Variable Expression and Incomplete Penetrance of Developmental Dysplasia of the Hip Clinical Challenge in a 71-Member Multigeneration Family

Feldman G. J., Peters C. L., Erickson J. A., Hozack B. A., Jaraha R., Parvizi J.

JOURNAL OF ARTHROPLASTY, cilt.27, sa.4, ss.527-532, 2012 (SCI-Expanded) identifier identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 27 Sayı: 4
  • Basım Tarihi: 2012
  • Doi Numarası: 10.1016/j.arth.2011.10.016
  • Dergi Adı: JOURNAL OF ARTHROPLASTY
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.527-532
  • Acıbadem Mehmet Ali Aydınlar Üniversitesi Adresli: Hayır

Özet

Developmental dysplasia of the hip is a crippling condition that affects children and adults. Identical twin studies support a strong causative genetic component. Although clinical tests for newborns can detect gross malformations, it is the subtle malformations that are often not detected, resulting in early onset osteoarthritis of the hip in adults. As a first step in identifying the causative mutation, we have recruited the largest documented affected family with 71 members spanning generations. Clinical and radiographic signs of developmental dysplasia of the hip are described., and the diagnostic challenge of identifying affected family members is discussed. Variable expression of disease allele is evident in several members of the family and greatly contributes to the diagnostic challenge facing clinicians.