1/8. Bilateral slipped upper femoral epiphysis: a rare manifestation of renal osteodystrophy. Case report with discussion of its pathogenesis.Bilateral slipped upper femoral epiphysis is a rare manifestation of renal osteodystrophy. A case of bilateral slipped femoral epiphysis in an 18-year old male suffering from chronic renal failure due to oligomeganephronic renal hypoplasia with profound signs of renal osteodystrophy is presented. serum growth hormone levels were high, while those of urinary 17-ketosteroids were decreased. Following subtotal parathyroidectomy, the progression of the process leading to slipped epiphysis was halted with closure of the epiphyses. The patient was subsequently treated with chronic hemodialysis for several months, after which successful renal transplantation was performed. The pathogenesis of renal osteodystrophy leading to slipped epiphysis is discussed and attention drawn to the fact that bilateral slipped femoral epiphysis may be the first clinical sign of chronic renal insufficiency.- - - - - - - - - - ranking = 1keywords = femoral epiphysis, epiphysis (Clic here for more details about this article) |
2/8. Treatment of slipped capital femoral epiphysis resulting from juvenile renal osteodystrophy.Severe bilateral slipped capital femoral epiphysis (SCFE) secondary to renal osteodystrophy is infrequent at any age. Management was a significant dilemma in the 3-year-old child we report because of the degree of slippage and our concern over the sequelae of premature capital physeal closure. Fixation without physeal closure was obtained by inserting a specially fabricated screw without threads across the physis after the slippage had been reduced with traction.- - - - - - - - - - ranking = 1.4617815828463keywords = capital femoral epiphysis, femoral epiphysis, capital, epiphysis (Clic here for more details about this article) |
3/8. Computed tomographic features of renal osteodystrophy.The spectrum of musculoskeletal abnormalities seen on routine computed tomographic (CT) examinations of five patients with renal osteodystrophy are described. CT findings included multiple brown tumors, osteitis fibrosa cystica, abnormal sacroiliac joints, periarticular tumoral calcifications, prominent Schmorl's nodes, and slipped capital femoral epiphyses. In this small group of patients, the musculoskeletal abnormalities ranged from the subtle to the dramatic. Although CT examination is rarely used as a screening test for renal osteodystrophy, it is important to be familiar with its many appearances on CT, in order not to confuse the CT changes of renal osteodystrophy with metastatic disease, osteomyelitis, or inflammatory arthritis.- - - - - - - - - - ranking = 0.011322380938896keywords = capital (Clic here for more details about this article) |
4/8. slipped capital femoral epiphyses complicating renal osteodystrophy: a report of three cases.Three adolescents with bilateral slipped capital femoral epiphyses complicating renal disease are presented. In one case, the severity of the deformities necessitated total hip replacement. Pathological specimens were available for evaluation. In all 3 cases, epiphysiolysis was accompanied by severe subperiosteal reabsorption along the medial aspect of the femoral neck, widening of the cartilaginous growth plate, and coxa vara. The radiographic diagnosis of a minimally displaced femoral epiphysis may precede the clinical symptoms. Early recognition of this complication is important, since the treatment of choice is prophylactic surgical stabilization before disabling deformities occur.- - - - - - - - - - ranking = 0.19710513760551keywords = femoral epiphysis, capital, epiphysis (Clic here for more details about this article) |
5/8. Slippage of the distal tibial epiphysis.Three cases of valgus slippage of the distal tibial and fibular epiphysis that masqueraded as severe idiopathic flatfoot are described. These occurred in patients with renal osteodystrophy and were treated by osteotomies of the reverse dome type without internal fixation. All the osteotomies healed well.- - - - - - - - - - ranking = 0.041368424056915keywords = epiphysis (Clic here for more details about this article) |
6/8. Epiphysiolysis in rickets.Presented is a case demonstrating slipped capital femoral and capital humeral epiphyses. The physician should keep in mind not only that slipped capital femoral epiphyses may indicate renal osteodystrophy but that epiphysiolysis elsewhere is increasingly a recognized finding in this entity.- - - - - - - - - - ranking = 0.033967142816687keywords = capital (Clic here for more details about this article) |
7/8. Bilateral slipping of the upper femoral epiphysis in end-stage renal failure. A report of two cases.Two cases of bilateral slipping of the upper femoral epiphysis in boys with end-stage renal failure due to megacystis and mega-ureter with severe renal osteodystrophy are reported. In one patient the lesion emerged after a dystonic reaction to drugs and in the other after bilateral nephro-ureterectomy. Neither showed marked elevation of growth hormone levels, but both had evidence of renal rickets with severe secondary hyperparathyroidism. Both had a satisfactory response to bilateral internal fixation. The complication should be borne in mind in all young patients with renal osteodystrophy.- - - - - - - - - - ranking = 0.70246616455517keywords = femoral epiphysis, epiphysis (Clic here for more details about this article) |
8/8. pseudohypoparathyroidism presenting as renal osteodystrophy.pseudohypoparathyroidism (pseudo HPT) is the prototype of a group of diseases with end organ unresponsiveness to parathyroid hormone (PTH). patients with the classic form of this disease have both renal and osseous resistance to PTH. We describe a rare variant of pseudo HPT with classic renal unresponsiveness to PTH but normal skeletal responsiveness to this hormone. The latter patients develop metabolic bone disease in response to depressed calcium and elevated PTH levels. Skeletal abnormalities are histologically and radiologically indistinguishable from renal osteodystrophy and these patients frequently present in childhood with symptoms relating to slipped capital femoral epiphyses. The latter radiologic findings, in the face of normal renal function or the classic somatic features of the syndrome, are highly suggestive of pseudo HPT with normal skeletal responsiveness to PTH.- - - - - - - - - - ranking = 0.011322380938896keywords = capital (Clic here for more details about this article) |