Adhiyaman Akshitha, Tracey Olivia C, Nagra Kiranpreet, Zucker Colson P, Wisch Jenna L, Jones Ruth H, Fabricant Peter D, Heyer Jessica H, Widmann Roger F, Doyle Shevaun M
Department of Pediatric Orthopaedic Surgery, Hospital for Special Surgery, New York, New York.
JBJS Case Connect. 2024 Oct 11;14(4). doi: e24.00174. eCollection 2024 Oct 1.
A pediatric patient with focal fibrocartilaginous dysplasia (FFCD) developed angular deformity and growth arrest despite standard guided growth management. The patient underwent implant-mediated guided growth for proximal tibia varus deformity which recurred; subsequently, a physeal bar of the medial proximal tibia was diagnosed, which progressed to physeal arrest.
Treatment options for FFCD-associated angular deformity include observation and guided growth. This case highlights the risk of complete physeal arrest in FFCD.