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
Keywords: Bone disease, congenital, lower extremity deformities, tibia

Abstract

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.

References

Dias AIM, Pinheiro L, Almeida E. Deformidade póstero-medial congénita da tíbia: a propósito de 2 casos clínicos. Nascer e Crescer. 2013; 22:171-3.

Kaufman SD, Fagg JA, Jones S, Bell MJ, Saleh M, Fernandes JA. Limb lengthening in congenital posteromedial bow of the tibia. Strat Traum Limb Recon. 2012; 7:147–53.

Ferguson J, Wainwright A. Tibial bowing in children. Orthopaedics And Trauma. 2012; 27:30-41.

McCarthy J. Tibial bowing. Emedicine.medscape.com. Abril, 2015. (Accessed 5 june 2017). Available at: http://emedicine.medscape.com.

Shah H, Rousset M, Canavese F. Congenital pseudarthrosis of the tibia: Management and complications. Indian J Orthop. 2012; 4:616-26.

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.

Published
2017-12-27
How to Cite
Afonso, I., Martins, 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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