Case of incomplete fibular hemimelia with tarsal coalition, pes planus, ball and socket ankle
Keywords:Fibular hemimelia, Tarsal coalition, Fibular hypoplasia
Fibular hemimelia (FH) is a congenital disease with a clinical spectrum ranging from mild fibular hypoplasia to fibular aplasia. There is no proven genetic factor. Some anomalies can accompany FH such as tarsal coalition, ulnar hemimelia, amelia, syndactyly, several extremity anomalies, renal anomalies and cardiac anomalies. Our case is about unilateral and incomplete type of right-side FH in a 14 years old female patient. Tibia was curved (bowing) and short. Disparity of measure with left lower extremity was monitored. Tarsal coalition in osseous form, tibial curve anomaly and small bone part placed in fibula distal region compatible with FH, were visualized. There was curved joint form in the same ankle with hemimelia compatible with ball and socket ankle deformity. Calcaneal inclination angle was 120. The findings were compatible with pes planus.
Yıldız C, Koca K, Cakmak G, Basbozkurt M. Fibular hemimelia. Türk Ortopedi ve Travmatoloji Birliği Derneği Dergisi. 2009;8:48-57.
Barawi AR, Amen ZJ. Management of fibular hemimelia (Congenital absence of fibula) using ilizarov method in sulaimani. European Scientific Journal. 2015;11:304-16.
Stevens PM, Arms D. Postaxial hypoplasia of the lower extremity. J Pediatr Orthop. 2000 Mar-Apr;20(2):166-72.
Sidhu AS, Mann HS, Tanwar YS, Kumar A, Gursukhman DS. Fibular hemimelia - a case report. Pb Journal of Orthopaedics. 2010;12:40-3.
Cheng JC, Cheung KW, Ng BK. Severe progressive deformities after limb lengthening in type-II fibular hemimelia. Journal of Bone & Joint Surgery - British. 1998;80(5):772-6.
Stanitski DF, Stanitski CL. Fibular hemimelia: a new classification system. J Pediatr Orthop. 2003;23(1):30-4.
Achterman C, Kalamchi A. Congenital deficiency of the fibula. J Bone Joint Surg Br. 1979;61(2):133-7.
Hamdy R, Makhdom AM, Saran N, Birch J. Congenital fibular deficiency review article. American Academy of Orthopaedic Surgeons. 2014;22(4):246-54.
Dennis Y, Grogan P, Holt GR, Ogden JA. Talocalcaneal coalition in patients who have fibular hemimelia or proximal femoral focal deficiency. The Journal of Bone and Joint Surgery. 1994;76(9):1363-70.
Mosca VS, Bevan WP. Talocalcaneal tarsal coalitions and the calcaneal lengthening osteotomy: The role of deformity correction. J Bone Joint Surg Am. 2012;94:1584-94.
Dimmick S, Chhabra A, Grujic L, Linklater JM. Acquired flat foot deformity: postoperative imaging. Semin Musculoskelet Radiol. 2012;16(3):217-32.
Staheli LT, Chew DE, Corbett M. The longitudinal arch. A survey of eight hundred and eighty-two feet in normal children and adults. J Bone Joint Surg Am. 1987;69(3):426-8.
Gentili A, Masih S, Yao L, Seeger LL. Foot axes and angles. The British Journal of Radiology. 1996;69(826):968–74.
Pistoia F, Ozonoff MB, Wintz P. Ball-and-socket ankle joint. Skeletal Radiol. 1987;16(6):447-51.
How to Cite
Copyright (c) 2019 Emrah Doğan, Süha Gül, Neşat Çullu, Marwa Mouline Doğan
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.