Journal of Orthopaedic Surgery (Aug 2013)

Loeys-Dietz Syndrome with Bilateral Radial Head Dislocations: A Case Report

  • Tarush Rustagi,
  • Mandar V Agashe,
  • Jaideep Dhamele,
  • Alaric J Aroojis,
  • Rujuta Mehta

DOI
https://doi.org/10.1177/230949901302100231
Journal volume & issue
Vol. 21

Abstract

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Loeys-Dietz syndrome is characterised by vascular aneurysms, hypertelorism, and a bifid uvula. We report on an 11-year-old boy with Loeys-Dietz syndrome who presented with bilateral radial head dislocations and severe osteopaenia with changes of avascular necrosis in both hips causing an outtoeing, wide gait. Considering the poor prognosis for elbow movement and possible radial head dysplasia, surgical reduction of the radial heads was deferred. A subtrochanteric de-rotation osteotomy of the left hip was performed to improve the gait.