title: Slippage of the distal tibial epiphysis.
abstract: Three cases of valgus slippage of the distal tibial and fibular epiphysis that masqueraded as severe idiopathic flatfoot are described. These occurred in patients with renal osteodystrophy and were treated by osteotomies of the reverse dome type without internal fixation. All the osteotomies healed well.
mesh_terms: D002648:Child; D002675:Child, Preschool; D012080:Chronic Kidney Disease-Mineral and Bone Disorder / Q000150:complications; D003937:Diagnosis, Differential; D004839:Epiphyses, Slipped / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D005360:Fibula / Q000601:surgery*; D005413:Flatfoot / Q000175:diagnosis; D005684:Gait; D006801:Humans; D008297:Male; D010027:Osteotomy / Q000379:methods; D013977:Tibia / Q000601:surgery*