ABSTRACT
Two families are described which appear to contain examples of multiple epiphyseal dysplasia. In both families a striking incidence of severe osteochondritis of the knees was encountered. It is suggested that this was caused by the fragmented and maldeveloped epiphyses characteristic of epiphyseal dysplasia.
Subject(s)
Chondrodysplasia Punctata/genetics , Knee Joint , Osteochondritis Dissecans/genetics , Osteochondritis/genetics , Adult , Aged , Chondrodysplasia Punctata/complications , Chondrodysplasia Punctata/diagnostic imaging , Female , Humans , Knee Joint/diagnostic imaging , Male , Middle Aged , Osteochondritis Dissecans/complications , Osteochondritis Dissecans/diagnostic imaging , Pedigree , RadiographyABSTRACT
Six patients are reported with eight fractures of the femoral head associated with dislocation of the same hip. Seven fractures were treated by closed methods. One patient was excluded from analysis. After an average follow-up of 7.0 years (range 1.5 to 12 years) overall results could be classified as excellent in two, good in three and fair in two. These results support our conservative attitude towards the treatment of these fractures. The diagnosis and treatment of this combined injury are discussed and therapeutic guide-lines and recommendations given.
