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Abnormality of the lower limb

MedGen UID:
242750
Concept ID:
C1096086
Anatomical Abnormality
Synonym: Lower limb deformities
SNOMED CT: Deformity of lower limb (449715001); Lower limb deformity (449715001)
 
HPO: HP:0002814

Definition

An abnormality of the leg. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • Abnormality of the lower limb

Conditions with this feature

Autosomal dominant hypophosphatemic rickets
MedGen UID:
83346
Concept ID:
C0342642
Disease or Syndrome
Autosomal dominant hypophosphatemic rickets (ADHR) is characterized by isolated renal phosphate wasting, hypophosphatemia, and inappropriately normal 1,25-dihydroxyvitamin D3 (calcitriol) levels. Patients frequently present with bone pain, rickets, and tooth abscesses. In contrast to X-linked dominant hypophosphatemic rickets (XLH; 307800), ADHR shows incomplete penetrance, variable age at onset (childhood to adult), and resolution of the phosphate-wasting defect in rare cases (Econs et al., 1997). See also hypophosphatemic bone disease (146350). Genetic Heterogeneity of Hypophosphatemic Rickets Other forms of hypophosphatemic rickets include autosomal recessive forms, i.e., ARHR1 (241520), caused by mutation in the DMP1 gene (600980) on chromosome 4q21, and ARHR2 (613312), caused by mutation in the ENPP1 gene (173335) on chromosome 6q23. An X-linked dominant form (XLHR; 307800) is caused by mutation in the PHEX gene (300550), and an X-linked recessive form (300554) is caused by mutation in the CLCN5 gene (300008). Clinical Variability of Hypophosphatemic Rickets Hypophosphatemic rickets can be caused by disorders of vitamin D metabolism or action (see VDDR1A, 264700). A form of hypophosphatemic rickets with hypercalciuria (HHRH; 241530) is caused by mutation in the SLC34A3 gene (609826), and there is evidence that a form of hypophosphatemic rickets with hyperparathyroidism (612089) may be caused by a translocation that results in an increase in alpha-klotho levels (KLOTHO; 604824).
Terminal osseous dysplasia-pigmentary defects syndrome
MedGen UID:
335344
Concept ID:
C1846129
Disease or Syndrome
Terminal osseous dysplasia is an X-linked dominant male-lethal disease characterized by skeletal dysplasia of the limbs, pigmentary defects of the skin, and recurrent digital fibroma during infancy (Sun et al., 2010).
Absence deformity of leg-cataract syndrome
MedGen UID:
343374
Concept ID:
C1855523
Disease or Syndrome
A very rare congenital limb malformation syndrome characterized by absence deformity of one leg, progressive scoliosis, short stature, and congenital cataract associated with dysplasia of the optic nerve. No intellectual deficit has been reported. There have been no further descriptions in the literature since 1968.

Professional guidelines

PubMed

Carolus AE, Becker M, Cuny J, Smektala R, Schmieder K, Brenke C
Dtsch Arztebl Int 2019 May 17;116(20):347-354. doi: 10.3238/arztebl.2019.0347. PMID: 31288916Free PMC Article
Haffner D, Emma F, Eastwood DM, Duplan MB, Bacchetta J, Schnabel D, Wicart P, Bockenhauer D, Santos F, Levtchenko E, Harvengt P, Kirchhoff M, Di Rocco F, Chaussain C, Brandi ML, Savendahl L, Briot K, Kamenicky P, Rejnmark L, Linglart A
Nat Rev Nephrol 2019 Jul;15(7):435-455. doi: 10.1038/s41581-019-0152-5. PMID: 31068690Free PMC Article
Dragoo JL, Johnson C, McConnell J
Sports Med 2012 Jan 1;42(1):51-67. doi: 10.2165/11595680-000000000-00000. PMID: 22149697

Recent clinical studies

Etiology

Alam F, Raza S, Moiz JA, Bhati P, Anwer S, Alghadir A
Phys Sportsmed 2019 Sep;47(3):301-311. Epub 2018 Dec 5 doi: 10.1080/00913847.2018.1553466. PMID: 30517043
Jafarnezhadgero A, Madadi-Shad M, Alavi-Mehr SM, Granacher U
PLoS One 2018;13(10):e0205187. Epub 2018 Oct 9 doi: 10.1371/journal.pone.0205187. PMID: 30300405Free PMC Article
Burger EB, Baas M, Hovius SER, Hoogeboom AJM, van Nieuwenhoven CA
Acta Orthop 2018 Feb;89(1):113-118. Epub 2017 Sep 26 doi: 10.1080/17453674.2017.1383097. PMID: 28946786Free PMC Article
Shelmerdine SC, Brittain H, Arthurs OJ, Calder AD
Am J Med Genet A 2016 Aug;170(8):2039-43. Epub 2016 Jun 3 doi: 10.1002/ajmg.a.37776. PMID: 27257098
Temtamy SA, Aglan MS
Orphanet J Rare Dis 2008 Jun 13;3:15. doi: 10.1186/1750-1172-3-15. PMID: 18554391Free PMC Article

Diagnosis

Büyükertan M, Söztanacı US, Balcıoğlu HA
Folia Morphol (Warsz) 2022;81(4):1062-1065. Epub 2021 Sep 21 doi: 10.5603/FM.a2021.0091. PMID: 34545558
Griffet J, Dieterich K, Bourg V, Bourgeois E
Orthop Traumatol Surg Res 2021 Feb;107(1S):102781. Epub 2020 Dec 13 doi: 10.1016/j.otsr.2020.102781. PMID: 33321243
Becker LL, Dafsari HS, Schallner J, Abdin D, Seifert M, Petit F, Smol T, Bok L, Rodan L, Krapels I, Spranger S, Weschke B, Johnson K, Straub V, Kaindl AM, Di Donato N, von der Hagen M, Cirak S
J Hum Genet 2020 Nov;65(11):1003-1017. Epub 2020 Aug 12 doi: 10.1038/s10038-020-0803-1. PMID: 32788638Free PMC Article
Charen DA, Markowitz JS, Cheung ZB, Matijakovich DJ, Chan JJ, Vulcano E
Orthopedics 2019 Jan 1;42(1):e138-e143. Epub 2018 Dec 13 doi: 10.3928/01477447-20181206-06. PMID: 30540873
Hamdy RC, Makhdom AM, Saran N, Birch J
J Am Acad Orthop Surg 2014 Apr;22(4):246-55. doi: 10.5435/JAAOS-22-04-246. PMID: 24668354

Therapy

Brijwasi T, Borkar P
J Physiother 2023 Jan;69(1):42-46. Epub 2022 Dec 14 doi: 10.1016/j.jphys.2022.11.011. PMID: 36526555
Rodríguez-Grande EI, Vargas-Pinilla OC, Torres-Narvaez MR, Rodríguez-Malagón N
Sci Rep 2022 Sep 2;12(1):14988. doi: 10.1038/s41598-022-19086-8. PMID: 36056081Free PMC Article
Herchenröder M, Wilfling D, Steinhäuser J
J Foot Ankle Res 2021 Nov 29;14(1):57. doi: 10.1186/s13047-021-00499-z. PMID: 34844639Free PMC Article
Jafarnezhadgero A, Madadi-Shad M, Alavi-Mehr SM, Granacher U
PLoS One 2018;13(10):e0205187. Epub 2018 Oct 9 doi: 10.1371/journal.pone.0205187. PMID: 30300405Free PMC Article
Weston J, Bromley R, Jackson CF, Adab N, Clayton-Smith J, Greenhalgh J, Hounsome J, McKay AJ, Tudur Smith C, Marson AG
Cochrane Database Syst Rev 2016 Nov 7;11(11):CD010224. doi: 10.1002/14651858.CD010224.pub2. PMID: 27819746Free PMC Article

Prognosis

Büyükertan M, Söztanacı US, Balcıoğlu HA
Folia Morphol (Warsz) 2022;81(4):1062-1065. Epub 2021 Sep 21 doi: 10.5603/FM.a2021.0091. PMID: 34545558
Chambers HG, Chambers RC
J Pediatr Orthop 2019 Jul;39(Issue 6, Supplement 1 Suppl 1):S53-S55. doi: 10.1097/BPO.0000000000001386. PMID: 31169650
Litrenta J, Young M, Birch JG, Oetgen ME
J Am Acad Orthop Surg 2019 Mar 15;27(6):e268-e279. doi: 10.5435/JAAOS-D-16-00838. PMID: 30418269
Hagmann S, Dreher T, Wenz W
Foot Ankle Clin 2009 Sep;14(3):409-34. doi: 10.1016/j.fcl.2009.06.003. PMID: 19712883
Temtamy SA, Aglan MS
Orphanet J Rare Dis 2008 Jun 13;3:15. doi: 10.1186/1750-1172-3-15. PMID: 18554391Free PMC Article

Clinical prediction guides

Alam F, Raza S, Moiz JA, Bhati P, Anwer S, Alghadir A
Phys Sportsmed 2019 Sep;47(3):301-311. Epub 2018 Dec 5 doi: 10.1080/00913847.2018.1553466. PMID: 30517043
Litrenta J, Young M, Birch JG, Oetgen ME
J Am Acad Orthop Surg 2019 Mar 15;27(6):e268-e279. doi: 10.5435/JAAOS-D-16-00838. PMID: 30418269
Jafarnezhadgero A, Madadi-Shad M, Alavi-Mehr SM, Granacher U
PLoS One 2018;13(10):e0205187. Epub 2018 Oct 9 doi: 10.1371/journal.pone.0205187. PMID: 30300405Free PMC Article
Burger EB, Baas M, Hovius SER, Hoogeboom AJM, van Nieuwenhoven CA
Acta Orthop 2018 Feb;89(1):113-118. Epub 2017 Sep 26 doi: 10.1080/17453674.2017.1383097. PMID: 28946786Free PMC Article
Hagmann S, Dreher T, Wenz W
Foot Ankle Clin 2009 Sep;14(3):409-34. doi: 10.1016/j.fcl.2009.06.003. PMID: 19712883

Recent systematic reviews

Hara S, Kitano M, Kudo S
J Back Musculoskelet Rehabil 2023;36(1):21-33. doi: 10.3233/BMR-210374. PMID: 35871320
Xu L, Gu H, Zhang Y, Sun T, Yu J
Int J Environ Res Public Health 2022 Jul 6;19(14) doi: 10.3390/ijerph19148247. PMID: 35886097Free PMC Article
Drake C, Whittaker GA, Kaminski MR, Chen J, Keenan AM, Rathleff MS, Robinson P, Landorf KB
J Foot Ankle Res 2022 Jan 22;15(1):4. doi: 10.1186/s13047-021-00507-2. PMID: 35065676Free PMC Article
Herchenröder M, Wilfling D, Steinhäuser J
J Foot Ankle Res 2021 Nov 29;14(1):57. doi: 10.1186/s13047-021-00499-z. PMID: 34844639Free PMC Article
Banwell HA, Paris ME, Mackintosh S, Williams CM
J Foot Ankle Res 2018;11:21. Epub 2018 May 30 doi: 10.1186/s13047-018-0264-3. PMID: 29854006Free PMC Article

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