Evidence map›Paper›PMID 30027601›Full record

ArticleOrthopaedic surgery2018

Schmid's Type of Metaphyseal Chondrodysplasia: Diagnosis and Management.

Ali Al Kaissi, Maher B Ghachem, Nesseb M Nabil, Vladimir Kenis, Eugene Melchenko, Ekatrina Morenko, Franz Grill, Rudolf Ganger, Susanne G Kircher

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Article in Orthopaedic surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.9field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 29 citations in OpenAlex.

  1. Article
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  6. American journal of translational research · 2024
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  7. Interventions for improving clinical outcomes and health-related quality-of-life for people living with skeletal dysplasias: an evidence gap map.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2023
    Review
  8. Article
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  12. "Lessons from Rare Forms of Osteoarthritis".Calcified tissue international · 2021
    Review
  13. Article
  14. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 5 institutions in 3 countries.

Ali Al KaissiFirst Medical Department, Hanusch Hospital, Ludwig Boltzmann Institute of Osteology at the Hanusch Hospital of WGKK and AUVA Trauma Centre Meidling, Vienna, Austria.
Maher B GhachemPaediatric Orthopaedic Surgery Department, Children Hospital, Tunis, Tunisia.
Nesseb M NabilPaediatric Orthopaedic Surgery Department, Children Hospital, Tunis, Tunisia.
Vladimir KenisDepartment of Foot and Ankle Surgery, Neuroorthopaedics and Systemic Disorders, Pediatric Orthopedic Institute n.a. H. Turner, Saint-Petersburg, Russia.
Eugene MelchenkoDepartment of Foot and Ankle Surgery, Neuroorthopaedics and Systemic Disorders, Pediatric Orthopedic Institute n.a. H. Turner, Saint-Petersburg, Russia.
Ekatrina MorenkoDepartment of Foot and Ankle Surgery, Neuroorthopaedics and Systemic Disorders, Pediatric Orthopedic Institute n.a. H. Turner, Saint-Petersburg, Russia.
Franz GrillPaediatric Department, Orthopaedic Hospital of Speising, Vienna, Austria.
Rudolf GangerPaediatric Department, Orthopaedic Hospital of Speising, Vienna, Austria.
Susanne G KircherInstitute of Medical Chemistry, Medical University of Vienna, Austria.
The Turner Scientific Research Institute for Children's Orthopedics · RUChildren's Hospital · TNOrthopaedic Hospital Speising · ATHanusch Hospital · ATMedical University of Vienna · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThere are several types of metaphyseal chondrodysplasia and various clinical types have been differentiated. The Schmid type of metaphyseal chondrodysplasia is the most common. Diffuse metaphyseal flaring, irregularity, and growth plate widening, which are most severe in the knees, are the most striking radiological features of this disease. The Schmid type of metaphyseal dysostosis is characterized by failure of normal mineralization of the zone of provisional calcification, leading to widened physes and enlarged knobby metaphyses, effectively causing shortening of the tubular bones, splaying of the metaphyses, coxa vara, and bow legs. Orthopaedic interventions were primarily performed on the lower extremities.

methodsTwelve children (seven girls and five boys) aged 7-10 years were enrolled in this study. Moderate short stature was a uniform feature associated with predominant involvement of the proximal femora and bow legs resulted in the development of angular deformities. A waddling gait was a consequence of coxa vara in eight children. Valgus osteotomy of the proximal femur was planned after physeal closure for the group of children with coxa vara. Hemiepiphysiodesis was performed to re-align the genu varum in three children.

resultsOther forms of metaphyseal dysostosis were ruled based on full clinical and radiographic phenotypes, with confirmation through molecular pathology. Mutations in the COL10A1 gene located on chromosome 6q21-q22.3 were confirmed. Re-alignment was accomplished in our group of patients.

conclusionThe most striking clinical features of Schmid metaphyseal chondrodysplasia which appear within the first 2-3 years of life are: moderate short limbs and short stature, a waddling gait, and increasing shortness of stature with age. The Schmid type of metaphyseal chondrodysplasia is a disorder that arises from defective type X collagen, which is typically found in the hypertrophic zone of the physes. Moderate short stature and a waddling gait associated with pain are the most common clinical presentations. Osteotomies to correct bow legs are sometimes combined with lengthening procedures. Recurrence of the deformities with growth is not uncommon; therefore, hemiepiphysiodesis or stapling might be indicated in some cases.

Indexed as

ChildChild, PreschoolCollagen Type XFemaleFemurGenu VarumHumansMaleMutationOsteochondrodysplasiasOsteotomyPhenotypeRadiographyCollagen Type XBowed legsMetaphyseal dysostosis Schmid typeMutations in the COL10A1Surgical corrections

Identifiers

PMID30027601
PMCPMC6594483
OpenAlexW2883055322

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.