Presentation
In addition, a complete agenesis of corpus callosum, cerebellar vermis hypoplasia with molar tooth sign and Dandy-Walker malformation were present. [ncbi.nlm.nih.gov]
Entire Body System
- Short Stature
Traits Autosomal dominant Other exogenous cause / disruption Other cause Small for gestational age (IUGR) Asymmetry of the body / hemihypertrophy / hemiatrophy Short stature - prenatal / intrauterine dwarfism Short stature - postnatal Short limbs Skin [mediscansystems.org]
Some affected individuals have also had flat feet (pes planus), seizures, and short stature. Studies suggest that VLDLR-associated cerebellar hypoplasia does not significantly affect a person's life expectancy. [medlineplus.gov]
A patient's short stature can be compensated for while his ability to get about without external aids is maintained. [oandplibrary.org]
[…] nose Decreased length of nose Shortened nose [ more ] 0003196 Short stature Decreased body height Small stature [ more ] 0004322 Talipes equinovarus Club feet Club foot Clubfeet Clubfoot [ more ] 0001762 Thin upper lip vermilion Thin upper lip 0000219 [rarediseases.info.nih.gov]
Eyes
- Strabismus
Additional features of VLDLR-associated cerebellar hypoplasia include moderate to profound intellectual disability, impaired speech (dysarthria) or a lack of speech, and eyes that do not look in the same direction (strabismus). [medlineplus.gov]
[…] synostosis Fused forearm bones 0002974 Renal hypoplasia/aplasia Absent/small kidney Absent/underdeveloped kidney [ more ] 0008678 Rib fusion Fused ribs 0000902 Scoliosis Abnormal curving of the spine 0002650 Sprengel anomaly High shoulder blade 0000912 Strabismus [rarediseases.info.nih.gov]
Ears
- Low Set Ears
Femoral hypoplasia-unusual facies syndrome comprises malformations of the skeletal system consisting of shortened or absent bilateral femurs, variable bony sacral abnormalities, bilateral talipes equinovarus, and an unusual facies consisting of low-set [ncbi.nlm.nih.gov]
Femoral hypoplasia/unusual facies syndrome Relevant markers: Absent femur Absent kidney Bowed femur Fractured femur Hypoplastic femur/s Long philtrum Low set ear/s Mandibular asymmetry Maternal diabetes mellitus Micrognathia/retrognathia Rhizomelia/short [phenotip.com]
We report a 19 days old male baby with bilateral femoral hypoplasia and cranio-facial dysmorphism including low set ears, upslanted palpebral fissures, long philtrum with thin upper lip, micrognathia, hypoplastic alae nasi, short broad tipped nose, and [banglajol.info]
Clinical case Newborn of 41 weeks gestation with small nose, thin upper lip, micrognathia, long philtrum, low set ears, epicanthal folds, dysplastic hips showing flexion, and adduction of the right leg, and shortening at the expense of the thigh. [mendeley.com]
set ears Anteverted / prominent / bat ears Sprengel anomaly Inguinal hernia Scoliosis Limb deficiency - ray Bony restriction of joint anomaly Contractures of large joints (soft tissue) Syndactyly of fingers Talipes Hypoplastic lungs Tracheal abnormality [mediscansystems.org]
Face, Head & Neck
- Thin Lips
Femoral hypoplasia Synonyms Femoral-facial syndrome Clinical Characterisitc facies with high forehead, short nose with broad tip, long philtrum, thin upper lip, micrognathia, cleft palate, micromia, deformed pinnae. [mediscansystems.org]
Workup
Serum
- Hyperglycemia
PMID: 17977497 Barnes-Powell LL.Infants of diabetic mothers: the effects of hyperglycemia on the fetus and neonate.Neonatal Netw. 2007 Sep-Oct;26(5):283-90. PMID: 17926658 Madri JA, Enciso J, Pinter E. [humpath.com]
Her laboratory investigations were normal apart from hyperglycemia, dyslipidemia, and microalbuminuria. [esim.eg.net]
Treatment
Make informed clinical choices for each patient, from diagnosis and treatment selection through post-treatment strategies and management of complications, with new evidence-based criteria throughout. [books.google.com]
Treatment Goals of treatment of PFFD To compensate for the functional deficits No single treatment approach applies to all cases Each person with PFFD must be assessed individually Cosmetic is much less of an issue 24. [slideshare.net]
Congenital abnormalities of the femur and related lower extremity malformations: classification and treatment. Proximal femoral focal deficiency: a 50-year experience. Proximal femoral focal deficiency: natural history and treatment. [wheelessonline.com]
[…] on the severity of the deformities, the treatment may include the amputation of the foot or part of the leg, lengthening of the femur, extension prosthesis, or custom shoe lifts. [en.wikipedia.org]
Antenatal diagnosis and treatment of fetal goitrous hypothyroidism: case report and review of the literature. Ultrasound Obstet Gynecol 1995; 6:368-71 9. Hadi HA, Strickland RT. [books.google.de]
Prognosis
Prenatal sonographic features, differential diagnosis, prognosis and management are discussed. This case illustrates the importance of ultrasound as an early detector of certain congenital anomalies and as a useful tool in their follow-up. [ncbi.nlm.nih.gov]
The prognosis can be variable depending on the presence of associated anomalies Promoted articles (advertising) [radiopaedia.org]
The clinical findings, the differential diagnosis with other pathologies characterized by hypoplasia femoral, and the prognosis are discussed. © 2013 Wiley Periodicals, Inc. [doi.org]
Surgical reconstruction results in a good prognosis. [sjmms.net]
Prenatal sonographic features, differential diagnosis, prognosis and management are discussed. This case illustrates the importance of ultrasound as an early detector of certain congenital anomalies and as a useful tool in their follow-up. © 2005 S. [karger.com]
Etiology
Etiology is idiopathic, sporadic, few families have been reported to have autosomal dominant inheritance. [ncbi.nlm.nih.gov]
FEMORAL HYPOPLASIA – UNUSUAL FACIES SYNDROME The etiology of this syndrome is unknown. The vast majority of cases are sporadic, however a familial occurrence has been reported raising the possibility of autosomal dominant inheritance. [fetalultrasound.com]
Epidemiology
Introduction Congenital defect of the proximal femur spectrum of disease includes absent hip femoral neck pseudoarthrosis absent femur shortened femur Epidemiology location bilateral (15%) Pathophysiology defect in the primary ossification center (cartilage [orthobullets.com]
Pathophysiology
Introduction Congenital defect of the proximal femur spectrum of disease includes absent hip femoral neck pseudoarthrosis absent femur shortened femur Epidemiology location bilateral (15%) Pathophysiology defect in the primary ossification center (cartilage [orthobullets.com]
Prevention
الصفحة 131 - GUSTILO, RB, and ANDERSON, JT: Prevention of Infection in the Treatment of One Thousand and Twenty-five Open Fractures of Long Bones. Retrospective and Prospective Analyses. J. Bone and Joint Surg., 58-A: 453-458, June 1976. [books.google.com]
Mutations in the VLDLR gene prevent cells from producing any functional VLDL receptor protein. Without this protein, developing nerve cells cannot reach the parts of the brain where they are needed. [medlineplus.gov]
It is also preferable because spiking as found in transtibial amputations, is prevented. [oandplibrary.org]