Orthopedic case
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-ra...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Centro Hospitalar do Porto
2017-12-01
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| Series: | Nascer e Crescer |
| Subjects: | |
| Online Access: | http://revistas.rcaap.pt/nascercrescer/article/view/12195 |
| Summary: | 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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| ISSN: | 0872-0754 2183-9417 |