The knee joint in diastrophic dysplasia : A clinical and radiological study
We examined clinically and radiologically the knees of 46 patients (27 females and 19 males) with diastrophic dysplasia. The age of the patients varied from newborn to 38 years. A total of 18 patients was followed during their growth until adolescence. The knees of two legally aborted fetuses appear...
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| Veröffentlicht in: | Journal of bone and joint surgery. British volume 1999-07, Vol.81 (4), p.625-631 |
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| creator | PELTONEN, J VAARA, P MARTTINEN, E RYÖPPY, S POUSSA, M |
| description | We examined clinically and radiologically the knees of 46 patients (27 females and 19 males) with diastrophic dysplasia. The age of the patients varied from newborn to 38 years. A total of 18 patients was followed during their growth until adolescence. The knees of two legally aborted fetuses appeared on examination to be macroscopically normal and congruous. Excessive valgus deformity of the tibiofemoral weight-bearing angle with a mean of 14 degrees was noted in infancy. Most of the patients had marked instability of the knees. The range of movement of the knee began to decrease before the age of five years. There were signs of early degeneration and deformation of the bony epiphyses before the age of six years. The patellofemoral joint was abnormal from an early age. A marked patella infera, often associated with a lateral position of the patella with bony fragmentation, was noted. The knee in diastrophic dysplasia is basically unstable, showing early deformation of the subchondral bone and degeneration of the joint. |
| doi_str_mv | 10.1302/0301-620X.81B4.9370 |
| format | Article |
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The age of the patients varied from newborn to 38 years. A total of 18 patients was followed during their growth until adolescence. The knees of two legally aborted fetuses appeared on examination to be macroscopically normal and congruous. Excessive valgus deformity of the tibiofemoral weight-bearing angle with a mean of 14 degrees was noted in infancy. Most of the patients had marked instability of the knees. The range of movement of the knee began to decrease before the age of five years. There were signs of early degeneration and deformation of the bony epiphyses before the age of six years. The patellofemoral joint was abnormal from an early age. A marked patella infera, often associated with a lateral position of the patella with bony fragmentation, was noted. The knee in diastrophic dysplasia is basically unstable, showing early deformation of the subchondral bone and degeneration of the joint.</description><edition>British volume</edition><identifier>ISSN: 0301-620X</identifier><identifier>ISSN: 2049-4394</identifier><identifier>EISSN: 2044-5377</identifier><identifier>EISSN: 2049-4408</identifier><identifier>DOI: 10.1302/0301-620X.81B4.9370</identifier><identifier>PMID: 10463734</identifier><identifier>CODEN: JBSUAK</identifier><language>eng</language><publisher>London: British Editorial Society of Bone and Joint Surgery</publisher><subject>Adolescent ; Adult ; Biological and medical sciences ; Child ; Child, Preschool ; Diseases of the osteoarticular system ; Female ; Fetus - anatomy & histology ; Humans ; Infant ; Infant, Newborn ; Knee Joint - diagnostic imaging ; Knee Joint - embryology ; Knee Joint - pathology ; Male ; Malformations and congenital and or hereditary diseases involving bones. Joint deformations ; Medical sciences ; Osteochondrodysplasias - diagnostic imaging ; Osteochondrodysplasias - pathology ; Radiography</subject><ispartof>Journal of bone and joint surgery. 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British volume</title><addtitle>J Bone Joint Surg Br</addtitle><description>We examined clinically and radiologically the knees of 46 patients (27 females and 19 males) with diastrophic dysplasia. The age of the patients varied from newborn to 38 years. A total of 18 patients was followed during their growth until adolescence. The knees of two legally aborted fetuses appeared on examination to be macroscopically normal and congruous. Excessive valgus deformity of the tibiofemoral weight-bearing angle with a mean of 14 degrees was noted in infancy. Most of the patients had marked instability of the knees. The range of movement of the knee began to decrease before the age of five years. There were signs of early degeneration and deformation of the bony epiphyses before the age of six years. The patellofemoral joint was abnormal from an early age. A marked patella infera, often associated with a lateral position of the patella with bony fragmentation, was noted. The knee in diastrophic dysplasia is basically unstable, showing early deformation of the subchondral bone and degeneration of the joint.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Diseases of the osteoarticular system</subject><subject>Female</subject><subject>Fetus - anatomy & histology</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Knee Joint - diagnostic imaging</subject><subject>Knee Joint - embryology</subject><subject>Knee Joint - pathology</subject><subject>Male</subject><subject>Malformations and congenital and or hereditary diseases involving bones. Joint deformations</subject><subject>Medical sciences</subject><subject>Osteochondrodysplasias - diagnostic imaging</subject><subject>Osteochondrodysplasias - pathology</subject><subject>Radiography</subject><issn>0301-620X</issn><issn>2049-4394</issn><issn>2044-5377</issn><issn>2049-4408</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpd0MtKw0AUBuBBFFurTyDIIOIude6TcVeLNyy4qeAunGQmdmo6iZlk0bc3aFVwdeDw8Z8LQqeUTCkn7IpwQhPFyOs0pTdiargme2jMiBCJ5Frvo_GvGKGjGNeEECElP0QjSoTimosxelquHH4PzuF17UOHfcDWQ-zauln5AtttbCqIHvA1nuGi8sEXUGEIFrdgfV3Vb1-N2PV2e4wOSqiiO9nVCXq5u13OH5LF8_3jfLZICk55lzChNEhpXWmM0rlQSqROaqNkyYgtc1q4wRkpUg5Gc85yBxqopE6AMpLxCbr8zm3a-qN3scs2PhauqiC4uo-ZMsZQQdIBnv-D67pvw7BbxtgwWxouB3S2Q32-cTZrWr-Bdpv9_GgAFzsAcbi1bCEUPv45Q7XQkn8C7OdzuQ</recordid><startdate>19990701</startdate><enddate>19990701</enddate><creator>PELTONEN, J</creator><creator>VAARA, P</creator><creator>MARTTINEN, E</creator><creator>RYÖPPY, S</creator><creator>POUSSA, M</creator><general>British Editorial Society of Bone and Joint Surgery</general><general>British Editorial Society of Bone & Joint Surgery</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>19990701</creationdate><title>The knee joint in diastrophic dysplasia : A clinical and radiological study</title><author>PELTONEN, J ; VAARA, P ; MARTTINEN, E ; RYÖPPY, S ; POUSSA, M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c313t-2467a55def9967b46648e57965f20dfb1ce31395483a97332bea7a151e4a69523</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1999</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Diseases of the osteoarticular system</topic><topic>Female</topic><topic>Fetus - anatomy & histology</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Knee Joint - diagnostic imaging</topic><topic>Knee Joint - embryology</topic><topic>Knee Joint - pathology</topic><topic>Male</topic><topic>Malformations and congenital and or hereditary diseases involving bones. Joint deformations</topic><topic>Medical sciences</topic><topic>Osteochondrodysplasias - diagnostic imaging</topic><topic>Osteochondrodysplasias - pathology</topic><topic>Radiography</topic><toplevel>online_resources</toplevel><creatorcontrib>PELTONEN, J</creatorcontrib><creatorcontrib>VAARA, P</creatorcontrib><creatorcontrib>MARTTINEN, E</creatorcontrib><creatorcontrib>RYÖPPY, S</creatorcontrib><creatorcontrib>POUSSA, M</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of bone and joint surgery. 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A total of 18 patients was followed during their growth until adolescence. The knees of two legally aborted fetuses appeared on examination to be macroscopically normal and congruous. Excessive valgus deformity of the tibiofemoral weight-bearing angle with a mean of 14 degrees was noted in infancy. Most of the patients had marked instability of the knees. The range of movement of the knee began to decrease before the age of five years. There were signs of early degeneration and deformation of the bony epiphyses before the age of six years. The patellofemoral joint was abnormal from an early age. A marked patella infera, often associated with a lateral position of the patella with bony fragmentation, was noted. The knee in diastrophic dysplasia is basically unstable, showing early deformation of the subchondral bone and degeneration of the joint.</abstract><cop>London</cop><pub>British Editorial Society of Bone and Joint Surgery</pub><pmid>10463734</pmid><doi>10.1302/0301-620X.81B4.9370</doi><tpages>7</tpages><edition>British volume</edition></addata></record> |
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| subjects | Adolescent Adult Biological and medical sciences Child Child, Preschool Diseases of the osteoarticular system Female Fetus - anatomy & histology Humans Infant Infant, Newborn Knee Joint - diagnostic imaging Knee Joint - embryology Knee Joint - pathology Male Malformations and congenital and or hereditary diseases involving bones. Joint deformations Medical sciences Osteochondrodysplasias - diagnostic imaging Osteochondrodysplasias - pathology Radiography |
| title | The knee joint in diastrophic dysplasia : A clinical and radiological study |
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