1/6. Camptodactyly, arthropathy, coxa vara, pericarditis (CACP)syndrome: a case report.The camptodactyly-arthropathy-coxa vara-pericarditis syndrome (CACP) is characterized by congenital or early-onset camptodactyly, childhood-onset noninflammatory arthropathy associated with synovial hyperplasia. Some patients have progressive coxa vara deformity and/or noninflammatory pericardial effusion. CACP is inherited as an autosomal recessive mode and the disease gene is assigned to a 1.9-cM interval on human chromosome 1q25-31. We describe a 10-yr-old boy who has typical features of CACP without familial association.- - - - - - - - - - ranking = 1keywords = coxa (Clic here for more details about this article) |
2/6. Arthroscopic surgery for degenerative rupture of the ligamentum teres femoris.We performed arthroscopic debridement for degenerative rupture of the ligamentum teres femoris in a patient and obtained good results. A 78-year-old woman suddenly developed intense load-bearing pain from the left lumbar to gluteal region, and giving way, without a definitive cause. At presentation, the range of motion of the left hip joint for external rotation was 0 degrees, showing restricted motion. When passive internal rotation was applied at 90 degrees of flexion, intense pain in the left gluteal region was induced. At the initial radiographic examination, there were no abnormal findings in the left hip joint. However, arthroscopic findings showed degeneration in the articular cartilage and labrum but no tear. In addition, degenerative rupture of the ligamentum teres femoris was observed and it was entrapped in the posterior joint space. Using a bipolar radiofrequency scalpel, the entrapped stump of the ligamentum teres was vaporized and excised. The restriction in external rotation of the hip joint observable even under anesthesia was resolved immediately after surgery. Two years after surgery, the patient had regained her preoperative walking ability with the aid of a T cane, and radiographic examination showed no coxarthrosis changes. This case indicates that coxalgia caused by degenerative rupture of the ligamentum teres femoris is also a good indication for arthroscopic debridement.- - - - - - - - - - ranking = 0.33333333333333keywords = coxa (Clic here for more details about this article) |
3/6. coxa vara, avascular necrosis and osteochondritis dissecans complicating solitary bone cysts of the proximal femur.In 2 children with cysts in the upper end of the femur, there were 3 complications: coxa vara, avascular necrosis and osteochondritis dissecans. Coxa vara occurred in both cases and was due in 1 case to pathological fracture, and in the other case to growth disturbance. Avascular necrosis of the femoral head, a hitherto unreported complication of bone cyst of the upper end of the femur occurred in 1 patient following pathological fracture and resulted in osteochondritis dissecans of the femoral head.- - - - - - - - - - ranking = 0.16666666666667keywords = coxa (Clic here for more details about this article) |
4/6. coxa vara in spina bifida.In spina bifida the femoral neck can develop either the well-known coxa valga or the hitherto unreported coxa vara. Twenty-three cases of coxa vara in spina bifida are reported. These result from spontaneous separation of the upper femoral epiphysis (10 cases), spontaneous fracture of the femoral neck (three cases) and iatrogenic avascular necrosis of the upper femoral epiphysis (10 cases).- - - - - - - - - - ranking = 0.5keywords = coxa (Clic here for more details about this article) |
5/6. Idiopathic chondrolysis--diagnostic difficulties. Report of four cases.Four cases of idiopathic chondrolysis of the hip in three white girls and one Maori girl are reported. The authors stress the causes why a disease with characteristic clinical and radiographic appearances and normal biochemical findings presents diagnostic difficulties. It is suspected that idiopathic chondrolysis is a metabolic disorder of chondrocytes, triggered by environmental circumstances in susceptible individuals. Idiopathic chondrolysis is probably one of the most common causes of coxarthrosis in women.- - - - - - - - - - ranking = 0.16666666666667keywords = coxa (Clic here for more details about this article) |
6/6. Sub-capital coxa valga after varus osteotomy for congenital dislocation of the hip.coxa valga may sometimes occur as a complication of varus osteotomy for congenital dislocation of the hip. Six such cases are described with a minimum follow-up of nine years. In three cases the varus osteotomy had been performed on only one side; in one case it was done on both sides and coxa valga developed bilaterally; and in two further bilateral cases coxa valga developed on one side only. In each case the coxa valga was sub-capital. Detailed radiographic analysis included measurements of neck-shaft angle, acetabular angle and C.E. angle. The epiphysis-shaft angle is described; it is an index of the constant tendency of the capital epiphysis to assume a horizontal position. The cause remains unknown, but damage to the trochanteric growth plate or to the lateral part of the capital growth plate could not be identified as aetiological factors. Poor acetabular cover was considered a possible factor. All the patients in this series had functionally excellent hips, but the long-term prognosis of the hips with partly uncovered femoral heads is doubtful.- - - - - - - - - - ranking = 1.1666666666667keywords = coxa (Clic here for more details about this article) |