Tibial hemimelia and polydactyly

Case contributed by Frank Gaillard
Diagnosis certain

Presentation

Short right leg

Patient Data

Age: 9 months

On 9 months of age

x-ray

Short right tibial and fibula with small epiphyses. Upward shift of the fibula.

Right foot polydactyly (seven metatarsals and toes). Internal foot inversion noted.

Standing film at 2 yr of age

x-ray

Short right leg due to short tibia (tibial hemimelia), upward shift of fibula, and genu valgum.

Normal left lower limb.

Case Discussion

X-rays of the right lower limb demonstrate tibial hemimelia and polydactyly.

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