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Enlarged metaphyses

MedGen UID:
344520
Concept ID:
C1855544
Finding
Synonym: Enlarged wide portion of a long bone
 
HPO: HP:0003051

Definition

Abnormal increase in size of one or more metaphyses. [from HPO]

Conditions with this feature

Osteodysplastic primordial dwarfism, type 1
MedGen UID:
347149
Concept ID:
C1859452
Disease or Syndrome
Microcephalic osteodysplastic primordial dwarfism type I (MOPD1) is a severe autosomal recessive skeletal dysplasia characterized by dwarfism, microcephaly, and neurologic abnormalities, including mental retardation, brain malformations, and ocular/auditory sensory deficits. Patients often die in early childhood (summary by Pierce and Morse, 2012).
Larsen-like syndrome, B3GAT3 type
MedGen UID:
480034
Concept ID:
C3278404
Disease or Syndrome
CHST3-related skeletal dysplasia is characterized by short stature of prenatal onset, joint dislocations (knees, hips, radial heads), clubfeet, and limitation of range of motion that can involve all large joints. Kyphosis and occasionally scoliosis with slight shortening of the trunk develop in childhood. Minor heart valve dysplasia has been described in several persons. Intellect and vision are normal.
Spondyloepimetaphyseal dysplasia, Isidor-Toutain type
MedGen UID:
1684771
Concept ID:
C5231478
Disease or Syndrome
The Isidor-Toutain type of spondyloepimetaphyseal dysplasia (SEMDIST) is characterized by normal birth length, early postnatal growth deficiency, severe short stature, and genu varum. Skeletal radiographs show platyspondyly and severe epiphyseal and metaphyseal changes in the lower limbs (Le Caignec et al., 2019).

Professional guidelines

PubMed

Martel-Villagrán J, Arias-Medina A, García-Mardones G
Adv Ther 2020 May;37(Suppl 2):89-94. Epub 2020 Mar 31 doi: 10.1007/s12325-019-01183-2. PMID: 32236877
Al Kaissi A, Ghachem MB, Nabil NM, Kenis V, Melchenko E, Morenko E, Grill F, Ganger R, Kircher SG
Orthop Surg 2018 Aug;10(3):241-246. Epub 2018 Jul 19 doi: 10.1111/os.12382. PMID: 30027601Free PMC Article
Wittig JC, Bickels J, Priebat D, Jelinek J, Kellar-Graney K, Shmookler B, Malawer MM
Am Fam Physician 2002 Mar 15;65(6):1123-32. PMID: 11925089

Recent clinical studies

Etiology

Scalais E, Verloes A, Sacré JP, Piérard GE, Rizzo WB
Pediatr Neurol 1992 Nov-Dec;8(6):459-65. doi: 10.1016/0887-8994(92)90010-v. PMID: 1476577

Diagnosis

Diaz Escagedo P, Fiscaletti M, Olivier P, Hudon C, Miranda V, Miron MC, Campeau PM, Alos N
BMC Pediatr 2021 May 22;21(1):248. doi: 10.1186/s12887-021-02716-x. PMID: 34022834Free PMC Article
Mégarbané A
Am J Med Genet A 2007 Aug 1;143A(15):1782-7. doi: 10.1002/ajmg.a.31820. PMID: 17618475
Scalais E, Verloes A, Sacré JP, Piérard GE, Rizzo WB
Pediatr Neurol 1992 Nov-Dec;8(6):459-65. doi: 10.1016/0887-8994(92)90010-v. PMID: 1476577

Prognosis

Diaz Escagedo P, Fiscaletti M, Olivier P, Hudon C, Miranda V, Miron MC, Campeau PM, Alos N
BMC Pediatr 2021 May 22;21(1):248. doi: 10.1186/s12887-021-02716-x. PMID: 34022834Free PMC Article
Scalais E, Verloes A, Sacré JP, Piérard GE, Rizzo WB
Pediatr Neurol 1992 Nov-Dec;8(6):459-65. doi: 10.1016/0887-8994(92)90010-v. PMID: 1476577

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