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Abnormal femoral epiphysis morphology

MedGen UID:
870585
Concept ID:
C4025034
Anatomical Abnormality
Synonyms: Abnormality of femoral epiphysis; Abnormality of thighbone end part
 
HPO: HP:0006499

Definition

An anomaly of a growth plate of a femur. [from HPO]

Conditions with this feature

Stickler syndrome type 1
MedGen UID:
810955
Concept ID:
C2020284
Disease or Syndrome
Stickler syndrome is a connective tissue disorder that can include ocular findings of myopia, cataract, and retinal detachment; hearing loss that is both conductive and sensorineural; midfacial underdevelopment and cleft palate (either alone or as part of the Robin sequence); and mild spondyloepiphyseal dysplasia and/or precocious arthritis. Variable phenotypic expression of Stickler syndrome occurs both within and among families; interfamilial variability is in part explained by locus and allelic heterogeneity.
Schwartz-Jampel syndrome type 1
MedGen UID:
1647990
Concept ID:
C4551479
Disease or Syndrome
Schwartz-Jampel syndrome is a rare condition characterized by permanent muscle stiffness (myotonia) and bone abnormalities known as chondrodysplasia. The signs and symptoms of this condition become apparent sometime after birth, usually in early childhood. Either muscle stiffness or chondrodysplasia can appear first. The muscle and bone abnormalities worsen in childhood, although most affected individuals have a normal lifespan. The specific features of Schwartz-Jampel syndrome vary widely.\n\nMyotonia involves continuous tensing (contraction) of muscles used for movement (skeletal muscles) throughout the body. This sustained muscle contraction causes stiffness that interferes with eating, sitting, walking, and other movements. Sustained contraction of muscles in the face leads to a fixed, "mask-like" facial expression with narrow eye openings (blepharophimosis) and pursed lips. This facial appearance is very specific to Schwartz-Jampel syndrome. Affected individuals may also be nearsighted and experience abnormal blinking or spasms of the eyelids (blepharospasm).\n\nChondrodysplasia affects the development of the skeleton, particularly the long bones in the arms and legs and the bones of the hips. These bones are shortened and unusually wide at the ends, so affected individuals have short stature. The long bones may also be abnormally curved (bowed). Other bone abnormalities associated with Schwartz-Jampel syndrome include a protruding chest (pectus carinatum), abnormal curvature of the spine, flattened bones of the spine (platyspondyly), and joint abnormalities called contractures that further restrict movement.\n\nResearchers originally described two types of Schwartz-Jampel syndrome. Type 1 has the signs and symptoms described above, while type 2 has more severe bone abnormalities and other health problems and is usually life-threatening in early infancy. Researchers have since discovered that the condition they thought was Schwartz-Jampel syndrome type 2 is actually part of another disorder, Stüve-Wiedemann syndrome, which is caused by mutations in a different gene. They have recommended that the designation Schwartz-Jampel syndrome type 2 no longer be used.

Professional guidelines

PubMed

Roberts DW, Saglam Y, De La Rocha A, Frasquillo BN, Tulchin-Francis K, Kim HKW
J Pediatr Orthop 2018 Apr;38(4):193-201. doi: 10.1097/BPO.0000000000000782. PMID: 27261966
Hickman JM, Peters CL
Am J Orthop (Belle Mead NJ) 2001 Jun;30(6):459-67. PMID: 11411872
Bryant DD 3rd, Epps CH Jr
Orthopedics 1991 Jul;14(7):775-84. doi: 10.3928/0147-7447-19910701-08. PMID: 1871029

Recent clinical studies

Etiology

Mitchell C, Emami K, Emami A, Hosseinzadeh S, Shore B, Novais EN, Kiapour AM
Arch Orthop Trauma Surg 2023 Sep;143(9):5457-5466. Epub 2023 Mar 1 doi: 10.1007/s00402-023-04795-0. PMID: 36856839
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
Melbouci M, Mason RW, Suzuki Y, Fukao T, Orii T, Tomatsu S
Mol Genet Metab 2018 May;124(1):1-10. Epub 2018 Mar 16 doi: 10.1016/j.ymgme.2018.03.004. PMID: 29627275Free PMC Article
Novais EN, Millis MB
Clin Orthop Relat Res 2012 Dec;470(12):3432-8. doi: 10.1007/s11999-012-2452-y. PMID: 23054509Free PMC Article
Hogervorst T, Eilander W, Fikkers JT, Meulenbelt I
Clin Orthop Relat Res 2012 Dec;470(12):3284-96. doi: 10.1007/s11999-012-2511-4. PMID: 22926490Free PMC Article

Diagnosis

Morancie NA, Helton MR
Am Fam Physician 2023 May;107(5):474-485. PMID: 37192073
Acosta AM, Steinman SE, White KK
J Am Acad Orthop Surg 2019 Dec 1;27(23):e1021-e1028. doi: 10.5435/JAAOS-D-17-00796. PMID: 31567543
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
Peterson HA, Shaughnessy WJ, Stans AA
J Pediatr Orthop B 2017 Nov;26(6):507-514. doi: 10.1097/BPB.0000000000000384. PMID: 27748675
Novais EN, Millis MB
Clin Orthop Relat Res 2012 Dec;470(12):3432-8. doi: 10.1007/s11999-012-2452-y. PMID: 23054509Free PMC Article

Therapy

Pettit M, Doran C, Singh Y, Saito M, Sunil Kumar KH, Khanduja V
Osteoarthritis Cartilage 2021 Aug;29(8):1117-1129. Epub 2021 May 11 doi: 10.1016/j.joca.2021.02.572. PMID: 33989785
Roberts DW, Saglam Y, De La Rocha A, Frasquillo BN, Tulchin-Francis K, Kim HKW
J Pediatr Orthop 2018 Apr;38(4):193-201. doi: 10.1097/BPO.0000000000000782. PMID: 27261966
Nepple JJ, Vigdorchik JM, Clohisy JC
Am J Sports Med 2015 Nov;43(11):2833-40. Epub 2015 Jan 13 doi: 10.1177/0363546514563909. PMID: 25587186
Rebello G, Spencer S, Millis MB, Kim YJ
Clin Orthop Relat Res 2009 Mar;467(3):724-31. Epub 2008 Nov 12 doi: 10.1007/s11999-008-0591-y. PMID: 19002743Free PMC Article
McCullough CJ
Br J Rheumatol 1994 Feb;33(2):178-83. doi: 10.1093/rheumatology/33.2.178. PMID: 8162488

Prognosis

Melbouci M, Mason RW, Suzuki Y, Fukao T, Orii T, Tomatsu S
Mol Genet Metab 2018 May;124(1):1-10. Epub 2018 Mar 16 doi: 10.1016/j.ymgme.2018.03.004. PMID: 29627275Free PMC Article
Fujii Y, Endo H, Mitani S, Akazawa H, Tetsunaga T, Miyake T, Yamada K, Aoki K, Ozaki T
Acta Med Okayama 2017 Aug;71(4):315-323. doi: 10.18926/AMO/55308. PMID: 28824187
Novais EN, Millis MB
Clin Orthop Relat Res 2012 Dec;470(12):3432-8. doi: 10.1007/s11999-012-2452-y. PMID: 23054509Free PMC Article
Gholve PA, Cameron DB, Millis MB
Curr Opin Pediatr 2009 Feb;21(1):39-45. doi: 10.1097/MOP.0b013e328320acea. PMID: 19242240
Lehmann CL, Arons RR, Loder RT, Vitale MG
J Pediatr Orthop 2006 May-Jun;26(3):286-90. doi: 10.1097/01.bpo.0000217718.10728.70. PMID: 16670536

Clinical prediction guides

Fujii Y, Endo H, Mitani S, Akazawa H, Tetsunaga T, Miyake T, Yamada K, Aoki K, Ozaki T
Acta Med Okayama 2017 Aug;71(4):315-323. doi: 10.18926/AMO/55308. PMID: 28824187
Peterson HA, Shaughnessy WJ, Stans AA
J Pediatr Orthop B 2017 Nov;26(6):507-514. doi: 10.1097/BPB.0000000000000384. PMID: 27748675
Sangeux M, Passmore E, Gomez G, Balakumar J, Graham HK
Clin Biomech (Bristol, Avon) 2014 May;29(5):523-30. Epub 2014 Apr 12 doi: 10.1016/j.clinbiomech.2014.03.012. PMID: 24768225
Novais EN, Millis MB
Clin Orthop Relat Res 2012 Dec;470(12):3432-8. doi: 10.1007/s11999-012-2452-y. PMID: 23054509Free PMC Article
Powers JA, Bach PJ
South Med J 1977 Nov;70(11):1297-9. doi: 10.1097/00007611-197711000-00014. PMID: 918696

Recent systematic reviews

Pettit M, Doran C, Singh Y, Saito M, Sunil Kumar KH, Khanduja V
Osteoarthritis Cartilage 2021 Aug;29(8):1117-1129. Epub 2021 May 11 doi: 10.1016/j.joca.2021.02.572. PMID: 33989785
Nepple JJ, Vigdorchik JM, Clohisy JC
Am J Sports Med 2015 Nov;43(11):2833-40. Epub 2015 Jan 13 doi: 10.1177/0363546514563909. PMID: 25587186
Hogervorst T, Eilander W, Fikkers JT, Meulenbelt I
Clin Orthop Relat Res 2012 Dec;470(12):3284-96. doi: 10.1007/s11999-012-2511-4. PMID: 22926490Free PMC Article
Struijs PA, Kerkhoffs GM, Besselaar PP
J Foot Ankle Surg 2012 Sep-Oct;51(5):620-6. Epub 2012 Jul 21 doi: 10.1053/j.jfas.2012.05.008. PMID: 22819617

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