coxa vara

Paget's Disease

Definition

 

Chronic, non metabolic bone disorder

Characterised by increased bone resorption, bone formation and remodelling

 

Epidemiology

 

Rare < 40

1 – 3 % population over 60

M > F

 

Aetiology

 

Unknown

 

Paramyxovirus implicated

- measles

- RSV

- canine distemper virus

 

Electron Microscope

Coxa Vara

Definition

 

Deformity of proximal femur with neck-shaft angle <125°

 

Characterised by

- coxa vara

- decreased femoral anteversion

- limp / trendelenberg

- stress fractures

- early OA

 

Classification   

 

"ACDDC"

 

Acquired

 

2° to underlying disorder

- rickets