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Two forms of femoral dysplasia are coxa vara, in which the femur head grows at too narrow an angle to the shaft, and coxa valga, in which the angle is too wide. A rare type, the "Beukes familial hip dysplasia" is found among Afrikaners that are members of the Beukes family. The femur head is flat and irregular.
Coxa valga is a deformity of the hip where the angle formed between the head and neck of the femur and its shaft is increased, usually above 135 degrees.. The deformity may develop in children with neuromuscular disorders (i.e. cerebral palsy, spinal dysraphism, poliomyelitis), skeletal dysplasias, and juvenile idiopathic arthritis.
Coxa valga >125 degrees. Coxa vara <125 degrees. Knee: genu valgum (from Latin genu = knee) – the tibia is turned outward in relation to the femur, resulting in a "knock-kneed" appearance. Common causes of knock-knee in adults include arthritis of the knee and traumatic injuries.
Coxa vara is a deformity of the hip, whereby the angle between the head and the shaft of the femur is reduced to less than 120 degrees. This results in the leg being shortened and the development of a limp. It may be congenital and is commonly caused by injury, such as a fracture.
It is correct for a knock-kneed deformity to be called both a varus deformity at the hip (coxa vara) and a valgus deformity at the knee (genu valgum); although the common terminology is to simply refer to it as a valgus knee. When the terminology refers to a bone rather than a joint, the distal segment of the bone is being described.
Coxalgia is a symptom of underlying hip joint pathology and must be examined and referred as the symptoms of pain and reduced mobility will increase and worsen, leading to chronic pain states. Coxalgia may be due to trauma, dysplasia and abnormal growth, degeneration, osteo-deficiencies of B12 or folate or metastasising cancer.
Protrusio acetabuli is an uncommon defect of the acetabulum, the socket that receives the femoral head to make the hip joint. The hip bone of the pelvic bone/girdle is composed of three bones, the ilium, the ischium and the pubis.
In adults, surgery to detether (free) the spinal cord can reduce the size and further development of cysts in the cord and may restore some function or alleviate other symptoms. Although detethering is the common surgical approach to TCS, [ 25 ] another surgical option for adults is a spine-shortening vertebral osteotomy .