Tibial hemimelia

Case contributed by Dr Dalia Ibrahim

Presentation

Right lower limb shortening and deformity.

Patient Data

Age: 5-months old
Gender: Male
X-ray

Shortening of the right tibia (compared to the left side) with hypoplasia of its distal shaft.

  • The right fibula shows upward displacement of its proximal portion and medial bowing of its mid-shaft.
  • Equinovarus deformity of the ankle & foot.
  • Shortening of the right lower limb.

The right foot shows:

  • Short 1st and 3rd metatarsal bones
  • Severely hypoplastic deformed 3rd and 4th proximal phalanges with transversely oriented extra-phalanx seen within their inter-phalangeal space
  • Hypoplastic distal phalanges of the 2nd to the 5th toes and the middle phalanges of the 3rd, 4th and 5th toes
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Case information

rID: 58024
Published: 26th Jan 2018
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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