Claudication in an adolescent with a hypoplastic femur.
The most common cause of claudication is atherosclerosis obliterans. However, when it presents in adolescence, other causes should be considered. We describe the case of a 15-year-old girl who had severe intermittent claudication 8 years after a limb-lengthening procedure for a hypoplastic femur. The lesion responsible was an isolated fibromuscular dysplastic segment of the distal superficial femoral artery and proximal popliteal artery. The etiology, treatment, and histopathology are discussed.
Huard
G S
GS
Department of Surgery and Pathology, Eisenhower Memorial Hospital, Rancho Mirage, Calif.
Williamson
A E
AE
Fausel
R
R
D000293:Adolescent; D001852:Bone Lengthening; D005260:Female; D005269:Femur / Q000002:abnormalities* / Q000601:surgery; D005352:Fibromuscular Dysplasia / Q000150:complications* / Q000473:pathology; D005355:Fibrosis; D006801:Humans; D006965:Hyperplasia; D006984:Hypertrophy; D007383:Intermittent Claudication / Q000209:etiology*; D011150:Popliteal Artery / Q000473:pathology*; D017539:Tunica Intima / Q000473:pathology