Tibial muscular dystrophy
- Synonyms
- Distal myopathy Markesbery-Griggs type; Tibial muscular dystrophy, tardive; UDD Myopathy; Udd Distal Myopathy
- Modes of inheritance
- Autosomal recessive inheritance (Orphanet)
Autosomal dominant inheritance (Orphanet)
Summary
Excerpted from the GeneReview:Udd distal myopathy – tibial muscular dystrophy (UDM-TMD) is characterized by weakness of ankle dorsiflexion and inability to walk on the heels after age 30 years. Disease progression is slow and muscle weakness remains confined to the anterior compartment muscles for many years. The long toe extensors become clinically involved after ten to 20 years, leading to foot drop and clumsiness when walking. In the mildest form, UDM-TMD can remain unnoticed even in the elderly. EMG shows profound myopathic changes in the anterior tibial muscle, but preservation of the extensor brevis muscle. Muscle MRI shows selective fatty degeneration of the anterior tibial muscles and other anterior compartment muscles of the lower legs. Serum CK concentration may be normal or slightly elevated. Muscle biopsy shows progressive dystrophic changes in the tibialis anterior muscle with rimmed vacuoles at the early stages and replacement with adipose tissue at later stages of the disease.
- Full text of GeneReview (by section):
- Summary
- Diagnosis
- Clinical Characteristics
- Genetically Related (Allelic) Disorders
- Differential Diagnosis
- Management
- Genetic Counseling
- Resources
- Molecular Genetics
- Chapter Notes
- References
- Authors:
- Bjarne Udd
- Peter Hackman
- view full author information
Available tests
78 tests are in the database for this condition.
Check Related conditions for additional relevant tests.
Clinical tests (78 available)
Clinical features
Help- Abnormality of limbs
- Tibialis muscle weakness
Tibialis muscle weakness
- MedGen UID: 870178
- Concept ID: C4024612
- Finding: Finding
Abnormality of limbs
- Tibialis muscle weakness
- Abnormality of the cardiovascular system
- Cardiomyopathy
Cardiomyopathy
- MedGen UID: 209232
- Concept ID: C0878544
- Finding: Disease or Syndrome
Abnormality of the cardiovascular system
- Cardiomyopathy
- Abnormality of the musculoskeletal system
- EMG: myopathic abnormalities
EMG: myopathic abnormalities
- MedGen UID: 867362
- Concept ID: C4021726
- Finding: Pathologic Function
Abnormality of the musculoskeletal system
- Muscular dystrophy
Muscular dystrophy
- MedGen UID: 44527
- Concept ID: C0026850
- Finding: Disease or Syndrome
Abnormality of the musculoskeletal system
- Rimmed vacuoles
Rimmed vacuoles
- MedGen UID: 340089
- Concept ID: C1853932
- Finding: Finding
Abnormality of the musculoskeletal system
- Tibialis anterior muscle atrophy
Tibialis anterior muscle atrophy
- MedGen UID: 868961
- Concept ID: C4023375
- Finding: Finding
Abnormality of the musculoskeletal system
- EMG: myopathic abnormalities
- Abnormality of the nervous system
- Steppage gait
Steppage gait
- MedGen UID: 98105
- Concept ID: C0427149
- Finding: Finding
Abnormality of the nervous system
- Steppage gait
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