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Longitudinal epiphyseal bracket.

Alexander D Choo1, Scott J Mubarak1

  • 1Department of Orthopaedic Surgery, Rady Children's Hospital and Health Center, 3030 Children's Way, Suite 410, San Diego, CA 92123 USA ; Department of Orthopaedic Surgery, University of California, San Diego, CA USA.

Journal of Children'S Orthopaedics
|January 17, 2014
PubMed
Summary
This summary is machine-generated.

Longitudinal epiphyseal bracket, a rare growth disorder, involves an anomalous ossification center. Early surgical physiolysis is recommended over traditional osteotomy for this condition.

Keywords:
Bracket epiphysisClinodactylyDelta phalanxHallux varusLongitudinal epiphyseal bracketPhysiolysis

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Area of Science:

  • Orthopedics
  • Pediatric Endocrinology
  • Skeletal Dysplasias

Background:

  • Longitudinal epiphyseal bracket (LEB), also known as delta phalanx, is an uncommon disorder of skeletal growth.
  • It results from an anomalous secondary ossification center extending longitudinally along the diaphysis.
  • LEB most commonly presents as clinodactyly in the hands and hallux varus in the feet.

Purpose of the Study:

  • To describe the uncommon disorder of longitudinal epiphyseal bracket.
  • To recommend early surgical physiolysis as a preferred treatment.
  • To present illustrative cases of LEB.

Main Methods:

  • Review of literature on longitudinal epiphyseal bracket.
  • Clinical case series presentation.
  • Surgical treatment with physiolysis.

Main Results:

  • Longitudinal epiphyseal bracket is a rare condition with characteristic hand and foot deformities.
  • Previous treatments like angular osteotomy have been used.
  • Early surgical physiolysis is proposed as an effective treatment strategy.

Conclusions:

  • Longitudinal epiphyseal bracket is a rare but identifiable skeletal disorder.
  • Early surgical intervention, specifically physiolysis, is recommended for optimal outcomes.
  • Further case studies can help solidify treatment guidelines.