Pathomorphology and treatment of congenital anterolateral bowing of the tibia associated with duplication of the hallux.
Congenital unilateral anterolateral tibial bowing in combination with a bifid ipsilateral great toe is a very rare deformity which resembles the anterolateral tibial bowing that occurs in association with congenital pseudarthrosis of the tibia. However, spontaneous resolution of the deformity without operative treatment and with a continuously straight fibula has been described in all previously reported cases. We report three additional cases and discuss the options for treatment. We suggest that this is a specific entity within the field of anterolateral bowing of the tibia and conclude that it has a much better prognosis than congenital pseudarthrosis of the tibia, although conservative treatment alone may not be sufficient.
Manner
H M
HM
Orthopaedic Hospital Vienna-Speising, Vienna, Austria. hannes.manner@oss.at
Radler
C
C
Ganger
R
R
Grossbötzl
G
G
Petje
G
G
Grill
F
F
D000015:Abnormalities, Multiple / Q000473:pathology / Q000601:surgery*; D002648:Child; D002675:Child, Preschool; D005260:Female; D005532:Foot Deformities, Congenital / Q000473:pathology / Q000601:surgery*; D006214:Hallux / Q000002:abnormalities* / Q000473:pathology / Q000601:surgery; D006801:Humans; D008297:Male; D017689:Polydactyly / Q000473:pathology / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods; D013977:Tibia / Q000002:abnormalities* / Q000473:pathology / Q000601:surgery; D016896:Treatment Outcome