CONGENITAL POSTEROMEDIAL BOWING OF THE TIBIA: REPORT OF 2 CASES
DOI:
https://doi.org/10.25753/BirthGrowthMJ.v22.i3.10649Keywords:
Congenital lower extremity deformities, tibia, childAbstract
Objective: To describe the case of two children with leg bowing conditioned by tibial angular deformities and to discuss differential diagnosis.
Case report: We report the case of two patients referred to a Pediatric Orthopedics Consultation due to leg bowing. No skin patches or other alterations were found on physical examination. Clinical and imaging findings were consistent with congenital posteromedial bowing of the tibia. Favorable outcome was verified, with spontaneous resolution of deformity.
Comments: Posteromedial bowing of the tibia is a rare entity, with few cases reported in literature. Its true incidence remains unknown. It implies differential diagnosis with the tibial congenital pseudarthrosis, usually related to neurofibromatosis. Most often its treatment is conservative, because it tends to resolve spontaneously (mostly under 8 years) without any clinical consequences. Our aim is to alert pediatricians to establish the possibility of this clinical entity when dealing with tibial bowing, minimizing parental anxiety resulting from it. Nevertheless we emphasize the importance of evaluation by an orthopedist as there are clinical situations in which diagnosis may not be as evident.
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References
McCarthy J. Tibial bowing. Emedicine.medscape.com. Disponível
em: http://emedicine.medscape.com/
Schoenecker PL, Rich MM. The lower extremity. J Pediatr
Orthop 2001; 1092 -95. Schoenecker PL, Rich MM. The lower
extremity. In: Morrissy RT, Weinstein SL (Eds). Lovell and
Winter’s Pediatric Orthopaedics, 6th ed, Philadelphia. Lippincott
Williams & Wilkins; 2006. p.1158.
Alaseirlis DA, Korompilias AV, Beris AE, Soucacos PN. Residual
malformations and leg length discrepancy after treatment
of Þ bular hemimelia. J Orthop Surg Res 2011; 6:51.
Yadav SS, Thomas S. Congenital posteromedial bowing of
the tibia, Acta Orthop Scand 1980; 51:311 -3.
Singhal RK. Posterior congenital kyphoscoliotic tibia. Report
of four cases. Indian J Pediatr 1971; 38:337 -41.
Pappas AM. Congenital posteromedial bowing of the tibia
and Þ bula. J Pediatr Orthop 1984; 4:525 -31.
Cheema JI, Grissom LE, Harcke HT. Radiographic characteristics
of lower -extremity bowing in children. Radiographics
; 23:871 -80.
Shah HH, Doddabasappa SN, Joseph B. Congenital posteromedial
bowing of the tibia: a retrospective analysis of growth
abnormalities in the leg. J Pediatr Orthop B 2009; 18:120 -8.
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