The common initial symptoms of our patients were short stature and gait disturbance and all have skeletal manifestations; as short trunk dwarfism, pectus carinatum, kyphosis, gibbous, scoliosis, genu valgum, coxa valga
, hypermobile joint.
Caption: Figure 5: Anteroposterior radiograph of pelvis with both hip joints (a) showed widening of pubic symphysis, bilateral shallow acetabulum (white arrow), abnormal contour of bilateral femoral head with increased neck shaft angle (coxa valga
deformity) (red arrow), enlarged and elongated bilateral greater trochanter, superolateral migration of bilateral femoral head overlying adjacent to iliac bones (green arrow), and slender proximal femoral shafts.
ICD-9 Description 733.90 Disorder of the bone and cartilage unspecified 733.95 Stress fracture of other bone 733.96 Stress fracture of the femoral neck 733.97 Stress fracture of the shaft of the femur 733.98 Stress fracture of the pelvis 736.31 Coxa valga
(acquired) 736.32 Coxa vara (acquired) 736.39 Other acquired deformities of the hip Table 2.
Femoral Torsion and Coxa Valga
in Cerebral Palsy A Preliminary Report.
While a generalized disruption of the static stabilizers likely contributed to this, it is the concurrent coxa valga
and resultant stressing of the dynamic stabilizers that ultimately led to the posterior instability.
Radiographs revealed a left femoral neck osteochondroma with bilateral coxa valga
(left > right), a left dysplastic hip (CEA 7 degrees), and left hip subluxation (Figure 2(a)).
Other findings which are observed in the present cases include coxa valga
defect, odontoid hypoplasia, platyspondyly, and anterior beaking of the vertebral bodies.
X-ray imaging showed coxa valga
with a femoral neck angle of 160[degrees] and 30[degrees] of anteversion.