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Skeletal disorders in children with renal failure
I R Barrett1, D G Papadimitriou
1Children's Hospital, Camperdown, Sydney, Australia.
Journal of Pediatric Orthopedics
|March 1, 1996
Summary
Children with renal failure often develop musculoskeletal issues like genu valgum and slipped capital femoral epiphysis. This study reviews the management of 16 such pediatric cases, highlighting various skeletal complications.
Area of Science:
- Pediatric Nephrology
- Pediatric Orthopedics
- Skeletal Dysplasias
Background:
- Musculoskeletal complications are underreported in pediatric renal failure.
- Children with chronic kidney disease face unique skeletal challenges.
- Early identification and management are crucial for pediatric bone health.
Purpose of the Study:
- To review the spectrum of musculoskeletal problems in children with renal failure.
- To discuss the management strategies for these skeletal complications.
- To highlight the importance of multidisciplinary care for affected children.
Main Methods:
- Retrospective review of 124 children with renal failure.
- Analysis of 16 patients referred for skeletal problems.
- Categorization and description of specific musculoskeletal conditions.
Main Results:
- Common conditions included genu valgum, slipped capital femoral epiphysis, and ankle valgus.
- Other identified issues were tibial procurvatum, osteonecrosis, and osteochondritis dissecans.
- "Brown tumors," gout, and pathological fractures were also observed.
Conclusions:
- Children with renal failure present with diverse skeletal abnormalities.
- Effective management requires tailored orthopedic interventions.
- Addressing these issues is vital for improving quality of life in pediatric patients.