scholarly journals Severe Infantile Blount’s Disease in Kumasi, Ghana: A Case Report

2019 ◽  
Vol 3 (1) ◽  
pp. 1-9
Author(s):  
Dominic Konadu-Yeboah ◽  
Peter Konadu ◽  
Ampem Darkwa ◽  
Banahene ◽  
Adu-Osei

Blount’s disease, also known as tibia vara, is a developmental disorder involving the posteromedial proximal tibial physis resulting in progressive varus, procurvatum and internal torsion of the affected tibia 1. The condition was first published by Blount in 1973 2. The aetiology of this disease is unkown. However, associations exist between blount’s disease and the Afro-Caribbean race, early age of walking and obesity 3, 4. Furthermore, genetic predisposition has been postulated as well as mechanical loading of the physis 4, 5, 6. Affected children are usually overweight and start walking early. It is bilateral in 80% of cases 7.

1969 ◽  
Vol 19 (1) ◽  
pp. 22-25
Author(s):  
W. Hoshiko ◽  
E. Koyanagi ◽  
K. Oomiya

1970 ◽  
Vol 18 (2) ◽  
pp. 131-133 ◽  
Author(s):  
MM Haque ◽  
AB Siddique ◽  
ABMG Rabbani ◽  
MA Quasem ◽  
AKMG Rahman ◽  
...  

A mass in the lower abdomen in a sexually active man with a cryptorchid testis strongly points towards the diagnosis of malignancy in the abdominal testis.1 The incidence of testicular tumor is 11 times more in inguinal testes and 50 times more in intra abdominal testes. 2 Normally, the testes, which are inside the abdomen during gestation, migrate into the scrotum by the time of birth. Occasionally, boys are born with testes that are still in the abdomen or in the groin, not having completed their journey to the scrotum. These undescended testes are at high risk of cancer and should be moved into the scrotum at an early age or removed entirely.   doi: 10.3329/taj.v18i2.3194 TAJ 2005; 18(2): 131-133


Author(s):  
NA Belykh ◽  
MA Akhkyamova ◽  
VV Gusev ◽  
OA Lvova

Dopa-responsive dystonia (DRD) is a rare progressive genetically heterogenous disorder with pediatric onset. DRD is 3 times as prevalent in women than in men. This article reports a clinical case of DRD in a young female presenting with paraparesis, foot dystonia (more pronounced in the right foot) and pronounced walking impairment, who was admitted for emergency treatment to a Neurology Unit. Based on the additional tests, which included a levodopa trial and Sanger sequencing, the patient was diagnosed with DRD. Levodopa caused a considerable improvement of the symptoms. The article describes the clinical features of the disease, talks about its differential diagnosis, genetic predisposition and treatment strategy.


2021 ◽  
Vol 3 (6) ◽  
pp. 01-03
Author(s):  
Mra Aye

Williams or Williams-Beuren (WBS) is a developmental disorder with multisystemic manifestations. Chromosome 7 microdeletion underlying WBS occurs because of the unique genetic architecture in this region. Facial features change from subtle to dramatic. The extent of mental and development problems is variable. Cardiovascular, endocrine, and nervous system involvement mostly affect the morbidity and mortality. Although many systems are involved in this syndrome, portal hypertension and splenomegaly are scarcely reported. We report a case of William syndrome with moderate splenomegaly and portal hypertension.


QJM ◽  
2020 ◽  
Vol 113 (Supplement_1) ◽  
Author(s):  
A H Yousry ◽  
S S Elbeshry ◽  
M H A Abdullah

Abstract Background Tibia vara (Blount’s disease) is an orthopedic condition that affects young children causing varus deformity of the knee. Blount described tibia vara as “an osteochondrosis located at the medial side of the proximal tibial epiphysis.” Currently, tibia vara is considered an acquired disease of the proximal tibial metaphysis, However, rather than an epiphyseal dysplasia or osteochondrosis. The exact cause is unknown, but enchondral ossification seems to be altered. Suggested causative factors include infection, trauma, osteonecrosis and a latent form of rickets, although none of these has been proved. Combination of hereditary and developmental factors is the most likely cause. Weight bearing must be necessary for its development because it does not occur in non-ambulatory patients and the relationship of early walking and obesity to Blount disease has been clearly documented. Purpose to establish, through the literatures, what is the effectiveness of temporary hemiepiphysiodesis by eight plate in treating Blount’s disease. Methodology A systematic review was carried out on several studies which met the inclusion criteria. In this Study we conducted an up-to-date review of the studies discussing results of use of eight plates in temporary hemiepiphysiodesis in Blount disease and published between June 2008 and June 2018. Results in our study, success rate is 67.1% with a considerable rate of correction of mechanical axis deviation ranging between 0.58 mm\month to 1.5mm\month. Success rate in infantile age group was 95%, while in adolescent age group was 48%. Conclusion it is evident that results of 8-plate in Blount disease is much better in infantile group of age than adolescent group. So, 8-plate can be used in treatment of Blount’s disease up to stage IV. The results are better in low BMI and younger age group .


2014 ◽  
Vol 1 (7) ◽  
pp. 738-743
Author(s):  
Maniyar Roshan Z ◽  
Syed Muneer ◽  
Venkateshwara Reddy M ◽  
Praveen Jahan

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