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Wide femoral metaphysis

MedGen UID:: 355309
•Concept ID:: C1864854
•: Finding

Synonym:	Broad femoral metaphyses

HPO:	HP:0006417

Term Hierarchy

GTR
MeSH

CClinical test, RResearch test, OOMIM, GGeneReviews, VClinVar

CROGVWide femoral metaphysis

Phenotypic abnormality
- Abnormality of limbs
  - Abnormality of the lower limb
    - Abnormal lower-limb metaphysis morphology
      - Abnormal femoral metaphysis morphology
        Wide femoral metaphysis

Conditions with this feature

Camptodactyly-tall stature-scoliosis-hearing loss syndrome

MedGen UID:: 355844
•Concept ID:: C1864852
•: Disease or Syndrome

This syndrome has characteristics of camptodactyly, tall stature, scoliosis, and hearing loss (CATSHL). It has been described in around 30 individuals from seven generations of the same family. The syndrome is caused by a missense mutation in the FGFR3 gene, leading to a partial loss of function of the encoded protein, which is a negative regulator of bone growth.

See: Condition Record

Camptodactyly-tall stature-scoliosis-hearing loss syndrome

Recent clinical studies

Etiology

Does the Clinical Presentation of Secondary Osteosarcoma in Patients Who Survive Retinoblastoma Differ From That of Conventional Osteosarcoma and How Do We Detect Them?

Kim Y, Park JW, Cho HS, Jang WY, Han I, Kim HS
Clin Orthop Relat Res 2023 Nov 1;481(11):2154-2163. Epub 2023 May 5 doi: 10.1097/CORR.0000000000002667. PMID: 37145140 Free PMC Article

Total Hip Arthroplasty for Secondary Coxarthrosis in Patients with Hereditary Multiple Exostoses: Minimum 5-Year Follow-up Results and Surgical Considerations.

Yoon JY, Park CW, Park YS, Yoo JJ, Kim HJ
Clin Orthop Surg 2020 Dec;12(4):435-441. Epub 2020 Nov 18 doi: 10.4055/cios20044. PMID: 33274019 Free PMC Article

The short stem: promises and pitfalls.

Stulberg SD, Patel RM
Bone Joint J 2013 Nov;95-B(11 Suppl A):57-62. doi: 10.1302/0301-620X.95B11.32936. PMID: 24187354

Stable, dependable fixation of short-stem femoral implants at 5 years.

Patel RM, Lo WM, Cayo MA, Dolan MM, Stulberg SD
Orthopedics 2013 Mar;36(3):e301-7. doi: 10.3928/01477447-20130222-18. PMID: 23464949

The periphysis and its effect on the metaphysis: I. Definition and normal radiographic pattern.

Oestreich AE, Ahmad BS
Skeletal Radiol 1992;21(5):283-6. doi: 10.1007/BF00241764. PMID: 1502578

See all (12)

Diagnosis

Parosteal osteosarcoma with low grade chondrosarcoma and liposarcoma components. A rare histologic variant. Case report and literature review.

Estrada-Villaseñor E, Pichardo-Bahena R, Cedeño-Garcidueñas AL, Delgado-Cedillo EA, Marín-Arriaga N, Arguelles-Pérez DA
Acta Ortop Mex 2024 Mar-Apr;38(2):113-118. PMID: 38782478

Does the Clinical Presentation of Secondary Osteosarcoma in Patients Who Survive Retinoblastoma Differ From That of Conventional Osteosarcoma and How Do We Detect Them?

Kim Y, Park JW, Cho HS, Jang WY, Han I, Kim HS
Clin Orthop Relat Res 2023 Nov 1;481(11):2154-2163. Epub 2023 May 5 doi: 10.1097/CORR.0000000000002667. PMID: 37145140 Free PMC Article

Intramedullary Well-differentiated Osteosarcoma: Imaging and Pathologic Findings in 17 Patients.

Han SM, Wu Y, Wen JX, Wu TH, Sun T, Yu BH, Wu WJ, Gao BL
Curr Med Imaging 2022;18(14):1453-1461. doi: 10.2174/1573405618666211222160039. PMID: 34951370

What's New in Pediatric Hip?

Schmitz MR, Blumberg TJ, Nelson SE, Sees JP, Sankar WN
J Pediatr Orthop 2018 Jul;38(6):e300-e304. doi: 10.1097/BPO.0000000000001166. PMID: 29554020

Primary alveolar soft part sarcoma of bone.

Park YK, Unni KK, Kim YW, Han CS, Yang MH, Wenger DE, Sim FH, Lucas DR, Ryan JR, Nadim YA, Nojima T, Fletcher CD
Histopathology 1999 Nov;35(5):411-7. doi: 10.1046/j.1365-2559.1999.035005411.x. PMID: 10583555

See all (12)

Therapy

Revision of total hip arthroplasty by long locking stem with fully hydroxyapatite-coated modular metaphysis (Reef™): A continuous series of 78 cases at a minimum 2-year follow-up.

de Leissegues T, Viste A, Fessy MH
Orthop Traumatol Surg Res 2024 Apr;110(2):103786. Epub 2023 Dec 7 doi: 10.1016/j.otsr.2023.103786. PMID: 38070731

Trans-Metaphyseal Screws Placed in Children: An Argument for Monitoring and Potentially Removing the Implants.

Gamble JG, Ziino C, Imrie MN, Young JL
J Pediatr Orthop 2019 Jan;39(1):e28-e31. doi: 10.1097/BPO.0000000000001280. PMID: 30379707

Parosteal osteosarcoma of the posterior aspect of the distal part of the femur. Oncological and functional results following a new resection technique.

Lewis VO, Gebhardt MC, Springfield DS
J Bone Joint Surg Am 2000 Aug;82(8):1083-8. doi: 10.2106/00004623-200008000-00003. PMID: 10954096

Distal loss of femoral bone following total knee arthroplasty. Measurement with visual and computer-processing of roentgenograms and dual-energy x-ray absorptiometry.

Robertson DD, Mintzer CM, Weissman BN, Ewald FC, LeBoff M, Spector M
J Bone Joint Surg Am 1994 Jan;76(1):66-76. doi: 10.2106/00004623-199401000-00009. PMID: 8288667

See all (4)

Prognosis

Revision of total hip arthroplasty by long locking stem with fully hydroxyapatite-coated modular metaphysis (Reef™): A continuous series of 78 cases at a minimum 2-year follow-up.

de Leissegues T, Viste A, Fessy MH
Orthop Traumatol Surg Res 2024 Apr;110(2):103786. Epub 2023 Dec 7 doi: 10.1016/j.otsr.2023.103786. PMID: 38070731

Intramedullary Well-differentiated Osteosarcoma: Imaging and Pathologic Findings in 17 Patients.

Han SM, Wu Y, Wen JX, Wu TH, Sun T, Yu BH, Wu WJ, Gao BL
Curr Med Imaging 2022;18(14):1453-1461. doi: 10.2174/1573405618666211222160039. PMID: 34951370

Total Hip Arthroplasty for Secondary Coxarthrosis in Patients with Hereditary Multiple Exostoses: Minimum 5-Year Follow-up Results and Surgical Considerations.

Yoon JY, Park CW, Park YS, Yoo JJ, Kim HJ
Clin Orthop Surg 2020 Dec;12(4):435-441. Epub 2020 Nov 18 doi: 10.4055/cios20044. PMID: 33274019 Free PMC Article

The short stem: promises and pitfalls.

Stulberg SD, Patel RM
Bone Joint J 2013 Nov;95-B(11 Suppl A):57-62. doi: 10.1302/0301-620X.95B11.32936. PMID: 24187354

Diversity of proximal femoral medullary canal.

Laine HJ, Lehto MU, Moilanen T
J Arthroplasty 2000 Jan;15(1):86-92. doi: 10.1016/s0883-5403(00)91311-1. PMID: 10654468

See all (6)

Clinical prediction guides

Does the Clinical Presentation of Secondary Osteosarcoma in Patients Who Survive Retinoblastoma Differ From That of Conventional Osteosarcoma and How Do We Detect Them?

Kim Y, Park JW, Cho HS, Jang WY, Han I, Kim HS
Clin Orthop Relat Res 2023 Nov 1;481(11):2154-2163. Epub 2023 May 5 doi: 10.1097/CORR.0000000000002667. PMID: 37145140 Free PMC Article

Total Hip Arthroplasty for Secondary Coxarthrosis in Patients with Hereditary Multiple Exostoses: Minimum 5-Year Follow-up Results and Surgical Considerations.

Yoon JY, Park CW, Park YS, Yoo JJ, Kim HJ
Clin Orthop Surg 2020 Dec;12(4):435-441. Epub 2020 Nov 18 doi: 10.4055/cios20044. PMID: 33274019 Free PMC Article

Primary total hip arthroplasty using an uncemented Wagner SL stem in elderly patients with Dorr type C femoral bone.

Zhen P, Liu J, Li X, Lu H, Zhou S
J Orthop Surg Res 2019 Nov 21;14(1):377. doi: 10.1186/s13018-019-1421-5. PMID: 31752915 Free PMC Article

Stable, dependable fixation of short-stem femoral implants at 5 years.

Patel RM, Lo WM, Cayo MA, Dolan MM, Stulberg SD
Orthopedics 2013 Mar;36(3):e301-7. doi: 10.3928/01477447-20130222-18. PMID: 23464949

Diversity of proximal femoral medullary canal.

Laine HJ, Lehto MU, Moilanen T
J Arthroplasty 2000 Jan;15(1):86-92. doi: 10.1016/s0883-5403(00)91311-1. PMID: 10654468

See all (10)