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Multiple epiphyseal dysplasia, with severe proximal femoral dysplasia

MedGen UID:
324484
Concept ID:
C1836315
Congenital Abnormality
Synonym: Epiphyseal Dysplasia, Multiple, with Severe Proximal Femoral Dysplasia
SNOMED CT: Multiple epiphyseal dysplasia with severe proximal femoral dysplasia (763893008)
 
Monarch Initiative: MONDO:0012253
OMIM®: 609324
Orphanet: ORPHA166029

Definition

A rare primary bone dysplasia characterised by severe early-onset dysplasia of the proximal femurs, with almost complete absence of the secondary ossification centres and abnormal development of the femoral necks (short and broad with irregular metaphyses). It is associated with gait abnormality, mild short stature, arthralgia, and joint stiffness with limited mobility of the hips and irregular acetabula, and hip and knee pain. Coxa vara and mild spinal changes are also associated. [from SNOMEDCT_US]

Clinical features

From HPO
Arthralgia
MedGen UID:
13917
Concept ID:
C0003862
Sign or Symptom
Joint pain.
Abnormality of the hand
MedGen UID:
6715
Concept ID:
C0018564
Anatomical Abnormality
An abnormality affecting one or both hands.
Genu valgum
MedGen UID:
154364
Concept ID:
C0576093
Anatomical Abnormality
The legs angle inward, such that the knees are close together and the ankles far apart.
Broad femoral neck
MedGen UID:
376496
Concept ID:
C1849016
Finding
An abnormally wide femoral neck (which is the process of bone, connecting the femoral head with the femoral shaft).
Coxa vara
MedGen UID:
1790477
Concept ID:
C5551440
Anatomical Abnormality
Coxa vara includes all forms of decrease of the femoral neck shaft angle (the angle between the neck and the shaft of the femur) to less than 120 degrees.
Short stature
MedGen UID:
87607
Concept ID:
C0349588
Finding
A height below that which is expected according to age and gender norms. Although there is no universally accepted definition of short stature, many refer to "short stature" as height more than 2 standard deviations below the mean for age and gender (or below the 3rd percentile for age and gender dependent norms).
Arthralgia of the hip
MedGen UID:
5556
Concept ID:
C0019559
Sign or Symptom
Joint pain affecting the hip.
Epiphyseal dysplasia
MedGen UID:
95932
Concept ID:
C0392476
Congenital Abnormality
Short femoral neck
MedGen UID:
373033
Concept ID:
C1836184
Finding
An abnormally short femoral neck (which is the process of bone, connecting the femoral head with the femoral shaft).
Proximal femoral metaphyseal irregularity
MedGen UID:
324485
Concept ID:
C1836320
Finding
Irregularity of the normally smooth surface of the proximal metaphysis of the femur.
Platyspondyly
MedGen UID:
335010
Concept ID:
C1844704
Finding
A flattened vertebral body shape with reduced distance between the vertebral endplates.
Flat distal femoral epiphysis
MedGen UID:
867240
Concept ID:
C4021599
Anatomical Abnormality
An abnormal flattening of the distal epiphysis of femur.
Irregularity of vertebral bodies
MedGen UID:
870851
Concept ID:
C4025311
Finding
Flared femoral metaphysis
MedGen UID:
871197
Concept ID:
C4025674
Anatomical Abnormality

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVMultiple epiphyseal dysplasia, with severe proximal femoral dysplasia
Follow this link to review classifications for Multiple epiphyseal dysplasia, with severe proximal femoral dysplasia in Orphanet.

Professional guidelines

PubMed

Majoor BC, Peeters-Boef MJ, van de Sande MA, Appelman-Dijkstra NM, Hamdy NA, Dijkstra PD
Clin Orthop Relat Res 2017 Mar;475(3):786-795. doi: 10.1007/s11999-016-4806-3. PMID: 27020436Free PMC Article

Recent clinical studies

Etiology

Hung TY, Wu KW, Lee CC, Lin SC, Kuo KN, Wang TM
J Pediatr Orthop 2023 Jan 1;43(1):e67-e73. Epub 2022 Nov 2 doi: 10.1097/BPO.0000000000002296. PMID: 36509457
Kitoh H, Kamiya Y, Mishima K, Matsushita M, Kaneko H, Kitamura A, Sawamura K, Matsuyama S
J Pediatr Orthop B 2023 Mar 1;32(2):157-164. Epub 2022 Feb 21 doi: 10.1097/BPB.0000000000000965. PMID: 35191426
Higuchi C, Sugano N, Yoshida K, Yoshikawa H
J Orthop Sci 2016 May;21(3):323-6. Epub 2016 Mar 4 doi: 10.1016/j.jos.2016.02.005. PMID: 26951643
Nishida Y, Tsukushi S, Hosono K, Nakashima H, Yamada Y, Urakawa H, Ishiguro N
J Orthop Surg Res 2015 May 10;10:63. doi: 10.1186/s13018-015-0208-6. PMID: 25958111Free PMC Article
Felix NA, Mazur JM, Loveless EA
J Bone Joint Surg Br 2000 May;82(4):555-7. doi: 10.1302/0301-620x.82b4.9894. PMID: 10855881

Diagnosis

Dozo MA, Abrego MO, Comba F, Zanotti G, Buttaro MA, Slullitel PA
JBJS Case Connect 2023 Jul 1;13(3) Epub 2023 Jul 21 doi: 10.2106/JBJS.CC.23.00017. PMID: 37478317
Mitsui T, Kim OH, Hall CM, Offiah A, Johnson D, Jin DK, Toh TH, Soneda S, Keino D, Matsubayashi S, Ishii T, Nishimura G, Hasegawa T
Am J Med Genet A 2014 Oct;164A(10):2529-34. Epub 2014 Jul 10 doi: 10.1002/ajmg.a.36669. PMID: 25044890
Karatas AF, Bober MB, Rogers K, Duker AL, Ditro CP, Mackenzie WG
J Pediatr Orthop 2014 Sep;34(6):585-90. doi: 10.1097/BPO.0000000000000183. PMID: 24705347
Isidor B, Geffroy L, de Courtivron B, Le Caignec C, Thiel CT, Mortier G, Cormier-Daire V, David A, Toutain A
Am J Med Genet A 2013 Oct;161A(10):2645-51. Epub 2013 Aug 16 doi: 10.1002/ajmg.a.36132. PMID: 23956136
Bradburn JM, Hall BD
Am J Med Genet 1995 Nov 6;59(2):234-7. doi: 10.1002/ajmg.1320590222. PMID: 8588592

Therapy

Majoor BC, Peeters-Boef MJ, van de Sande MA, Appelman-Dijkstra NM, Hamdy NA, Dijkstra PD
Clin Orthop Relat Res 2017 Mar;475(3):786-795. doi: 10.1007/s11999-016-4806-3. PMID: 27020436Free PMC Article
Nishida Y, Tsukushi S, Hosono K, Nakashima H, Yamada Y, Urakawa H, Ishiguro N
J Orthop Surg Res 2015 May 10;10:63. doi: 10.1186/s13018-015-0208-6. PMID: 25958111Free PMC Article

Prognosis

Hung TY, Wu KW, Lee CC, Lin SC, Kuo KN, Wang TM
J Pediatr Orthop 2023 Jan 1;43(1):e67-e73. Epub 2022 Nov 2 doi: 10.1097/BPO.0000000000002296. PMID: 36509457
Kim HS, Im SB, Han I
Bone Joint J 2015 Jul;97-B(7):1007-11. doi: 10.1302/0301-620X.97B7.35828. PMID: 26130361
Isidor B, Geffroy L, de Courtivron B, Le Caignec C, Thiel CT, Mortier G, Cormier-Daire V, David A, Toutain A
Am J Med Genet A 2013 Oct;161A(10):2645-51. Epub 2013 Aug 16 doi: 10.1002/ajmg.a.36132. PMID: 23956136
Martínez-Frías ML, Egüés X, Puras A, Hualde J, de Frutos CA, Bermejo E, Nieto MA, Martínez S
Am J Med Genet A 2011 Jan;155A(1):197-202. doi: 10.1002/ajmg.a.33765. PMID: 21204232
Felix NA, Mazur JM, Loveless EA
J Bone Joint Surg Br 2000 May;82(4):555-7. doi: 10.1302/0301-620x.82b4.9894. PMID: 10855881

Clinical prediction guides

Hung TY, Wu KW, Lee CC, Lin SC, Kuo KN, Wang TM
J Pediatr Orthop 2023 Jan 1;43(1):e67-e73. Epub 2022 Nov 2 doi: 10.1097/BPO.0000000000002296. PMID: 36509457
Kitoh H, Kamiya Y, Mishima K, Matsushita M, Kaneko H, Kitamura A, Sawamura K, Matsuyama S
J Pediatr Orthop B 2023 Mar 1;32(2):157-164. Epub 2022 Feb 21 doi: 10.1097/BPB.0000000000000965. PMID: 35191426
Dheenadhayalan J, Avinash M, Lakhani A, Rajasekaran S
J Orthop Surg (Hong Kong) 2019 Jan-Apr;27(1):2309499019834362. doi: 10.1177/2309499019834362. PMID: 30852946
Nishida Y, Tsukushi S, Hosono K, Nakashima H, Yamada Y, Urakawa H, Ishiguro N
J Orthop Surg Res 2015 May 10;10:63. doi: 10.1186/s13018-015-0208-6. PMID: 25958111Free PMC Article
Isidor B, Geffroy L, de Courtivron B, Le Caignec C, Thiel CT, Mortier G, Cormier-Daire V, David A, Toutain A
Am J Med Genet A 2013 Oct;161A(10):2645-51. Epub 2013 Aug 16 doi: 10.1002/ajmg.a.36132. PMID: 23956136

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