Oppenheim W L, Shayestehfar S, Salusky I B
Department of Orthopedic Surgery, UCLA Medical Center 90024.
J Pediatr Orthop. 1992 Nov-Dec;12(6):774-9. doi: 10.1097/01241398-199211000-00014.
In a group of 27 children with chronic renal failure and renal osteodystrophy, we identified eight patients with significant involvement of the proximal tibial physis (15 knees). The radiographic changes observed were analogous to those observed in tibia vara (Blount's disease) but involved the lateral physis rather than the medial physis. This observation is offered as further evidence that such changes are related to eccentric weight-bearing rather than alternative etiologies such as trauma, infection, or heredity.
在一组27名患有慢性肾衰竭和肾性骨营养不良的儿童中，我们发现8名患者的胫骨近端生长板有明显受累（15个膝关节）。观察到的影像学改变与胫骨内翻（布朗特病）中观察到的改变相似，但累及外侧生长板而非内侧生长板。这一观察结果进一步证明，此类改变与偏心负重有关，而非与创伤、感染或遗传等其他病因有关。
