Orthopedic case


  • Ivete Afonso Department of Pediatrics, Hospital Pedro Hispano, Unidade Local de Saúde de Matosinhos
  • Andreia A. Martins Department of Pediatrics, Hospital Pedro Hispano, Unidade Local de Saúde de Matosinhos
  • Monjardim Quelhas Department of Orthopedic, Hospital Pedro Hispano, Unidade Local de Saúde de Matosinhos




Bone disease, congenital, lower extremity deformities, tibia


A term newborn, from a medically supervised pregnancy, had a hypoplasia of the right leg bones and ipsilateral deviation of the foot on the obstetric ultrasounds and presented at birth with a medial deviation of the inferior third of the right leg and dorsiflexion of the right foot. A right leg x-ray showed a congenital posteromedial bowing of the tibia (CPMBT). A favorable outcome was achieved with a conservative approach at eleven months old.
CPMBT is the most benign of all the congenital deformities of the tibia. Usually it is obvious at birth as a calcaneal valgus deformity. It tends to resolve spontaneously, thus a conservative approach is adopted in most cases. Limb length discrepancy is the main complication, and so follow-up is recommended until skeletal maturity.
Due to the rarity of these deformities, an early recognition and referral are fundamental.


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How to Cite

Afonso, I., Martins, A. A., & Quelhas, M. (2017). Orthopedic case. NASCER E CRESCER - BIRTH AND GROWTH MEDICAL JOURNAL, 26(4), 261–263. https://doi.org/10.25753/BirthGrowthMJ.v26.i4.12195



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