Blount’s disease is commonly attributed to an intrinsic, idiopathic defect in the posteromedial proximal tibial physis resulting in progressive. Revue de Chirurgie Orthopédique et Traumatologique – Vol. 88 – N° 2 – p. – IRM épiphysaire du tibia et maladie de Blount – EM|consulte. suggested by Blount: Tibia Vara or Osteochondrosis Deformans Tibiae. Subsequent .. Une sCrie de 17 malades atteints de la maladie de Blount ont kt6 .
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Blount disease is probably a multifactorial disorder with genetic, humoral, biomechanical, and environmental factors Sabharwal, ,aladie National Center for Biotechnology InformationU. Two patients did experience some recurrence of deformity following completion of treatment.
All patients were followed in an outpatient setting by a single surgeon. Unfortunately, it is not free maoadie produce. We identified 17 patients with tibia vara 27 limbs who were managed by means of guided growth of the proximal tibia, from age 1.
The lateral cortical wall of the upper tibial metaphysis remains notably straight. You can also scroll through stacks with your mouse wheel or the keyboard arrow keys. Concerns have also been raised with regard to screw breakage associated with this application of the tension-band plate.
Blount’s disease is commonly attributed to an intrinsic, idiopathic defect in the posteromedial proximal tibial physis resulting in progressive bowing of the leg, intoeing, and lateral knee thrust.
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Blount disease | Radiology Reference Article |
Findings are consistent with Blount disease also known as tibia vara which refers to a local disturbance of growth of the medial proximal tibial epiphyses. Published online Oct The infantile type is 5x more frequent than the others and is seen particularly in early walkers. His residual deformity was treated with a hemiepiphysiodesis which later resulted in normalization of his mechanical alignment.
This second, much bllount surgery is most effective in children with less blounh bowing and significant growth remaining. Case with hidden diagnosis. There are infantile, juvenile and adolescent forms. Data collection was not ds for every case as we did not find adequate clinical documentation of the pretreatment torsional profile in some of the patient charts.
However, as of this writing, we have seen continued maintenance of correction in all successfully treated patients aside from the 2 recurrences previously mentioned.
Blount’s disease – Wikipedia
The affected metaphysis tend to be depressed with a medially-oriented beak-like demineralised exostosis. Articles from Medicine are provided here courtesy of Wolters Kluwer Health.
Additionally, younger age does not seem to be a reliable predictor of recurrence for this group of patients. When overcorrected by 3 to 5 degrees, we have not seen recurrence of pathologic varus alignment in our other patients.
An x-ray of the knee and the lower leg confirms the diagnosis. Clin Orthop Rel Research ; Surgical options generally include corrective high tibial osteotomy or hemiepiphysiodesis.
The condition is commonly bilateral. With the exception of those patients with a defined medial tibial physeal bar, we have taken the approach of initially managing all infantile, juvenile, and adolescent patients, presenting with pathologic tibia vara, with hemiepiphysiodesis using tension band plating without specific consideration for age or BMI body mass index as long as there is growth remaining.
Case 2 Case 2. We did see recurrence in 2 patients.
Case 3 Case 3. Finally, just under half of the patients were skeletally mature at follow-up suggesting that recurrence in the patients treated successfully could still be possible.
The tibial shaft is blpunt the varus position, and the epiphysis is wedge-shaped, fragmented or can appear absent. Expert curators review the literature and organize it to facilitate your work. Familial infantile osteochondrosis deformans tibiae: Articles Cases Courses Quiz.
In this group of younger patients, all corrected with only 1 known recurrence. This was an IRB approved, single institution, retrospective cohort study.
Proximal tibial osteotomy and Taylor Spatial Frame application for correction of tibia vara in morbidly obese adolescents. In the event of recurrence, even following an osteotomy, it is a technique that can be repeated provided there is not a definite physeal bar.
Multiplanar deformity analysis of untreated blount disease. For leg bowing consider: Bathfield and Beighton noted a predilection for blacks. Relative tibial and femoral varus as a predictor of progression of malarie deformities of the lower limbs in young children. Prosthetics and Orthotics International.