Genu varum in achondroplasia

被引:33
作者
Ain, Michael C. [1 ]
Shirley, Eric D. [1 ]
Pirouzmanesh, Ashkan [1 ]
Skolasky, Richard L. [1 ]
Leet, Arabella I. [1 ]
机构
[1] Johns Hopkins Univ, Johns Hopkins Bayview Med Ctr, Dept Orthopaed Surg, Baltimore, MD 21224 USA
关键词
achondroplasia; genu varum; malalignment; fibular overgrowth;
D O I
10.1097/01.bpo.0000203013.04272.b6
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
The etiology of genu varum in achondroplasia is the subject of much speculation. The purpose of the current study was to investigate the association between fibular overgrowth and genii varum in achondroplasia. A retrospective analysis was performed on the long-leg radiographs of 48 pediatric patients with achondroplasia. All patients were skeletally immature, and the average age was 7.7 years (range, 3-16 years). Boys were significantly more likely to have varus mechanical tibiofemoral angles than girls (Fisher exact test, P = 0.038 for the right leg and P = 0.008 for the left leg). The distance from the proximal and distal fibula to the proximal tibia knee and ankle joint orientation lines, respectively, was not associated with the alignment of the lower extremity. We conclude that fibular overgrowth does not correlate with the severity of genii varum.
引用
收藏
页码:375 / 379
页数:5
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