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THE NAIL-PATELLA SYNDROME

A Report of Three Families

A. Fidalgo Valdueza 1

1 Department of Orthopaedics, Gloucestershire Royal Hospital, Gloucester, England; Valladolid, Spain

1. Three families with the characteristic changes of the nail-patella syndrome are reported. In addition to the well established bone and nail defects they had soft-tissue contractures, web formation around the elbows and muscular hypoplasias. The literature on soft-tissue changes is reviewed and their importance emphasised.

2. Asymmetrical joint development is considered to be a characteristic feature of the syndrome.

3. The incidence of renal disease in our families is recorded.

4. The literature on the basic defect is reviewed. The likelihood of a primary alteration in connective tissue chemistry is considered.
(c) British Editorial Society of Bone and Joint Surgery All Rights Reserved
Registered charity no: 209299     Print ISSN: 0301-620X
Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General