ISSN:
1432-2161
Keywords:
Key words Tibial deficiency
;
Fibular deficiency
;
Congenital hip dislocation
;
Transverse limb deficiency
;
X-ray
;
MRI
Source:
Springer Online Journal Archives 1860-2000
Topics:
Medicine
Notes:
Abstract We report two similar, but unrelated, patients with congenital bilateral partial deficiencies of the tibia and fibula associated with intact feet. In both patients, the tibia and fibula were absent on initial radiographs, while the femur and the tarsal bones were well developed and there was bilateral teratologic dislocation of the hips. Ultrasound and magnetic resonance imaging (MRI) studies suggested the presence of cartilaginous remnants of the tibia and fibula. There were multidirectional instabilities in the knees and ankles. The clinical and radiological features of these cases are distinct from those of congenital longitudinal deficiency of the tibia, in which the fibula is always preserved, and from longitudinal deficiency of the fibula, in which the tibia is present and the foot is usually involved. We suggest that the bilateral partial deficiencies of the tibia and fibula associated with the intact foot and teratologic dislocation of the hips is a single-entity disorder, possibly categorized as an intercalary transverse deficiency of the lower limb.
Type of Medium:
Electronic Resource
URL:
http://dx.doi.org/10.1007/s002560050602
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