Orthopedic Complications and Management in Children with X-Linked Hypophosphatemia

Autor: Chikahisa Higuchi
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Endocrines, Vol 3, Iss 3, Pp 488-497 (2022)
Druh dokumentu: article
ISSN: 2673-396X
DOI: 10.3390/endocrines3030039
Popis: X-linked hypophosphatemia is an inheritable disease of renal phosphate wasting that results in clinically manifestations associated with rickets or osteomalacia. The various symptoms in the skeletal system are well recognized, such as short stature; lower limb deformities; and bone, joint, or muscle pain, and it is often difficult to control these symptoms, despite the use of medication therapy in growing children. In addition, lower limb deformities can lead to degenerative osteoarthritis and dysfunction of lower limbs at the skeletal maturity. To prevent from future manifestation of those symptoms, orthopedic surgeries are applicable to growing patients with severe skeletal deformities or without response to conventional medication. Bone deformities are treated by acute or gradual corrective osteotomies and temporally hemiepiphysiodesis using guided growth method. The clinicians should choose the right procedure based on age, symptoms and state of deformities of the patient.
Databáze: Directory of Open Access Journals