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Progressive leg bowing

MedGen UID:
381580
Concept ID:
C1855191
Finding
HPO: HP:0006409

Definition

Progressive bending or abnormal curvature of the leg. [from HPO]

Term Hierarchy

Conditions with this feature

Metaphyseal chondrodysplasia, Spahr type
MedGen UID:
140928
Concept ID:
C0432225
Disease or Syndrome
A rare, genetic, primary bone dysplasia disease characterized by usually moderate, postnatal short stature, progressive genu vara deformity, a waddling gait, and radiological signs of metaphyseal dysplasia (i.e. irregular, sclerotic and widened metaphyses), in the absence of biochemical abnormalities suggestive of rickets disease. Intermittent knee pain, lordosis, and delayed motor development may also occasionally be associated.

Recent clinical studies

Etiology

Bardot LP, Micicoi G, Favreau H, Zeman P, Khakha R, Ehlinger M, Ollivier M
Knee Surg Sports Traumatol Arthrosc 2022 Feb;30(2):715-720. Epub 2021 Jan 24 doi: 10.1007/s00167-021-06446-6. PMID: 33486561
Silva MS, Fernandes ARC, Cardoso FN, Longo CH, Aihara AY
Radiographics 2019 May-Jun;39(3):779-794. doi: 10.1148/rg.2019180101. PMID: 31059403
Sakamoto Y, Ishijima M, Kinoshita M, Liu L, Suzuki M, Kim SG, Kamata K, Tokita A, Kaneko H, Shimizu T, Kaneko K, Nozawa M
J Bone Miner Metab 2018 Jul;36(4):447-453. Epub 2017 Jun 29 doi: 10.1007/s00774-017-0851-6. PMID: 28664247
Heflin JA, Ford S, Stevens P
Medicine (Baltimore) 2016 Oct;95(41):e4951. doi: 10.1097/MD.0000000000004951. PMID: 27741108Free PMC Article
Feldman KW, Marcuse EK, Springer DA
Am Fam Physician 1990 Nov;42(5):1311-8. PMID: 2239638

Diagnosis

Oliveira D, Maia S, Balacó I, Coelho P, Almeida S, Venâncio M, Saraiva J, Nishimura G, Sousa SB
Eur J Med Genet 2024 Apr;68:104913. Epub 2024 Jan 28 doi: 10.1016/j.ejmg.2024.104913. PMID: 38286305
Padidela R, Nilsson O, Makitie O, Beck-Nielsen S, Ariceta G, Schnabel D, Brandi ML, Boot A, Levtchenko E, Smyth M, Jandhyala R, Mughal Z
Orphanet J Rare Dis 2020 Jun 30;15(1):172. doi: 10.1186/s13023-020-01434-4. PMID: 32605590Free PMC Article
Silva MS, Fernandes ARC, Cardoso FN, Longo CH, Aihara AY
Radiographics 2019 May-Jun;39(3):779-794. doi: 10.1148/rg.2019180101. PMID: 31059403
Heflin JA, Ford S, Stevens P
Medicine (Baltimore) 2016 Oct;95(41):e4951. doi: 10.1097/MD.0000000000004951. PMID: 27741108Free PMC Article
Feldman KW, Marcuse EK, Springer DA
Am Fam Physician 1990 Nov;42(5):1311-8. PMID: 2239638

Therapy

Econs MJ, Friedman NE, Rowe PS, Speer MC, Francis F, Strom TM, Oudet C, Smith JA, Ninomiya JT, Lee BE, Bergen H
J Clin Endocrinol Metab 1998 Oct;83(10):3459-62. doi: 10.1210/jcem.83.10.5167. PMID: 9768646

Prognosis

Di Gennaro GL, Gallone G, Martinez Vazquez EA, Marchesini Reggiani L, Racano C, Olivotto E, Stilli S, Trisolino G
BMC Musculoskelet Disord 2020 Jul 3;21(1):430. doi: 10.1186/s12891-020-03408-w. PMID: 32620101Free PMC Article
Zhao Y, Yang F, Wang L, Che H
J Pediatr Endocrinol Metab 2020 Feb 25;33(2):305-311. doi: 10.1515/jpem-2019-0380. PMID: 31927522
Heflin JA, Ford S, Stevens P
Medicine (Baltimore) 2016 Oct;95(41):e4951. doi: 10.1097/MD.0000000000004951. PMID: 27741108Free PMC Article
Beck JJ, Altiok H
J Pediatr Orthop B 2013 May;22(3):213-8. doi: 10.1097/BPB.0b013e328352ad09. PMID: 23535818
Roginsky VV, Ivanov AL, Khonsari RH
Int J Oral Maxillofac Surg 2010 Apr;39(4):397-401. Epub 2009 Dec 11 doi: 10.1016/j.ijom.2009.11.008. PMID: 20005074

Clinical prediction guides

Di Gennaro GL, Gallone G, Martinez Vazquez EA, Marchesini Reggiani L, Racano C, Olivotto E, Stilli S, Trisolino G
BMC Musculoskelet Disord 2020 Jul 3;21(1):430. doi: 10.1186/s12891-020-03408-w. PMID: 32620101Free PMC Article
Padidela R, Nilsson O, Makitie O, Beck-Nielsen S, Ariceta G, Schnabel D, Brandi ML, Boot A, Levtchenko E, Smyth M, Jandhyala R, Mughal Z
Orphanet J Rare Dis 2020 Jun 30;15(1):172. doi: 10.1186/s13023-020-01434-4. PMID: 32605590Free PMC Article
Jafarnezhadgero AA, Shad MM, Majlesi M, Granacher U
PLoS One 2017;12(9):e0185057. Epub 2017 Sep 19 doi: 10.1371/journal.pone.0185057. PMID: 28926635Free PMC Article
Heflin JA, Ford S, Stevens P
Medicine (Baltimore) 2016 Oct;95(41):e4951. doi: 10.1097/MD.0000000000004951. PMID: 27741108Free PMC Article

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