Talk:Musculoskeletal System - Limb Abnormalities: Difference between revisions

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==2007==
===Developmental dysplasia of the hip===
Lancet. 2007 May 5;369(9572):1541-52.
Dezateux C, Rosendahl K.
Source
Centre of Epidemiology for Child Health, Institute of Child Health, London, UK. c.dezateux@ich.ucl.ac.uk
Abstract
In its severest form, developmental dysplasia of the hip is one of the most common congenital malformations. The pathophysiology and natural history of the range of morphological and clinical disorders that constitute developmental dysplasia of the hip are poorly understood. Neonatal screening programmes, based on clinical screening examinations, have been established for more than 40 years but their effectiveness remains controversial. Whereas systematic sonographic imaging of newborn and young infants has afforded insights into normal and abnormal hip development in early life, we do not clearly understand the longer-term outcomes of developmental hip dysplasia, its contribution to premature degenerative hip disorders in adult life, and the benefits and harms of newborn screening. High quality studies of the adult outcomes of developmental hip dysplasia and the childhood origins of early degenerative hip disease are needed, as are randomised trials to assess the effectiveness and safety of neonatal screening and early treatment.
PMID 17482986
==Brachydactyly==
==Brachydactyly==



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Cite this page: Hill, M.A. (2026, September 19) Embryology Musculoskeletal System - Limb Abnormalities. Retrieved from https://embryology.med.unsw.edu.au/embryology/index.php/Talk:Musculoskeletal_System_-_Limb_Abnormalities

2007

Developmental dysplasia of the hip

Lancet. 2007 May 5;369(9572):1541-52.

Dezateux C, Rosendahl K. Source Centre of Epidemiology for Child Health, Institute of Child Health, London, UK. c.dezateux@ich.ucl.ac.uk

Abstract

In its severest form, developmental dysplasia of the hip is one of the most common congenital malformations. The pathophysiology and natural history of the range of morphological and clinical disorders that constitute developmental dysplasia of the hip are poorly understood. Neonatal screening programmes, based on clinical screening examinations, have been established for more than 40 years but their effectiveness remains controversial. Whereas systematic sonographic imaging of newborn and young infants has afforded insights into normal and abnormal hip development in early life, we do not clearly understand the longer-term outcomes of developmental hip dysplasia, its contribution to premature degenerative hip disorders in adult life, and the benefits and harms of newborn screening. High quality studies of the adult outcomes of developmental hip dysplasia and the childhood origins of early degenerative hip disease are needed, as are randomised trials to assess the effectiveness and safety of neonatal screening and early treatment.

PMID 17482986


Brachydactyly

http://en.wikipedia.org/wiki/Brachydactyly

There are several types of Brachydactyly:

Type OMIM Gene Locus (genetics) Also known as/Description
Type A1, BDA1 112500 IHH BDA1B 5p13.3-p13.2, 2q33-q35 Brachydactyly type A1 or Farabee-type brachydactyly. BDA1 is an autosomal dominant inherited disease. Features include: Brachydactyly, Short or absent phalanges, Extra carpal bones, Hypoplastic or absent ulna and Short metacarpal bones.
Type A2, BDA2 112600 BMPR1B GDF5 20q11.2, 4q23-q24 Brachydactyly type A2, Brachymesophalangy II or Brachydactyly Mohr-Wriedt type. Type A2 is a very rare form of brachydactyly. The phalanges of the index fingers and second toes are shortened.
Type A3, BDA3 112700 Brachydactyly type A3, Brachymesophalangy V or Brachydactyly-Clinodactyly.
Type A4, BDA4 112800 Brachydactyly type A4, Brachymesophalangy II and V or Brachydactyly Temtamy type
Type A5, BDA5 112900 Brachydactyly type A5 nail dysplasia.
Type A6, BDA6 112910 Brachydactyly type A6 or Osebold-Remondini syndrome.
Type A7, BDA7 Brachydactyly type A7 or Brachydactyly Smorgasbord type.[1]
Type B, BDB (or BDB1) 113000 ROR2 9q22 Brachydactyly type B.
Type C, BDC 113100 GDF5 20q11.2 Brachydactyly type C or Brachydactyly Haws type.
Type D, BDD 113200 HOXD13 2q31-q32 Brachydactyly type D.
Type E, BDE 113300 HOXD13 2q31-q32 Brachydactyly type E.
Type B and E 112440 ROR2 HOXD13 9q22, 2q31-q32 Brachydactyly types B and E combined, Ballard syndrome or Pitt-Williams brachydactyly.
Type A1B, BDA1B 607004 5p13.3-p13.2 Brachydactyly type A1, B.

Morphogenesis and dysmorphogenesis of the appendicular skeleton

Shum L, Coleman CM, Hatakeyama Y, Tuan RS. Birth Defects Res C Embryo Today. 2003 May;69(2):102-22. Review.

Cartilage patterning and differentiation are prerequisites for skeletal development through endochondral ossification (EO). Multipotential mesenchymal cells undergo a complex process of cell fate determination to become chondroprogenitors and eventually differentiate into chondrocytes. These developmental processes require the orchestration of cell-cell and cell-matrix interactions. In this review, we present limb bud development as a model for cartilage patterning and differentiation. We summarize the molecular and cellular events and signaling pathways for axis patterning, cell condensation, cell fate determination, digit formation, interdigital apoptosis, EO, and joint formation. The interconnected nature of these pathways underscores the effects of genetic and teratogenic perturbations that result in skeletal birth defects. The topics reviewed also include limb dysmorphogenesis as a result of genetic disorders and environmental factors, including FGFR, GLI3, GDF5/CDMP1, Sox9, and Cbfa1 mutations, as well as thalidomide- and alcohol-induced malformations. Understanding the complex interactions involved in cartilage development and EO provides insight into mechanisms underlying the biology of normal cartilage, congenital disorders, and pathologic adult cartilage.

PMID: 12955856 http://www.ncbi.nlm.nih.gov/pubmed/12955856