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<meta name="keywords" content="C1836320, finding, irregular proximal femoral metaphyses, proximal femoral metaphyseal irregularity, autosomal dominant, autosomal recessive, birth defects, chromosomal disease, chromosome, clinical features, clinical findings, clinical genetics, clinical recommendations, clinvar, congenital chromosomal disease, consumer genetic resources, cytogenetic location, disease characteristics, disease definitions, disease descriptions, disease ontology, disease synonyms, disease vocabulary, dysmorphology, entrez, familial disease, gene, gene-disease relationship, genereviews, genetic disease, genetic disorder, genetic terminology, genetic testing registry, genetics home reference, genomic disease, gtr, hereditary disease, heritable disease, hpo, human phenotype ontology, inherited disease, management guidelines, maternal inheritance, medgen, medical genetics, medical subject headings, mesh, mitochondrial inheritance, mode of inheritance, national center for biotechnology information, national institutes of health, national library of medicine, ncbi, nih, nlm, omim, ordo, orphanet, paternal inheritance, phenome, position statements, professional practice guidelines, rare disease, reference sequence, refseq, snomed ct, syndrome, undiagnosed diseases, x-linked recessive" /><meta name="description" content="Irregularity of the normally smooth surface of the proximal metaphysis of the femur." /><meta name="robots" content="index,nofollow,noarchive" />
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<title>Proximal femoral metaphyseal irregularity (Concept Id: C1836320)
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<!--
UID=324485
ConceptID=C1836320
-->
<!--imgCountBooks = 0--><h1 class="medgenTitle"><div class="MedGenTitleText">Proximal femoral metaphyseal irregularity</div></h1><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>324485</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C1836320</a></dd><dt><span class="dotprefix"></span></dt><dd>Finding</dd></dl></div></div><table class="medgenTable"><tbody><tr><td>Synonym:</td>
<td>Irregular proximal femoral metaphyses</td></tr>
<tr><td colspan="2" class="small"> </td></tr><tr><td>HPO:</td>
<td><a target="_blank" title="Human Phenotype Ontology" href="https://hpo.jax.org/app/browse/term/HP:0003411">HP:0003411</a></td></tr>
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<div class="portlet mgSection" id="ID_100">
<div class="portlet_head mgSectionHead ui-widget-header"><h1 class="nl" id="Definition">Definition</h1><a sid="100" href="#" class="portlet_shutter" title="Show/hide content"></a></div>
<div class="portlet_content ln">Irregularity of the normally smooth surface of the proximal metaphysis of the femur. [from <a title="Human Phenotype Ontology" href="http://www.human-phenotype-ontology.org" class="defSource" target="_blank">HPO</a>]</div>
</div>
<div class="portlet mgSection" id="ID_118">
<div class="portlet_head mgSectionHead ui-widget-header"><h1 class="nl" id="Term_Hierarchy">Term Hierarchy</h1><a sid="118" href="#" class="portlet_shutter" title="Show/hide content"></a></div>
<div class="portlet_content ln HierarchyGTR"><div class="jig-ncbitabs"><ul><li><a href="#tabGTR">GTR</a></li><li><a href="#tabMGEN">MeSH</a></li></ul><div id="tabGTR"><div class="search_result"><div class="rprts"><div class="chiclet_legend"><span class="chiclet_list" style="position:static;"><span title="Clinical test" class="chiclet Ccolor round">C</span><span>Clinical test,  </span><span title="Research test" class="chiclet Rcolor round">R</span><span>Research test,  </span><span title="OMIM" class="chiclet Ocolor ">O</span><span>OMIM,  </span><span title="GeneReview" class="chiclet Gcolor">G</span><span><em>GeneReviews</em>,  </span><span title="ClinVar" class="chiclet Vcolor">V</span><span>ClinVar  </span></span></div><div id="hierarchy" class="margin_t1"><div class="ds_tree"><ul><li class="matched_ds"><span class="chiclet_list"><span class="chiclet unavailable round" title="Clinical test">C</span><span class="chiclet unavailable round" title="Research Tests">R</span><span class="chiclet unavailable" title="OMIM">O</span><span class="chiclet unavailable" title="GeneReviews">G</span><span class="chiclet unavailable" title="ClinVar">V</span></span><span class="TLline">Proximal femoral metaphyseal irregularity</span></li></ul></div></div></div></div></div><div id="tabMGEN"><div class="ds_tree"><ul><li><span class="TLline"><a href="/medgen/868760" ref="tree=MeSH" title="MedGen record for Abnormal skeletal morphology">Abnormal skeletal morphology</a></span><ul><li><span class="TLline"><a href="/medgen/868758" ref="tree=MeSH" title="MedGen record for Abnormal appendicular skeleton morphology">Abnormal appendicular skeleton morphology</a></span><ul><li><span class="TLline"><a href="/medgen/866811" ref="tree=MeSH" title="MedGen record for Abnormal long bone morphology">Abnormal long bone morphology</a></span><ul><li><span class="TLline"><a href="/medgen/871326" ref="tree=MeSH" title="MedGen record for Abnormal metaphysis morphology">Abnormal metaphysis morphology</a></span><ul><li><span class="TLline"><a href="/medgen/325478" ref="tree=MeSH" title="MedGen record for Metaphyseal irregularity">Metaphyseal irregularity</a></span><ul><li><span class="TLline"><a href="/medgen/868143" ref="tree=MeSH" title="MedGen record for Lower-limb metaphyseal irregularity">Lower-limb metaphyseal irregularity</a></span><ul><li><span class="matched_ds">Proximal femoral metaphyseal irregularity</span></li></ul></li></ul></li></ul></li></ul></li></ul></li></ul></li></ul></div></div></div></div>
</div>
<div class="portlet mgSection" id="ID_112">
<div class="portlet_head mgSectionHead ui-widget-header"><h1 class="nl" id="Conditions_with_this_feature">Conditions with this feature</h1><a sid="112" href="#" class="portlet_shutter" title="Show/hide content"></a></div>
<div class="portlet_content ln clinfeat">
<div class="divPopper rprt" id="rdis_96583"><div><strong>Brachyrachia (short spine dysplasia)</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>96583</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C0432227</a></dd><dt><span class="dotprefix"></span></dt><dd>Congenital Abnormality</dd></dl></div></div></div>
<div class="spaceAbove">The autosomal dominant TRPV4 disorders (previously considered to be clinically distinct phenotypes before their molecular basis was discovered) are now grouped into neuromuscular disorders and skeletal dysplasias; however, the overlap within each group is considerable. Affected individuals typically have either neuromuscular or skeletal manifestations alone, and in only rare instances an overlap syndrome has been reported. The three autosomal dominant neuromuscular disorders (mildest to most severe) are: Charcot-Marie-Tooth disease type 2C. Scapuloperoneal spinal muscular atrophy. Congenital distal spinal muscular atrophy. The autosomal dominant neuromuscular disorders are characterized by a congenital-onset, static, or later-onset progressive peripheral neuropathy with variable combinations of laryngeal dysfunction (i.e., vocal fold paresis), respiratory dysfunction, and joint contractures. The six autosomal dominant skeletal dysplasias (mildest to most severe) are: Familial digital arthropathy-brachydactyly. Autosomal dominant brachyolmia. Spondylometaphyseal dysplasia, Kozlowski type. Spondyloepiphyseal dysplasia, Maroteaux type. Parastremmatic dysplasia. Metatropic dysplasia. The skeletal dysplasia is characterized by brachydactyly (in all 6); the five that are more severe have short stature that varies from mild to severe with progressive spinal deformity and involvement of the long bones and pelvis. In the mildest of the autosomal dominant TRPV4 disorders life span is normal; in the most severe it is shortened. Bilateral progressive sensorineural hearing loss (SNHL) can occur with both autosomal dominant neuromuscular disorders and skeletal dysplasias.</div>
<div class="spaceAbove nowrap">See: <a href="/medgen/96583">Condition Record</a></div></div>
<div class="divPopper rprt" id="rdis_324484"><div><strong>Multiple epiphyseal dysplasia, with severe proximal femoral dysplasia</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>324484</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C1836315</a></dd><dt><span class="dotprefix"></span></dt><dd>Congenital Abnormality</dd></dl></div></div></div>
<div class="spaceAbove">A rare primary bone dysplasia characterised by severe early-onset dysplasia of the proximal femurs, with almost complete absence of the secondary ossification centres and abnormal development of the femoral necks (short and broad with irregular metaphyses). It is associated with gait abnormality, mild short stature, arthralgia, and joint stiffness with limited mobility of the hips and irregular acetabula, and hip and knee pain. Coxa vara and mild spinal changes are also associated.</div>
<div class="spaceAbove nowrap">See: <a href="/medgen/324484">Condition Record</a></div></div>
<div class="divPopper rprt" id="rdis_356065"><div><strong>Axial spondylometaphyseal dysplasia</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>356065</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C1865695</a></dd><dt><span class="dotprefix"></span></dt><dd>Disease or Syndrome</dd></dl></div></div></div>
<div class="spaceAbove">Axial spondylometaphyseal dysplasia (SMDAX) is characterized by postnatal growth failure, including rhizomelic short stature in early childhood that evolves into short trunk in late childhood, and thoracic hypoplasia that may cause mild to moderate respiratory problems in the neonatal period and later susceptibility to airway infection. Impaired visual acuity comes to medical attention in early life and vision rapidly deteriorates. Retinal changes are diagnosed as retinitis pigmentosa or pigmentary retinal degeneration on funduscopic examination and as cone-rod dystrophy on electroretinogram. Radiologic hallmarks include short ribs with flared and cupped anterior ends, mild spondylar dysplasia, lacy iliac crests, and metaphyseal irregularities essentially confined to the proximal femora (summary by Suzuki et al., 2011).</div>
<div class="spaceAbove nowrap">See: <a href="/medgen/356065">Condition Record</a></div></div>
<div class="divPopper rprt" id="rdis_1640046"><div><strong>Shwachman-Diamond syndrome 1</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>1640046</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C4692625</a></dd><dt><span class="dotprefix"></span></dt><dd>Disease or Syndrome</dd></dl></div></div></div>
<div class="spaceAbove">Shwachman-Diamond syndrome (SDS) is characterized by exocrine pancreatic dysfunction with malabsorption, malnutrition, and growth failure; hematologic abnormalities with single- or multilineage cytopenias and susceptibility to myelodysplastic syndrome (MDS) and acute myelogenous leukemia (AML); and bone abnormalities. In almost all affected children, persistent or intermittent neutropenia is an early finding. Short stature and recurrent infections are common.</div>
<div class="spaceAbove nowrap">See: <a href="/medgen/1640046">Condition Record</a></div></div>
<div class="hangingIndent"><a title="click for more information" class="jig-ncbipopper" href="#rdis_356065" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Axial spondylometaphyseal dysplasia</a></div>
<div class="hangingIndent"><a title="click for more information" class="jig-ncbipopper" href="#rdis_96583" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Brachyrachia (short spine dysplasia)</a></div>
<div class="hangingIndent"><a title="click for more information" class="jig-ncbipopper" href="#rdis_324484" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Multiple epiphyseal dysplasia, with severe proximal femoral dysplasia</a></div>
<div class="hangingIndent"><a title="click for more information" class="jig-ncbipopper" href="#rdis_1640046" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Shwachman-Diamond syndrome 1</a></div></div>
</div>
<div class="portlet mgSection" id="ID_105">
<div class="portlet_head mgSectionHead ui-widget-header"><h1 class="nl" id="Professional_guidelines">Professional guidelines</h1><a sid="105" href="#" class="portlet_shutter" title="Show/hide content"></a></div>
<div class="portlet_content ln"><h3 class="subhead">PubMed<a class="help jig-ncbi-popper" data-jig="ncbipopper" href="#guidelinesHelpPM"><img class="pulldown" src="//static.pubmed.gov/portal/portal3rc.fcgi/4223267/img/4204968" /></a></h3>
<div class="nl"><a target="_blank" href="/pubmed/30027601">Schmid's Type of Metaphyseal Chondrodysplasia: Diagnosis and Management.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Al Kaissi A,
Ghachem MB,
Nabil NM,
Kenis V,
Melchenko E,
Morenko E,
Grill F,
Ganger R,
Kircher SG</span><br />
<span class="medgenPMjournal">Orthop Surg</span>
2018 Aug;10(3):241-246.
Epub 2018 Jul 19
doi: 10.1111/os.12382.
<span class="bold">PMID: </span><a href="/pubmed/30027601" target="_blank">30027601</a><a href="/pmc/articles/PMC6594483" target="_blank" class="PubMedFree">Free PMC Article</a></div>
<div class="nl"><a target="_blank" href="/pubmed/7670988">Secondary avascular necrosis after treatment for congenital dislocation of the hip.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Burgos J,
Gonzalez-Herranz P,
Ocete G,
Rapariz JM</span><br />
<span class="medgenPMjournal">J Pediatr Orthop B</span>
1995;4(2):188-93.
doi: 10.1097/01202412-199504020-00011.
<span class="bold">PMID: </span><a href="/pubmed/7670988" target="_blank">7670988</a></div>
<div><a target="_blank" href="https://pubmed.ncbi.nlm.nih.gov/?term=(proximal%20femoral%20metaphyseal%20irregularity)%20AND%20(%22english%20and%20humans%22%5BFilter%5D)%20AND%20(%20(%22practice%20guideline%22%5BFilter%5D)%20OR%20(practice*%5Btitl%5D%20AND%20(guideline%5Btitl%5D%20OR%20parameter%5Btitl%5D%20OR%20resource%5Btitl%5D%20OR%20bulletin%5Btitl%5D%20OR%20best%5Btitl%5D))%20OR%20(genetic*%5Btitl%5D%20AND%20(evaluation%5Btitl%5D%20OR%20counseling%5Btitl%5D%20OR%20screening%5Btitl%5D%20OR%20test*%5Btitl%5D))%20OR%20(clinical%5Btitl%5D%20AND%20((expert%5Btitl%5D%20AND%20consensus%5Btitl%5D)%20OR%20utility%5Btitl%5D%20OR%20guideline*%5Btitl%5D))%20OR%20(management%5Btitl%5D%20AND%20(clinical%5Btitl%5D%20OR%20diagnos*%5Btitl%5D%20OR%20recommendation%5Btitl%5D%20OR%20pain%5Btitl%5D%20OR%20surveillance%5Btitl%5D%20OR%20emergency%5Btitl%5D%20OR%20guideline*%5Btitl%5D%20OR%20therap*))%20OR%20(treatment%5Btitl%5D%20AND%20((evaluation%5Btitl%5D%20AND%20diagnosis%5Btitl%5D)%20OR%20(assessment%5Btitl%5D%20AND%20prevention%5Btitl%5D)%20OR%20therap*))%20OR%20(Diagnos*%5Btitl%5D%20AND%20(prenatal%5Btitl%5D%20OR%20treatment%5Btitl%5D%20OR%20follow-up%5Btitl%5D%20OR%20statement%5Btitl%5D%20OR%20criteria%5Btitl%5D%20OR%20newborn%5Btitl%5D%20OR%20differential%5Btitl%5D%20OR%20neonatal%5Btitl%5D%20OR%20neonate%5Btitl%5D))%20OR%20(guideline*%5Btitl%5D%20AND%20(pharmacogenetic*%5Btitl%5D%20OR%20recommendation%5Btitl%5D%20OR%20therap*%5Btitl%5D%20OR%20evidence-based%5Btitl%5D%20OR%20consensus%5Btitl%5D%20OR%20(technical%5Btitl%5D%20AND%20standard*%5Btitl%5D)%20OR%20(molecular%5Btitl%5D%20AND%20testing%5Btitl%5D)))%20OR%20(risk%5Btitl%5D%20AND%20assessment%5Btitl%5D)%20OR%20(recommendation*%5Btitl%5D%20AND%20(statement%5Btitl%5D%20OR%20Evidence-based%5Btitl%5D%20OR%20Consensus%5Btitl%5D))%20OR%20(care%20AND%20((Patient%5Btitl%5D%20AND%20standard*%5Btitl%5D)%20OR%20primary%5Btitl%5D%20OR%20psychosocial%5Btitl%5D))%20OR%20(Health%5Btitl%5D%20AND%20supervision%5Btitl%5D)%20OR%20(statement%5Btitl%5D%20AND%20(policy%5Btitl%5D%20OR%20position%5Btitl%5D%20OR%20Consensus%5Btitl%5D))%20OR%20(pharmacogenetics%5Btitl%5D%20AND%20(Dosing%5Btitl%5D%20OR%20therap*%5Btitl%5D%20OR%20genotype*%5Btitl%5D%20OR%20drug*%5Btitl%5D))%20OR%20(Chemotherapy%5Btitl%5D%20AND%20decision*%5Btitl%5D)%20OR%20(screening%5Btitl%5D%20AND%20(newborn%5Btitl%5D%20OR%20neonat*%5Btitl%5D%20OR%20detection%5Btitl%5D%20OR%20diagnos*%5Btitl%5D))%20OR%20(criteria%5Btitl%5D%20OR%20genotype*%5Btitl%5D)%20)%20NOT%20(%22Case%20reports%22%5BPublication%20type%5D%20OR%20%22clinical%20study%22%5BPublication%20Type%5D%20OR%20%22randomized%20controlled%20trial%22%5BPublication%20Type%5D)" title="PubMed search">See all (2)</a></div></div>
</div>
<div class="display-none help-popup" id="guidelinesHelpPM">These guidelines are articles in PubMed that match specific search criteria developed by MedGen to capture the most relevant practice guidelines. This list may not be comprehensive and may include broader topics as well. See the <a href="/medgen/docs/faq/" title="Frequently asked questions" target="_blank">FAQ</a> for details.</div><div class="display-none help-popup" id="guidelinesHelpCurated">These guidelines are manually curated by the MedGen team
to supplement articles available in PubMed. See the <a href="/medgen/docs/faq/" title="Frequently asked questions" target="_blank">FAQ</a> for details.</div>
<div class="portlet mgSection" id="ID_103">
<div class="portlet_head mgSectionHead ui-widget-header"><h1 class="nl" id="Recent_clinical_studies">Recent clinical studies</h1><a sid="103" href="#" class="portlet_shutter" title="Show/hide content"></a></div>
<div class="portlet_content ln"><h3 class="subhead">Etiology</h3>
<div class="nl"><a target="_blank" href="/pubmed/32755715">UFSP2-related spondyloepimetaphyseal dysplasia: A confirmatory report.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Zhang G,
Tang S,
Wang H,
Pan H,
Zhang W,
Huang Y,
Kong J,
Wang Y,
Gu J,
Wang Y</span><br />
<span class="medgenPMjournal">Eur J Med Genet</span>
2020 Nov;63(11):104021.
Epub 2020 Aug 2
doi: 10.1016/j.ejmg.2020.104021.
<span class="bold">PMID: </span><a href="/pubmed/32755715" target="_blank">32755715</a></div>
<div class="nl"><a target="_blank" href="/pubmed/30027601">Schmid's Type of Metaphyseal Chondrodysplasia: Diagnosis and Management.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Al Kaissi A,
Ghachem MB,
Nabil NM,
Kenis V,
Melchenko E,
Morenko E,
Grill F,
Ganger R,
Kircher SG</span><br />
<span class="medgenPMjournal">Orthop Surg</span>
2018 Aug;10(3):241-246.
Epub 2018 Jul 19
doi: 10.1111/os.12382.
<span class="bold">PMID: </span><a href="/pubmed/30027601" target="_blank">30027601</a><a href="/pmc/articles/PMC6594483" target="_blank" class="PubMedFree">Free PMC Article</a></div>
<div class="nl"><a target="_blank" href="/pubmed/27726750">Imaging Findings of Metabolic Bone Disease.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Chang CY,
Rosenthal DI,
Mitchell DM,
Handa A,
Kattapuram SV,
Huang AJ</span><br />
<span class="medgenPMjournal">Radiographics</span>
2016 Oct;36(6):1871-1887.
doi: 10.1148/rg.2016160004.
<span class="bold">PMID: </span><a href="/pubmed/27726750" target="_blank">27726750</a></div>
<div class="nl"><a target="_blank" href="/pubmed/21415681">Predictive value for femoral head sphericity from early radiographic signs in surgery for developmental dysplasia of the hip.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Chang CH,
Yang WE,
Kao HK,
Shih CH,
Kuo KN</span><br />
<span class="medgenPMjournal">J Pediatr Orthop</span>
2011 Apr-May;31(3):240-5.
doi: 10.1097/BPO.0b013e31820fc895.
<span class="bold">PMID: </span><a href="/pubmed/21415681" target="_blank">21415681</a></div>
<div class="nl"><a target="_blank" href="/pubmed/1870932">Spondylometepiphyseal dysplasia congenita, Strudwick type.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Shebib SM,
Chudley AE,
Reed MH</span><br />
<span class="medgenPMjournal">Pediatr Radiol</span>
1991;21(4):298-300.
doi: 10.1007/BF02018630.
<span class="bold">PMID: </span><a href="/pubmed/1870932" target="_blank">1870932</a></div>
<div><a target="_blank" href="https://pubmed.ncbi.nlm.nih.gov/?term=%22Proximal%20femoral%20metaphyseal%20irregularity%22%20AND%20Etiology%2Fbroad%5Bfilter%5D%20%20AND%20%22english%20and%20humans%22%5Bfilter%5D%20NOT%20comment%5BPTYP%5D%20NOT%20letter%5BPTYP%5D" title="PubMed search">See all (8)</a></div><h3 class="subhead">Diagnosis</h3>
<div class="nl"><a target="_blank" href="/pubmed/32361769">Proximal femoral physeal fractures in children: a rare abusive injury.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Shalaby-Rana E,
Hinds TS,
Deye K,
Jackson AM</span><br />
<span class="medgenPMjournal">Pediatr Radiol</span>
2020 Jul;50(8):1115-1122.
Epub 2020 May 2
doi: 10.1007/s00247-020-04669-2.
<span class="bold">PMID: </span><a href="/pubmed/32361769" target="_blank">32361769</a></div>
<div class="nl"><a target="_blank" href="/pubmed/30027601">Schmid's Type of Metaphyseal Chondrodysplasia: Diagnosis and Management.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Al Kaissi A,
Ghachem MB,
Nabil NM,
Kenis V,
Melchenko E,
Morenko E,
Grill F,
Ganger R,
Kircher SG</span><br />
<span class="medgenPMjournal">Orthop Surg</span>
2018 Aug;10(3):241-246.
Epub 2018 Jul 19
doi: 10.1111/os.12382.
<span class="bold">PMID: </span><a href="/pubmed/30027601" target="_blank">30027601</a><a href="/pmc/articles/PMC6594483" target="_blank" class="PubMedFree">Free PMC Article</a></div>
<div class="nl"><a target="_blank" href="/pubmed/28601949">Autosomal dominant brachyolmia: transient metaphyseal striations.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Lim YJ,
Lee HR,
Kim OH,
Cho TJ,
Park KB</span><br />
<span class="medgenPMjournal">Skeletal Radiol</span>
2017 Sep;46(9):1297-1300.
Epub 2017 Jun 10
doi: 10.1007/s00256-017-2684-8.
<span class="bold">PMID: </span><a href="/pubmed/28601949" target="_blank">28601949</a></div>
<div class="nl"><a target="_blank" href="/pubmed/27726750">Imaging Findings of Metabolic Bone Disease.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Chang CY,
Rosenthal DI,
Mitchell DM,
Handa A,
Kattapuram SV,
Huang AJ</span><br />
<span class="medgenPMjournal">Radiographics</span>
2016 Oct;36(6):1871-1887.
doi: 10.1148/rg.2016160004.
<span class="bold">PMID: </span><a href="/pubmed/27726750" target="_blank">27726750</a></div>
<div class="nl"><a target="_blank" href="/pubmed/1566111">Case report 715. Necrotic giant cell tumor of the femur.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Yao L,
Mirra JM,
Seeger LL,
Eckardt JJ</span><br />
<span class="medgenPMjournal">Skeletal Radiol</span>
1992;21(2):124-7.
doi: 10.1007/BF00241840.
<span class="bold">PMID: </span><a href="/pubmed/1566111" target="_blank">1566111</a></div>
<div><a target="_blank" href="https://pubmed.ncbi.nlm.nih.gov/?term=%22Proximal%20femoral%20metaphyseal%20irregularity%22%20AND%20Diagnosis%2Fbroad%5Bfilter%5D%20%20AND%20%22english%20and%20humans%22%5Bfilter%5D%20NOT%20comment%5BPTYP%5D%20NOT%20letter%5BPTYP%5D" title="PubMed search">See all (10)</a></div><h3 class="subhead">Therapy</h3>
<div class="nl"><a target="_blank" href="/pubmed/12499937">Coxa vara with proximal femoral growth arrest in patients who had neonatal extracorporeal membrane oxygenation.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">DiFazio RL,
Kocher MS,
Berven S,
Kasser J</span><br />
<span class="medgenPMjournal">J Pediatr Orthop</span>
2003 Jan-Feb;23(1):20-6.
<span class="bold">PMID: </span><a href="/pubmed/12499937" target="_blank">12499937</a></div>
<div><a target="_blank" href="https://pubmed.ncbi.nlm.nih.gov/?term=%22Proximal%20femoral%20metaphyseal%20irregularity%22%20AND%20Therapy%2Fbroad%5Bfilter%5D%20%20AND%20%22english%20and%20humans%22%5Bfilter%5D%20NOT%20comment%5BPTYP%5D%20NOT%20letter%5BPTYP%5D" title="PubMed search">See all (1)</a></div><h3 class="subhead">Prognosis</h3>
<div class="nl"><a target="_blank" href="/pubmed/39825918">Comparison of the natural course of clinical and radiologic features in 13 patients with TRPV4-related skeletal dysplasias.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Güneş N,
Alkaya DU,
Kurugoğlu S,
Özyalvaç N,
Bursalı A,
Elçioğlu NH,
Tüysüz B</span><br />
<span class="medgenPMjournal">Pediatr Radiol</span>
2025 Mar;55(3):505-519.
Epub 2025 Jan 18
doi: 10.1007/s00247-024-06145-7.
<span class="bold">PMID: </span><a href="/pubmed/39825918" target="_blank">39825918</a></div>
<div class="nl"><a target="_blank" href="/pubmed/23956136">A new form of severe spondyloepimetaphyseal dysplasia: clinical and radiological characterization.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Isidor B,
Geffroy L,
de Courtivron B,
Le Caignec C,
Thiel CT,
Mortier G,
Cormier-Daire V,
David A,
Toutain A</span><br />
<span class="medgenPMjournal">Am J Med Genet A</span>
2013 Oct;161A(10):2645-51.
Epub 2013 Aug 16
doi: 10.1002/ajmg.a.36132.
<span class="bold">PMID: </span><a href="/pubmed/23956136" target="_blank">23956136</a></div>
<div class="nl"><a target="_blank" href="/pubmed/21415681">Predictive value for femoral head sphericity from early radiographic signs in surgery for developmental dysplasia of the hip.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Chang CH,
Yang WE,
Kao HK,
Shih CH,
Kuo KN</span><br />
<span class="medgenPMjournal">J Pediatr Orthop</span>
2011 Apr-May;31(3):240-5.
doi: 10.1097/BPO.0b013e31820fc895.
<span class="bold">PMID: </span><a href="/pubmed/21415681" target="_blank">21415681</a></div>
<div class="nl"><a target="_blank" href="/pubmed/12499937">Coxa vara with proximal femoral growth arrest in patients who had neonatal extracorporeal membrane oxygenation.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">DiFazio RL,
Kocher MS,
Berven S,
Kasser J</span><br />
<span class="medgenPMjournal">J Pediatr Orthop</span>
2003 Jan-Feb;23(1):20-6.
<span class="bold">PMID: </span><a href="/pubmed/12499937" target="_blank">12499937</a></div>
<div class="nl"><a target="_blank" href="/pubmed/1870932">Spondylometepiphyseal dysplasia congenita, Strudwick type.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Shebib SM,
Chudley AE,
Reed MH</span><br />
<span class="medgenPMjournal">Pediatr Radiol</span>
1991;21(4):298-300.
doi: 10.1007/BF02018630.
<span class="bold">PMID: </span><a href="/pubmed/1870932" target="_blank">1870932</a></div>
<div><a target="_blank" href="https://pubmed.ncbi.nlm.nih.gov/?term=%22Proximal%20femoral%20metaphyseal%20irregularity%22%20AND%20Prognosis%2Fbroad%5Bfilter%5D%20%20AND%20%22english%20and%20humans%22%5Bfilter%5D%20NOT%20comment%5BPTYP%5D%20NOT%20letter%5BPTYP%5D" title="PubMed search">See all (5)</a></div><h3 class="subhead">Clinical prediction guides</h3>
<div class="nl"><a target="_blank" href="/pubmed/39825918">Comparison of the natural course of clinical and radiologic features in 13 patients with TRPV4-related skeletal dysplasias.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Güneş N,
Alkaya DU,
Kurugoğlu S,
Özyalvaç N,
Bursalı A,
Elçioğlu NH,
Tüysüz B</span><br />
<span class="medgenPMjournal">Pediatr Radiol</span>
2025 Mar;55(3):505-519.
Epub 2025 Jan 18
doi: 10.1007/s00247-024-06145-7.
<span class="bold">PMID: </span><a href="/pubmed/39825918" target="_blank">39825918</a></div>
<div class="nl"><a target="_blank" href="/pubmed/28601949">Autosomal dominant brachyolmia: transient metaphyseal striations.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Lim YJ,
Lee HR,
Kim OH,
Cho TJ,
Park KB</span><br />
<span class="medgenPMjournal">Skeletal Radiol</span>
2017 Sep;46(9):1297-1300.
Epub 2017 Jun 10
doi: 10.1007/s00256-017-2684-8.
<span class="bold">PMID: </span><a href="/pubmed/28601949" target="_blank">28601949</a></div>
<div class="nl"><a target="_blank" href="/pubmed/27726750">Imaging Findings of Metabolic Bone Disease.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Chang CY,
Rosenthal DI,
Mitchell DM,
Handa A,
Kattapuram SV,
Huang AJ</span><br />
<span class="medgenPMjournal">Radiographics</span>
2016 Oct;36(6):1871-1887.
doi: 10.1148/rg.2016160004.
<span class="bold">PMID: </span><a href="/pubmed/27726750" target="_blank">27726750</a></div>
<div class="nl"><a target="_blank" href="/pubmed/23956136">A new form of severe spondyloepimetaphyseal dysplasia: clinical and radiological characterization.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Isidor B,
Geffroy L,
de Courtivron B,
Le Caignec C,
Thiel CT,
Mortier G,
Cormier-Daire V,
David A,
Toutain A</span><br />
<span class="medgenPMjournal">Am J Med Genet A</span>
2013 Oct;161A(10):2645-51.
Epub 2013 Aug 16
doi: 10.1002/ajmg.a.36132.
<span class="bold">PMID: </span><a href="/pubmed/23956136" target="_blank">23956136</a></div>
<div class="nl"><a target="_blank" href="/pubmed/21415681">Predictive value for femoral head sphericity from early radiographic signs in surgery for developmental dysplasia of the hip.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Chang CH,
Yang WE,
Kao HK,
Shih CH,
Kuo KN</span><br />
<span class="medgenPMjournal">J Pediatr Orthop</span>
2011 Apr-May;31(3):240-5.
doi: 10.1097/BPO.0b013e31820fc895.
<span class="bold">PMID: </span><a href="/pubmed/21415681" target="_blank">21415681</a></div>
<div><a target="_blank" href="https://pubmed.ncbi.nlm.nih.gov/?term=%22Proximal%20femoral%20metaphyseal%20irregularity%22%20AND%20Clinical%20prediction%20guides%2Fbroad%5Bfilter%5D%20%20AND%20%22english%20and%20humans%22%5Bfilter%5D%20NOT%20comment%5BPTYP%5D%20NOT%20letter%5BPTYP%5D" title="PubMed search">See all (6)</a></div></div>
</div>
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<h2 class="offscreen_noflow">Supplemental Content</h2>
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<div class="portlet mgSection" id="ID_113">
<div class="portlet_head mgSectionHead ui-widget-header"><h1 class="nl" id="Table_of_contents">Table of contents</h1><a sid="113" href="#" class="portlet_shutter" title="Show/hide content"></a></div>
<div class="portlet_content ln"><ul id="my-toc"></ul></div>
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<div class="portlet_content ln"><ul><li><a href="https://clinicaltrials.gov/search?cond=Proximal%20femoral%20metaphyseal%20irregularity" target="_blank">ClinicalTrials.gov</a></li></ul></div>
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