Document Detail

Total hip arthroplasty for a patient with angel-shaped phalango-epiphyseal dysplasia (ASPED). A case report.
MedLine Citation:
PMID:  12580536     Owner:  NLM     Status:  MEDLINE    
Angel-shaped phalango-epiphyseal dysplasia is characterized by the angel shape of the middle phalanx and severe coxarthrosis in adult life. This osteochondrodysplasia shows a further variety of heterogeneous multiple epiphyseal dysplasias. It also shows a late and dysplastic development of the femoral head that leads to osteoarthrotic changes with severe hip pain and gait disturbance. In this report, we show a 35-year-old female with Angel-shaped phalango-epiphyseal dysplasia that was treated by bilateral total hip arthroplasty. She has suffered from her coxalgia since she was 27 and since the age of 30 has been able to walk with the aid of crutches. The radiographs of her bilateral hip showed severe osteochondrotic changes with a progressive disappearance of the joint space. Total hip arthroplasties were performed to treat the osteoarthrosis on the bilateral hip joint due to Angel-shaped phalango-epiphyseal dysplasia. One year after surgery, she is pain-free, and able to walk with a cane. Based on this case, we propose that total hip arthroplasty should be considered one of the treatments for the coxopathy in patients with Angel-shaped phalangoepiphyseal dysplasia.
Hideki Warashina; Sinji Sakano; Sinji Kitamura; Ken-ichi Yamauchi; Hiroshi Kito; Yukiharu Hasegawa
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Nagoya journal of medical science     Volume:  65     ISSN:  0027-7622     ISO Abbreviation:  Nagoya J Med Sci     Publication Date:  2002 Nov 
Date Detail:
Created Date:  2003-02-12     Completed Date:  2003-03-24     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0412011     Medline TA:  Nagoya J Med Sci     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  103-7     Citation Subset:  IM    
Department of Orthopedic Surgery, Nagoya University School of Medicine, 65 Tsuruma-cho, Showa-Ku, Nagoya, Aichi 466-8550, Japan.
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MeSH Terms
Arthroplasty, Replacement, Hip
Hip Dislocation, Congenital / genetics,  radiography,  surgery*
Osteochondrodysplasias / genetics,  radiography,  surgery*

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