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Timely Diagnosis of Malalignment of the Distal Extremities Is Crucial in Morbidly Obese Juveniles
BACKGROUND/AIMS: To determine i) whether obesity in childhood can be related to malalignment of the distal extremities, ii) the proportion of genu valgum malalignment and abduction setting, and iii) the respective deviation dominance in children who are morbidly obese. METHODS: 31 morbidly obese Cau...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
S. Karger GmbH
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5644752/ https://www.ncbi.nlm.nih.gov/pubmed/24335156 http://dx.doi.org/10.1159/000357280 |
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author | Landauer, Franz Huber, Gerda Paulmichl, Katharina O'Malley, Grace Mangge, Harald Weghuber, Daniel |
author_facet | Landauer, Franz Huber, Gerda Paulmichl, Katharina O'Malley, Grace Mangge, Harald Weghuber, Daniel |
author_sort | Landauer, Franz |
collection | PubMed |
description | BACKGROUND/AIMS: To determine i) whether obesity in childhood can be related to malalignment of the distal extremities, ii) the proportion of genu valgum malalignment and abduction setting, and iii) the respective deviation dominance in children who are morbidly obese. METHODS: 31 morbidly obese Caucasian children (16 males) recruited for the STYJOBS Study (ClinicalTrials.gov Identifier NCT00482924) with a mean age of 13.9 ± 0.5 years, a mean height of 162.3 ± 2.7 cm, a mean weight of 90.62 ± 5.0 kg, and a mean BMI of 33.8 ± 1.2 kg/m(2) were clinically examined using the Mikulicz line in order to assess load distribution on the knee joint. 21 participants received a whole-leg X-ray because of a clinically estimated malalignment. RESULTS: 8/31 participants examined were diagnosed with genu valgum, 1/31 with genu varum, and 22/31 did not have any malalignment of the femur or tibia. The majority of genu valgum presentation was due to femoral deviation. Of those without malalignment, 4/22 participants had an abduction setting, while 2/22 showed an adduction of the leg. CONCLUSION: Genu valgum as a predominant malalignment of the distal extremities is frequent in youth with morbid obesity. Timely guided correction of angular deformity of the knee seems pivotal in order to avoid osteotomy or osteoarthritis later in life. |
format | Online Article Text |
id | pubmed-5644752 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | S. Karger GmbH |
record_format | MEDLINE/PubMed |
spelling | pubmed-56447522017-12-04 Timely Diagnosis of Malalignment of the Distal Extremities Is Crucial in Morbidly Obese Juveniles Landauer, Franz Huber, Gerda Paulmichl, Katharina O'Malley, Grace Mangge, Harald Weghuber, Daniel Obes Facts Original Article BACKGROUND/AIMS: To determine i) whether obesity in childhood can be related to malalignment of the distal extremities, ii) the proportion of genu valgum malalignment and abduction setting, and iii) the respective deviation dominance in children who are morbidly obese. METHODS: 31 morbidly obese Caucasian children (16 males) recruited for the STYJOBS Study (ClinicalTrials.gov Identifier NCT00482924) with a mean age of 13.9 ± 0.5 years, a mean height of 162.3 ± 2.7 cm, a mean weight of 90.62 ± 5.0 kg, and a mean BMI of 33.8 ± 1.2 kg/m(2) were clinically examined using the Mikulicz line in order to assess load distribution on the knee joint. 21 participants received a whole-leg X-ray because of a clinically estimated malalignment. RESULTS: 8/31 participants examined were diagnosed with genu valgum, 1/31 with genu varum, and 22/31 did not have any malalignment of the femur or tibia. The majority of genu valgum presentation was due to femoral deviation. Of those without malalignment, 4/22 participants had an abduction setting, while 2/22 showed an adduction of the leg. CONCLUSION: Genu valgum as a predominant malalignment of the distal extremities is frequent in youth with morbid obesity. Timely guided correction of angular deformity of the knee seems pivotal in order to avoid osteotomy or osteoarthritis later in life. S. Karger GmbH 2013-12 2013-12-06 /pmc/articles/PMC5644752/ /pubmed/24335156 http://dx.doi.org/10.1159/000357280 Text en Copyright © 2013 by S. Karger GmbH, Freiburg http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article licensed under the terms of the Creative Commons Attribution-NonCommercial 3.0 Unported license (CC BY-NC) (www.karger.com/OA-license), applicable tothe online version of the article only. Distribution permitted for non-commercial purposes only. |
spellingShingle | Original Article Landauer, Franz Huber, Gerda Paulmichl, Katharina O'Malley, Grace Mangge, Harald Weghuber, Daniel Timely Diagnosis of Malalignment of the Distal Extremities Is Crucial in Morbidly Obese Juveniles |
title | Timely Diagnosis of Malalignment of the Distal Extremities Is Crucial in Morbidly Obese Juveniles |
title_full | Timely Diagnosis of Malalignment of the Distal Extremities Is Crucial in Morbidly Obese Juveniles |
title_fullStr | Timely Diagnosis of Malalignment of the Distal Extremities Is Crucial in Morbidly Obese Juveniles |
title_full_unstemmed | Timely Diagnosis of Malalignment of the Distal Extremities Is Crucial in Morbidly Obese Juveniles |
title_short | Timely Diagnosis of Malalignment of the Distal Extremities Is Crucial in Morbidly Obese Juveniles |
title_sort | timely diagnosis of malalignment of the distal extremities is crucial in morbidly obese juveniles |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5644752/ https://www.ncbi.nlm.nih.gov/pubmed/24335156 http://dx.doi.org/10.1159/000357280 |
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