Management of knee deformity in hereditary multiple exostoses: a case report

Mark Mason BSc (Hons), MSc (Chiropractic), DC, MCC
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引用次数: 2

Abstract

This article discusses a case of hereditary multiple exostoses suffered by a female patient. The typical clinical and radiographic signs and symptoms are presented. Particular attention is focused on management of a specific knee complaint caused by this condition and the epidemiology of lower limb dysfunction associated with multiple exostoses. Knee deformity in patients with multiple hereditary exostoses presents primarily as genu valgum caused by valgus angulation of the tibia. Changes in ratio of the fibular length to the tibial length are also evident in such patients. The natural history of these deformities is progression with variable weakness, functional impairment, and cosmetic deformity of the extremity. Since malignant degeneration of exostoses to chondrosarcoma is a possibility, management of biomechanical complaints requires continued re-evaluation, rehabilitative techniques and surgical referral if indicated.

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遗传性多发性外骨质疏松膝关节畸形的处理:1例报告
本文讨论了一位女性患者遗传性多发性外生骨瘤的病例。提出了典型的临床和影像学征象和症状。特别关注的是由这种情况引起的特定膝关节疾病的处理以及与多发外植骨相关的下肢功能障碍的流行病学。多发性遗传性外翻患者的膝关节畸形主要表现为胫骨外翻角引起的膝外翻。在这些患者中,腓骨长度与胫骨长度之比的变化也很明显。这些畸形的自然历史是随着各种虚弱、功能损害和肢体外观畸形的进展。由于外植体恶性变性为软骨肉瘤是可能的,生物力学投诉的管理需要持续的重新评估,康复技术和手术转诊。
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