Congenital Absence of the Fibula

Farmer, A. W.; Laurin, C A

doi:10.2106/00004623-196042010-00001

Cited by 60 publications

(18 citation statements)

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“…The prevalence of associated anomalies, however, is not very clear in their paper. There are several reports in literature that have reported a directly proportional correlation between the number of congenital limb anomalies present in patients with fibular hemimelia and the severity of clinical presentation [3,9,30,31]. Many classification systems have been based on this supposition [3,9,17,18,32].…”

Section: Predictorsmentioning

confidence: 99%

Limb length discrepancy and congenital limb anomalies in fibular hemimelia

Rodriguez-Ramirez

Thacker

Becerra

et al. 2010

Journal of Pediatric Orthopaedics B

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The aim of this study was to determine the prevalence of ipsilateral congenital musculoskeletal anomalies associated with fibular hemimelia. We also attempted to determine the corelation between the eventual limb length discrepancy at maturity and these associated anomalies, as well as the Achterman-Kalamchi class of these patients. The records and roentgenograms of 45 patients with fibular hemimelia were reviewed retrospectively. All patients were classified into three groups (types I-A, I-B, and II) according to the Achterman-Kalamchi system. The prevalence of congenital limb anomalies, lower extremity discrepancy percentage, and ultimate limb length discrepancy at skeletal maturity were evaluated. There was no significant statistical association between the number of congenital limb anomalies and severity of the limb length discrepancy, but patients included in the mildly affected group (type I-A) had a higher average prevalence of congenital limb anomalies than those classified as types I-B and II. There was a substantial correlation between congenital short femur as well as the Achterman-Kalamchi classification system and the predicted limb length discrepancy. A similar percentage of limb length discrepancy in types I-B and II was seen. In conclusion, the numbers of associated congenital limb anomalies are not predictive of the eventual limb length discrepancy. Presence of a congenital short femur and ball and socket ankle are predictive of a higher limb length discrepancy. Achterman-Kalamchi types I-B and II show a similar percentage of limb length discrepancy and this is significantly higher than that seen in type I-A.

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Section: Predictorsmentioning

confidence: 99%

Limb length discrepancy and congenital limb anomalies in fibular hemimelia

Rodriguez-Ramirez

Thacker

Becerra

et al. 2010

Journal of Pediatric Orthopaedics B

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“…Congenital absence of the fibula, also known as intercalary paraxial fibular hemimelis, is the commonest long bone deficiency (Harmon and Fahey 1937, Coventry and Johnson 1952, Farmer and Laurin 1960. It is usually associated with equinovalgus deformity of the foot and the ankle, with or without tarsal bone abnormalities (Harmon and Fahey 1937, Coventry and Johnson 1952, Thomson et al 1957, Farmer and Laurin 1960 chi 1979).…”

Section: Discussionmentioning

confidence: 99%

“…It is usually associated with equinovalgus deformity of the foot and the ankle, with or without tarsal bone abnormalities (Harmon and Fahey 1937, Coventry and Johnson 1952, Thomson et al 1957, Farmer and Laurin 1960 chi 1979). Bilateral congenital complete absence of the fibulae associated with equinovarus deformity, may be a distinct syndrome not previously reported.…”

Section: Discussionmentioning

confidence: 99%

Congenital absence of fibulae with equinovarus deformity-a case report

Khurana

Bhargava

1997

Acta Orthopaedica Scandinavica

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“…This foot deformity is commonly referred to in the literature as a "lateral ray deficiency." [1][2][3][4][5][6][7][8][9][10][11][12] However, some early descriptions of the abnormality suggest otherwise. 13, 14 Hootnick et al [15][16][17] have proposed, based on radiographs as well as anatomic dissections that the metatarsal deficiency in congenital fibular deficiency represents a deficiency of midline foot structures.…”

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confidence: 99%