Fibular hemimelia - type II

Case contributed by Dr Muhammad Essam

Presentation

Child with right lower limb deformity

Patient Data

Age: child
Gender: Female
Modality: X-ray

Congenital right lower limb anomaly in the form of:

Absent/aplastic fibula.

Hypoplastic tibia with deformity of the distal tibial epiphysis resulting in convexity with lateral and posterior slope of its distal joint surface, with subsequent talipus equinovalgas deformity of the foot and ankle.

Small sized dysmorphic right talus and calcaneus.

Absent metatarsals and phalanges of the lateral two toes.

Short femur showing mild lateral bowing of its mid shaft.

Case Discussion

Fibular hemimelia is a congenital lower limb deformity which is divided into two types

type 1: minimal hypoplasia of the fibula.

type 2: complete absence of the fibula.

Fibular hemimelia could be an isolated anomaly or associated with proximal focal femoral deficiency, absence of lateral rays and phalanges of lateral toes, syndactyly and polydactyly

 

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Case Information

rID: 29181
Case created: 8th May 2014
Last edited: 16th Dec 2015
Inclusion in quiz mode: Included

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