Unclassified tibial hemimelia.
Tibial hemimelia (congenital longitudinal deficiency of the tibia) is rare (1 in 1 000 000). There are several classifications in the literature. We report an unclassified case of tibial hemimelia. A 6-year-old girl presented with shortening of the right lower limb, with a small rudimentary foot (presence of all toes) and hyper lax ankle. Quadriceps function was excellent. Radiograph showed a partial tibia and fibula in synostosis. The Jones and Kalamachi type 2 classifications both mention similar tibial anomalies; however, the fibula is normal in both varieties. The present variety can be considered as a variant of type 2 tibial hemimelia.
Department of Orthopedics, Kasturba Medical College, Manipal University, Manipal, Karnataka, India.
Vishnu
V
Senthil
Department of Orthopedics, Kasturba Medical College, Manipal University, Manipal, Karnataka, India.
Imthias V
IV
Kottamttavide
Department of Orthopedics, Kasturba Medical College, Manipal University, Manipal, Karnataka, India.
Hitesh
H
Shah
D000015:Abnormalities, Multiple; D002648:Child; D004480:Ectromelia / Q000000981:diagnostic imaging; D005260:Female; D005360:Fibula / Q000002:abnormalities* / Q000000981:diagnostic imaging; D006801:Humans; D007866:Leg / Q000002:abnormalities; D019736:Prostheses and Implants; D011859:Radiography; D013580:Synostosis; D013977:Tibia / Q000002:abnormalities* / Q000000981:diagnostic imaging