Posttraumatic limb shortening - resultant genu varum and pelvic tilt

Case contributed by Bálint Botz
Diagnosis certain

Presentation

Sustained right femoral fracture years earlier, which was managed with TEN. Arrested development of the length of the affected limb.

Patient Data

Age: 20 years
Gender: Male

Standing low-dose EOS XR

x-ray

The right femur is shortened (see measurement), with resultant pelvic tilt and moderate genu varum.

As an incidental finding a circumscribed lytic lesion wit well-defined sclerotic margins and cortical thinning is visible in the lateral aspect of the left distal femoral metaphysis, which is in line with a benign non-ossifying fibroma. 

Case Discussion

Limb shortening due to arrested bone growth caused by prior trauma, leading to genu varum, and a significant pelvic tilting. 

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