To determine the variation of Q angle in multiparous pregnant females. Study Design: An observational cross-sectional study. Place and Duration study: 22nd August 2020 to February 2021 at University Lahore Gujrat Campus. Patients Methods: Multiparous females were included this study who was not diagnosed with any knee joint complication like fracture, OA, RA, genu valgum, recurvatum arthroplast...

Vitamin D hydroxylation-deficient rickets type 1A (VDDR1A) is an autosomal recessively-inherited disorder caused by mutations in CYP27B1 encoding the 1α-hydroxylase enzyme. We report on a female patient with VDDR1A who presented with hypocalcemic seizure at the age of 13 months. The typical clinical and biochemical features of VDDR1A were found, such as hypocalcemia, increased alkaline phosphat...

A syndrome with distinctive facies, poor muscle tone, absent deep tendon reflexes, tapered fingers, excessive fingerprint arches, genu valgum and mild-moderate mental retardation has occurred in four males in two generations of a white family of European ancestry. The facies are characterised by square configuration, tented upper lip, and thickening of the helices, upper eyelids, and alae nasi....

www.aafp.org/afp AMERICAN FAMILY PHYSICIAN 461 diagnosis. Table 2 includes important aspects to obtain when evaluating a child with a lower extremity problem. Physical examination should include assessment of height and weight. Normal size for age makes pathologic conditions (e.g., hypophosphatemic rickets, metabolic bone disease) unlikely. The spine should be examined for scoliosis, hairy P ar...

OBJECTIVE To describe the epidemiological profile, presented deformities, associated comorbidities, and impact on quality of life in patients with knee osteoarthritis. This study was conducted in a philanthropic hospital in Fortaleza from 2014 to 2015. METHODS Data were collected from medical records, epidemiological forms, and by applying the Lequesne index questionnaire, which contains seve...

To the Editor: Pyle’s disease (OMIM: %265900) is a rare autosomal recessive skeletal dysplasia, characterized by a massive expansion of metaphyseal trabecular bone with significant cortical thinning (1). These changes are particularly obvious in the distal part of the femora, showing an Erlenmeyer flask deformity. Mild cranial sclerosis and mild platyspondyly can also be observed (1, 2). Clinic...