RT Book, Section
A1 Bissonnette, Bruno
A1 Luginbuehl, Igor
A1 Marciniak, Bruno
A1 Dalens, Bernard J.
SR Print(0)
ID 58076934
T1 Multiple Epiphyseal Dysplasia (MED)
T2 Syndromes: Rapid Recognition and Perioperative Implications
YR 2006
FD 2006
PB The McGraw-Hill Companies
PP New York, NY
SN 9780071354554
LK accessanesthesiology.mhmedical.com/content.aspx?aid=58076934
RD 2024/04/19
AB Very  rare  genetic  disorder  characterized  by  irregular  epiphyseal  growth,  skeletal  deformities,  short-limb  dwarfism,  pain,  and  stiffness  of  affected  joints.  The  main  clinical  features  include  a  waddling  gait,  reduced  height  in  adults  with  limbs  relatively  short  in  comparison  to  the  trunk,  and  normal  intelligence.  Several  types  of  MED  have  been  described  but  two  are  important  to  mention.  They  are  a  mild  form  or  Ribbing  type,  and  a  severe  form  or  Fairbank  type.  In  the  mild  form,  the  hands  and  wrists  are  usually  normal,  whereas  in  the  severe  form,  the  hands  and  feet  are  short  and  stubby.