Fibular hemimelia

Case contributed by Dr Yusra Sheikh

Presentation

Referred for imaging. Patient with known left fibula hemimelia.

Patient Data

Age: 3.5 years
Gender: Female
X-ray

The left tibia is foreshortened, thickened and bowed anteromedially. The left fibula is absent. There is evidence of talipes equinovalgus deformity. 

The lateral rays and phalanges  (4th and 5th digits) are also absent.

Findings are consistent with type II Fibular hemimelia.

Case Discussion

Although rare in occurrence, it is the most common congenital absence of long bone of the extremities.

Fibular hemimelia classification is that of Achterman and Kalamachi et al, which divides the condition into two types:

  • type I: minimal hypoplasia of the fibula
  • type II: complete absence of the fibula

 

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Case information

rID: 48168
Case created: 22nd Sep 2016
Last edited: 19th Nov 2016
Inclusion in quiz mode: Included

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