Proximal femoral focal deficiency, bilateral

Case contributed by Dr Hanisalam

Presentation

Multiple abnormalities at birth.

Modality: X-ray

Case Discussion

Proximal femoral focal deficiency with oligodactyly and absent right forearm.

X-ray of the pelvis demonstrates bilateral PFFD. On the right the acetabulum is moderately dysplastic and the femoral head is dislocated (likely class B). On the left femoral deficiency is more severe with a short proximally tapered femur (class C) - see classification of PFFD

Skeletal survey obtained at birth demonstrates a number of abnormalities. In addition to bilateral PFFD both feet have only four digits and the right arm is absent distal to the elbow joint. 

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Case Information

rID: 10813
Case created: 25th Sep 2010
Last edited: 7th Dec 2015
Tags: femur, digits
Inclusion in quiz mode: Included

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