Advertisement
Case Report| Volume 27, ISSUE 8, P1581.e5-1581.e8, September 2012

Total Hip Arthroplasty in Adolescents With Severe Hip Arthropathy and Dysplasia Associated With Camptodactyly-Arthropathy-Coxa Vara-Pericarditis Syndrome

Published:March 05, 2012DOI:https://doi.org/10.1016/j.arth.2012.01.007

      Abstract

      Camptodactyly-arthropathy-coxa vara-pericarditis (CACP) syndrome is a rare disorder. Patients with this syndrome experience early symptomatic arthropathy of the hips. We report a case of adolescent siblings with bilateral arthropathy associated with CACP syndrome in which total hip arthroplasty was performed as treatment of severe associated disability. Postoperative Harris Hip Scores for patient 1 were 86 for the right at 18 months and 96 for the left at 12 months. Postoperative Harris Hip Score at 6 months for patient 2 was 53; however, he had good range of motion and lacked deformity. Based on our limited experience and the limited available clinical data, we feel that total hip arthroplasty is a reasonable treatment option for adolescents with debilitating hip arthropathy associated with CACP syndrome.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to The Journal of Arthroplasty
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Jacobs J.C.
        “E” familial arthritis.
        in: Proceedings of the 11th International Congress on the Rheumatic Diseases; 1965 Dec; Mar del Plata, Argentina1965
        • Martínez-Lavín M.
        • Buendía A.
        • Delgado E.
        • et al.
        A familial syndrome of pericarditis, arthritis, and camptodactyly.
        N Engl J Med. 1983; 309: 224
        • Hugosson C.
        • Bahabri S.
        • McDonald P.
        • et al.
        Radiologic features in congenital camptodactyly, familial arthropathy and coxa vara syndrome.
        Pediatr Radiol. 1994; 24: 523
        • Faivre L.
        • Prieur A.M.
        • Le Merrer M.
        • et al.
        Clinical variability and genetic homogeneity of the camptodactyly-arthropathy-coxa vara-pericarditis syndrome.
        Am J Med Genet. 2000; 95: 233
        • Bahabri S.A.
        • Suwairi W.M.
        • Laxer R.M.
        • et al.
        The camptodactyly-arthropathy-coxa vara-pericarditis syndrome: clinical features and genetic mapping to human chromosome 1.
        Arthritis Rheum. 1998; 41: 730
        • Marcelino J.
        • Carpten J.D.
        • Suwairi W.M.
        • et al.
        CACP, encoding a secreted proteoglycan, is mutated in camptodactyly-arthropathy-coxa vara-pericarditis syndrome.
        Nat Genet. 1999; 23: 319
        • Su J.L.
        • Schumacher B.L.
        • Lindley K.M.
        • et al.
        Detection of superficial zone protein in human and animal body fluids by cross-species monoclonal antibodies specific to superficial zone protein.
        Hybridoma. 2001; 20: 149
        • Rhee D.K.
        • Marcelino J.
        • Baker M.
        • et al.
        The secreted glycoprotein lubricin protects cartilage surfaces and inhibits synovial cell overgrowth.
        J Clin Invest. 2005; 115: 622
        • Rhee D.K.
        • Marcelino J.
        • Al-Mayouf S.
        • et al.
        Consequences of disease-causing mutations on lubricin protein synthesis, secretion, and post-translational processing.
        J Biol Chem. 2005; 280 ([Epub 5 Jul 2005]): 31325
        • Alazami A.M.
        • Al-Mayouf S.M.
        • Wyngaard C.A.
        • et al.
        Novel PRG4 mutations underlie CACP in Saudi families.
        Hum Mutat. 2006; 27: 213
        • Offiah A.C.
        • Woo P.
        • Prieur A.M.
        • et al.
        Camptodactyly-arthropathy-coxa vara-pericarditis syndrome versus juvenile idiopathic arthropathy.
        AJR Am J Roentgenol. 2005; 185: 522
        • Choi B.R.
        • Lim Y.H.
        • Joo K.B.
        • et al.
        Camptodactyly, arthropathy, coxa vara, pericarditis (CACP) syndrome: a case report.
        J Korean Med Sci. 2004; 19: 907
        • Shayan K.
        • Ho M.
        • Edwards V.
        • et al.
        Synovial pathology in camptodactyly-arthropathy-coxa vara-pericarditis syndrome.
        Pediatr Dev Pathol. 2005; 8 ([Epub 8 Feb 2005]): 26