Three patients with bilateral femoral dysgenesis are described, and the pathogenesis and clinical significance discussed. Af fected patients are often surprisingly agile, but surgery may be required for painful hips or to remove portions of poste riorly projecting femurs if these cause discomfort on sitting.
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References
1.
Aitken, G.T.: Proximal femoral focal deficiency, a congenital anomaly. A symposium held in Wash. ington, D. C., June 13, 1968. National Academy of Sciences, Washington, D. C., 1969.
2.
—: Proximal femoral focal deficiency in limb development and deformity. In Problems of Evaluation and Rehabilitation . Swinyard, C. A., ed. Springfield, Charles C Thomas, 1969 .
3.
Amstutz, H.C. and Wilson, P.D., Jr.: Dysgenesis of the proximal femur and its surgical management. J. Bone Joint Surg.44A: 1, 1962.
4.
Badgley, C.E. : Congenital Deformities. The Amer. Acad. Orthop. Surg. Instructional course lectures10: 143, Ann Arbor, J. W. Edwards, 1953.
5.
Bailey, J.A., II and Silverman, F.N. : Congenital femoral maldevelopment; a new classification . In preparation 1971.
6.
Bevan-Thomas, W.H. and Millar, E.A.: A review of proximal focal femoral deficiencies . J. Bone Joint Surg.49A: 1376, 1967.
7.
Ellis, G.V.: An account for an instance of remarkable deformity of the lower limbs. Medical Chirurgical Transactions36: 439, 1853.
8.
Fergusson, J. : Progress of anatomy and surgery during the present century. Lancet2: 60, 1864.
9.
Frantz, C.H. and O'Rahilly, R.: Congenital skeletal limb deficiencies. J. Bone Joint Surg.43A: 1203, 1961.
10.
Freund, E.: Congenital defects of femur, fibula, and tibia. Arch. Surg.33: 349, 1936.
11.
Gould, G.M. and Pyle, W.L.: Anomalies and Curiosities of Medicine. Philadelphia, W. B. Saunders, 1897, p. 267.
12.
Katdare, J.S. : Congenital absence of the shaft of the femur on both sides. Indian Medical Gazette80: 297,1945.
13.
Langston, H.H. : Congenital defect of the shaft of the femur . Brit. J. Surg.27: 162, 1939.
14.
McFarland, B.: Development defects of long bones. Bul. Hosp. Joint Diseases21: 212, 1960 (Fig. 29).
15.
Mital, M.A. , Masalawalla, K.S. and Desair, M.G.: Bilateral congenital aplasia of the femur . J. Bone Joint Surg.45B: 561, 1963.
16.
Nilsonne, H. : Beitrag Zur Kenntnis der Kongenitalen Form der coxa vara. Acta Radiol.3: 383, 1924.
17.
Passarge, E. and Lenz, W.: Syndrome of caudal regression in infants of diabetic mothers: observations of further cases. Pediatrics37: 672, 1966.
18.
Ring, P.A.: Congenital abnormalities of the femur. Arch. Dis. Child.36: 410, 1961.