U.S. flag

An official website of the United States government

Format

Send to:

Choose Destination

Avascular necrosis of femoral head, primary, 2(ANFH2)

MedGen UID:
1386338
Concept ID:
C4479260
Disease or Syndrome
Synonym: ANFH2
 
Gene (location): TRPV4 (12q24.11)
 
Monarch Initiative: MONDO:0054551
OMIM®: 617383

Disease characteristics

Excerpted from the GeneReview: Autosomal Dominant TRPV4 Disorders
The autosomal dominant TRPV4 disorders (previously considered to be clinically distinct phenotypes before their molecular basis was discovered) are now grouped into neuromuscular disorders and skeletal dysplasias; however, the overlap within each group is considerable. Affected individuals typically have either neuromuscular or skeletal manifestations alone, and in only rare instances an overlap syndrome has been reported. The three autosomal dominant neuromuscular disorders (mildest to most severe) are: Charcot-Marie-Tooth disease type 2C. Scapuloperoneal spinal muscular atrophy. Congenital distal spinal muscular atrophy. The autosomal dominant neuromuscular disorders are characterized by a congenital-onset, static, or later-onset progressive peripheral neuropathy with variable combinations of laryngeal dysfunction (i.e., vocal fold paresis), respiratory dysfunction, and joint contractures. The six autosomal dominant skeletal dysplasias (mildest to most severe) are: Familial digital arthropathy-brachydactyly. Autosomal dominant brachyolmia. Spondylometaphyseal dysplasia, Kozlowski type. Spondyloepiphyseal dysplasia, Maroteaux type. Parastremmatic dysplasia. Metatropic dysplasia. The skeletal dysplasia is characterized by brachydactyly (in all 6); the five that are more severe have short stature that varies from mild to severe with progressive spinal deformity and involvement of the long bones and pelvis. In the mildest of the autosomal dominant TRPV4 disorders life span is normal; in the most severe it is shortened. Bilateral progressive sensorineural hearing loss (SNHL) can occur with both autosomal dominant neuromuscular disorders and skeletal dysplasias. [from GeneReviews]
Authors:
Brett A McCray  |  Alice Schindler  |  Julie E Hoover-Fong, et. al.   view full author information

Clinical features

From HPO
Short stature
MedGen UID:
87607
Concept ID:
C0349588
Finding
A height below that which is expected according to age and gender norms. Although there is no universally accepted definition of short stature, many refer to "short stature" as height more than 2 standard deviations below the mean for age and gender (or below the 3rd percentile for age and gender dependent norms).
Legg-Calve-Perthes disease
MedGen UID:
730669
Concept ID:
C1442965
Disease or Syndrome
Legg-Calve-Perthes disease (LCPD) is characterized by loss of circulation to the femoral head, resulting in avascular necrosis in a growing child. Clinical pictures of the disease vary, depending on the phase of disease progression through ischemia, revascularization, fracture and collapse, and repair and remodeling of the bone. The disease occurs more frequently in boys, and most patients tend to be shorter than their peers. Both familial and isolated cases of LCPD have been reported (summary by Chen et al., 2004).
Platyspondyly
MedGen UID:
335010
Concept ID:
C1844704
Finding
A flattened vertebral body shape with reduced distance between the vertebral endplates.

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  

Professional guidelines

PubMed

Huten D, Bourgoin A, Lambotte JC
Morphologie 2021 Jun;105(349):102-119. Epub 2021 Mar 27 doi: 10.1016/j.morpho.2021.02.003. PMID: 33785253
Mathieu D, Marroni A, Kot J
Diving Hyperb Med 2017 Mar;47(1):24-32. doi: 10.28920/dhm47.1.24-32. PMID: 28357821Free PMC Article
Rajpura A, Wright AC, Board TN
Hip Int 2011 Jul-Aug;21(4):385-92. doi: 10.5301/HIP.2011.8538. PMID: 21786259

Recent clinical studies

Etiology

Cohen-Rosenblum A, Cui Q
Orthop Clin North Am 2019 Apr;50(2):139-149. Epub 2019 Feb 12 doi: 10.1016/j.ocl.2018.10.001. PMID: 30850073
Guo P, Gao F, Wang Y, Zhang Z, Sun W, Jiang B, Wang B, Li Z
Medicine (Baltimore) 2017 Apr;96(16):e6646. doi: 10.1097/MD.0000000000006646. PMID: 28422866Free PMC Article
Roth A, Beckmann J, Bohndorf K, Fischer A, Heiß C, Kenn W, Jäger M, Maus U, Nöth U, Peters KM, Rader C, Reppenhagen S, Smolenski U, Tingart M, Kopp I, Sirotin I, Breusch SJ
Arch Orthop Trauma Surg 2016 Feb;136(2):165-74. Epub 2015 Dec 14 doi: 10.1007/s00402-015-2375-7. PMID: 26667621
Barquet A, Mayora G, Guimaraes JM, Suárez R, Giannoudis PV
Injury 2014 Dec;45(12):1848-58. doi: 10.1016/j.injury.2014.10.054. PMID: 25467713
Klisić PJ
Int Orthop 1984;8(2):95-102. doi: 10.1007/BF00265831. PMID: 6386709

Diagnosis

Hassan AAA, Khalifa AA
Rheumatol Int 2023 Sep;43(9):1583-1595. Epub 2023 Jun 20 doi: 10.1007/s00296-023-05373-8. PMID: 37338665Free PMC Article
Zhang QY, Li ZR, Gao FQ, Sun W
Chin Med J (Engl) 2018 Nov 5;131(21):2589-2598. doi: 10.4103/0366-6999.244111. PMID: 30381593Free PMC Article
Roth A, Beckmann J, Bohndorf K, Fischer A, Heiß C, Kenn W, Jäger M, Maus U, Nöth U, Peters KM, Rader C, Reppenhagen S, Smolenski U, Tingart M, Kopp I, Sirotin I, Breusch SJ
Arch Orthop Trauma Surg 2016 Feb;136(2):165-74. Epub 2015 Dec 14 doi: 10.1007/s00402-015-2375-7. PMID: 26667621
Barquet A, Mayora G, Guimaraes JM, Suárez R, Giannoudis PV
Injury 2014 Dec;45(12):1848-58. doi: 10.1016/j.injury.2014.10.054. PMID: 25467713
Klisić PJ
Int Orthop 1984;8(2):95-102. doi: 10.1007/BF00265831. PMID: 6386709

Therapy

Zhao Y, Li S, Feng M, Zhang M, Liu Z, Yao Y, Zhang T, Jiang Y, Lin Y, Cai X
Small 2023 Oct;19(41):e2302326. Epub 2023 Jun 14 doi: 10.1002/smll.202302326. PMID: 37317020
Paderno E, Zanon V, Vezzani G, Giacon TA, Bernasek TL, Camporesi EM, Bosco G
Int J Environ Res Public Health 2021 Mar 12;18(6) doi: 10.3390/ijerph18062888. PMID: 33808951Free PMC Article
Cohen-Rosenblum A, Cui Q
Orthop Clin North Am 2019 Apr;50(2):139-149. Epub 2019 Feb 12 doi: 10.1016/j.ocl.2018.10.001. PMID: 30850073
Zhou W, Qu M, Lv Y, Zhu J
Curr Stem Cell Res Ther 2019;14(3):226-229. doi: 10.2174/1574888X13666181025120252. PMID: 30360727
Zhang Q, L V J, Jin L
J Int Med Res 2018 Jun;46(6):2141-2148. Epub 2017 May 1 doi: 10.1177/0300060517700299. PMID: 28459353Free PMC Article

Prognosis

Lee WQ, Lie HM, Lie DTT
J ISAKOS 2023 Apr;8(2):108-113. Epub 2022 Nov 23 doi: 10.1016/j.jisako.2022.11.002. PMID: 36435432
Kuroda Y, Ito-Ihara T, Abe H, Nankaku M, Okuzu Y, Kawai T, Goto K, Matsuda S
Regen Med 2020 Nov;15(11):2261-2271. Epub 2020 Dec 1 doi: 10.2217/rme-2020-0148. PMID: 33256551
Zhang QY, Li ZR, Gao FQ, Sun W
Chin Med J (Engl) 2018 Nov 5;131(21):2589-2598. doi: 10.4103/0366-6999.244111. PMID: 30381593Free PMC Article
Barquet A, Mayora G, Guimaraes JM, Suárez R, Giannoudis PV
Injury 2014 Dec;45(12):1848-58. doi: 10.1016/j.injury.2014.10.054. PMID: 25467713
Karantanas AH
Expert Opin Med Diagn 2013 Mar;7(2):179-87. Epub 2013 Jan 18 doi: 10.1517/17530059.2013.757592. PMID: 23530887

Clinical prediction guides

Zhang S, Wang C, Shi L, Xue Q
Drug Des Devel Ther 2021;15:983-995. Epub 2021 Mar 4 doi: 10.2147/DDDT.S298691. PMID: 33692615Free PMC Article
Kuroda Y, Ito-Ihara T, Abe H, Nankaku M, Okuzu Y, Kawai T, Goto K, Matsuda S
Regen Med 2020 Nov;15(11):2261-2271. Epub 2020 Dec 1 doi: 10.2217/rme-2020-0148. PMID: 33256551
Uesugi Y, Sakai T, Seki T, Hayashi S, Nakamura J, Inaba Y, Takahashi D, Sasaki K, Motomura G, Mashima N, Kabata T, Sudo A, Jinno T, Ando W, Nagoya S, Yamamoto K, Nakasone S, Ito H, Yamamoto T, Sugano N
Int Orthop 2018 Jul;42(7):1517-1525. Epub 2018 Mar 23 doi: 10.1007/s00264-018-3897-8. PMID: 29572640
Guo P, Gao F, Wang Y, Zhang Z, Sun W, Jiang B, Wang B, Li Z
Medicine (Baltimore) 2017 Apr;96(16):e6646. doi: 10.1097/MD.0000000000006646. PMID: 28422866Free PMC Article
Zaltz I, Baca G, Clohisy JC
Clin Orthop Relat Res 2013 Jul;471(7):2192-8. doi: 10.1007/s11999-012-2765-x. PMID: 23288586Free PMC Article

Recent systematic reviews

Wang X, Hu L, Wei B, Wang J, Hou D, Deng X
Stem Cell Res Ther 2024 Jan 25;15(1):21. doi: 10.1186/s13287-024-03635-1. PMID: 38273397Free PMC Article
Hassan AAA, Khalifa AA
Rheumatol Int 2023 Sep;43(9):1583-1595. Epub 2023 Jun 20 doi: 10.1007/s00296-023-05373-8. PMID: 37338665Free PMC Article
Paderno E, Zanon V, Vezzani G, Giacon TA, Bernasek TL, Camporesi EM, Bosco G
Int J Environ Res Public Health 2021 Mar 12;18(6) doi: 10.3390/ijerph18062888. PMID: 33808951Free PMC Article
Mathieu D, Marroni A, Kot J
Diving Hyperb Med 2017 Mar;47(1):24-32. doi: 10.28920/dhm47.1.24-32. PMID: 28357821Free PMC Article
Roth A, Beckmann J, Bohndorf K, Fischer A, Heiß C, Kenn W, Jäger M, Maus U, Nöth U, Peters KM, Rader C, Reppenhagen S, Smolenski U, Tingart M, Kopp I, Sirotin I, Breusch SJ
Arch Orthop Trauma Surg 2016 Feb;136(2):165-74. Epub 2015 Dec 14 doi: 10.1007/s00402-015-2375-7. PMID: 26667621

Supplemental Content

Table of contents

    Clinical resources

    Practice guidelines

    • PubMed
      See practice and clinical guidelines in PubMed. The search results may include broader topics and may not capture all published guidelines. See the FAQ for details.

    Consumer resources

    Recent activity

    Your browsing activity is empty.

    Activity recording is turned off.

    Turn recording back on

    See more...