end of growth in the patients. Clinical end points were height, leg axis, and pain. RESULTS: - Single bilateral surgical correction was performed in six patients; one patient had three and ve corrections. Bone lengthening was performed in three patients. At the last follow-up, the height of seven operated patients was within normal range. In addition, the leg axis was normalized in six patients with mild genua vara in two. Bone healing was excellent, and no surgical complications. There was no one radiological evidence of degenerative arthropathy. CONCLUSIONS: - In case of bone deformity, surgery can safely be performed, independent of age or bone maturation. All patients were happy with the outcomes of axial corrective surgery and bone lengthening, and in the majority. Only one corrective intervention was needed.


Author(s):  
Deepak Sharma ◽  
Sachin Lamba ◽  
Aakash Pandita ◽  
Sweta Shastri

Klippel–Trénaunay syndrome (KTS or KT) is an infrequently seen dermatological syndrome, which is often viewed as a triad of vascular malformation (capillary malformations or port-wine brands), venous varicosity, and soft tissue and/or bony hypertrophy. We report a case of a 12-year-old male who presented to us with the symptoms of varicose plaques over both lower limbs and was diagnosed as a case of KTS. Management is normally conservative and includes stockings for compression of the branches to reduce edema because of chronic venous insufficiency; modern devices that cause on and off pneumatic compression; and rarely, surgical correction of varicose veins with lifelong follow-up. The orthopedic abnormalities are treated with epiphysiodesis in order to prevent (stop) overgrowing of limb and correction of bone deformity.


1987 ◽  
pp. 299-302
Author(s):  
Ralph A. Kloehn ◽  
David K. Dunn ◽  
Jeanne E. Szarzynski

2019 ◽  
Vol 39 (5) ◽  
pp. 304-307
Author(s):  
Nathalia S. Wicpolt ◽  
Aldo Gava

ABSTRACT: Three outbreaks of osseous malformation in claves born of cows fed apple pomace throughout pregnancy are described. This study was carried out from historical surveys on properties where apple pomace was used in cattle feeding. The outbreaks occurred in the municipalities of Lages, Santa Catarina state, from 2007 to 2012, and Ipê, Rio Grande do Sul state, from 2011 to 2012. These calves presented bone deformity characterized mainly by arthrogryposis and chondrodysplasia of the anterior limbs. At necropsy, the observed changes were restricted to bending and thickening of the anterior limbs and skull. Microscopically, a disorganized, irregular, misaligned hypertrophic zone was observed in the humeral-radio-ulnar joints, in addition to absence of growth zone, thin bone trabeculae, and closed epiphyseal growth plate.


2019 ◽  
Vol 126 ◽  
pp. 79-82
Author(s):  
Sachiko Hirata ◽  
Masahito Kobayashi ◽  
Dai Kamamoto ◽  
Kenzo Kosugi ◽  
Kazunari Yoshida ◽  
...  

1989 ◽  
Vol 22 (11-12) ◽  
pp. 1271-1278 ◽  
Author(s):  
Brian P. Sangeorzan ◽  
Robert P. Judd ◽  
Bruce J. Sangeorzan

1997 ◽  
Vol 26 (1) ◽  
pp. 169-187 ◽  
Author(s):  
C. J. Morrow ◽  
J. M. Bradbury ◽  
M. J. Gentle ◽  
B. H. Thorp

2013 ◽  
Vol 11 (4) ◽  
pp. 389-391 ◽  
Author(s):  
R. Shane Tubbs ◽  
Christoph Griessenauer ◽  
Elias Rizk ◽  
Mohammadali M. Shoja ◽  
Stephen F. Pehler ◽  
...  

Injuries to the posterior interosseous nerve (PIN) appear to be very uncommon in children. In this paper, the authors describe a 9-year-old boy with a radial malunion and radial head instability that resulted in PIN compression. Surgical decompression via transection of the overlying supinator muscle with correction of the radial deformity and instability resulted in complete return of PIN function. The clinician should be aware of anterior dislocation of the radial head as a cause of PIN injury. Based on the authors' experience, nerve decompression and correction of the bone deformity result in return of normal PIN function.


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