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Wheeless' Textbook of Orthopaedics
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Cleidocranial Dysplasia (Dysostosis)



- Discussion:
    - autosomal dominant proportionate dwarfism that affects bones formed
          intramembranously (eg. facial bones, cranium, & clavicles);
    - dislocations of hips, knees, and the radial heads may occur;
    - clavicle:
          - most commlonly, absence of the central portion of the clavicle with
                rudimentary medial and lateral portions remaining;
          - may be confused w/ pseurdoarthrosis of the clavicle
    - coxa vara:
          - consider intertrochanteric osteotomy if varus is < 100 deg;
          - reference:
                  - Management of developmental coxa vara in cleidocranial dysostosis.
                        MF Richie. et al.   Orthopaedics Vol 12. 1989. p 1001-1004.
    - pubis: shows delayed ossification (hence, it may appear to be widened);




Medical Progress: Epiphyseal Disorders.

The epiphyseal dysplasias.
    Sprenger J: CORR 1976;114:46.

Avascular necrosis of the hip in multiple epiphyseal dysplasia.
    Mackenzie W et al.   J Pediatr Orthop   1989;9:666-671.

Development of the hip in multiple epiphyseal dysplasia. Natural history
    and susceptibility to premature osteoarthritis.





Original Text by Clifford R. Wheeless, III, MD.