Johari Ashok, Anjum Rashid
Department of Paediatric Orthopaedics and Spine Surgery, Children's Orthopedic Centre, Mumbai, India.
J Pediatr Orthop B. 2019 Mar;28(2):127-131. doi: 10.1097/BPB.0000000000000570.
Focal fibrocartilaginous dysplasia (FFCD) is a rare developmental disorder frequently leading to angular deformities in young children. It most commonly affects the proximal tibia followed by distal femur. There are totally 22 reported cases of FFCD of femur. We report a case of FFCD of distal femur as a cause of varus deformity that was managed nonoperatively. The deformity resolved spontaneously over a period of 8 years. This is the second reported case of spontaneous resolution of angular deformity secondary to FFCD of distal femur. We strongly recommend to observe the behavior of deformity over a period of 24 months before any surgical intervention is planned.
局灶性纤维软骨发育异常(FFCD)是一种罕见的发育障碍,常导致幼儿出现角状畸形。它最常影响胫骨近端,其次是股骨远端。股骨FFCD的报道病例共有22例。我们报告一例股骨远端FFCD导致内翻畸形的病例,该病例采用非手术治疗。畸形在8年内自行矫正。这是第二例报道的继发于股骨远端FFCD的角状畸形自发矫正病例。我们强烈建议在计划任何手术干预之前,对畸形情况进行24个月的观察。