Congenital Posteromedial Bowing of the Tibia and Fibula

Pappas, Arthur M.

doi:10.1097/01241398-198404050-00001

Cited by 59 publications

(65 citation statements)

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“…Calcaneovalgus deformity is seen as an ipsilateral dorsiflexed foot touching the shin. A skin dimple on the posterior aspect of the curve is seen clinically in tibial bowing [4]. Most authors believe that cramped fetal positioning, with the dorsiflexed foot plastered against the anterior aspect of the tibia is responsible for the deformity, hence known as prenatal bowing of tibia and fibula [5].…”

Section: Discussionmentioning

confidence: 99%

Congenital Unilateral Bowing of Tibia and Fibula

Rk¹

2008

Medical Journal Armed Forces India

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Section: Discussionmentioning

confidence: 99%

Congenital Unilateral Bowing of Tibia and Fibula

Rk¹

2008

Medical Journal Armed Forces India

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“…Significant shortening and bowing was often self-evident but subtle degrees of shortening could be established only by measurement of the affected and contralateral tibia and fibula. The direct correlation between initial bowing and ultimate discrepancy in the limb length has been established in a number of studies [2,4,5]. However, in a recent review by Kaufman et al [6], inhibition of growth at the distal tibial physis has been implicated as the primary factor in limb shortening.…”

Section: Discussionmentioning

confidence: 99%

“…However, in a recent review by Kaufman et al [6], inhibition of growth at the distal tibial physis has been implicated as the primary factor in limb shortening. Two distinct mechanisms namely physeal realignment and diaphyseal remodeling has been attributed to the resolution of deformity [4].…”

Section: Discussionmentioning

confidence: 99%

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Prenatal Sonographic Features and Postnatal Outcome of Congenital Posteromedial Bowing of Tibia: An Experience from a Tertiary Fetal Medicine Center

Suresh

Raja

Sriram

et al. 2014

Journal of Fetal Medicine

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A series of 18 fetuses were identified from the archives, between 2004 and 2013 with findings of unilateral shortening of the tibia and fibula, an acutely dorsiflexed foot and posteromedial bowing of the tibia and fibula. The median gestational age at diagnosis was 23 weeks (range 20-29 weeks). The discrepancy in length between the affected and contralateral tibia varied from 9 to 33 %. Data on pregnancy outcome were available for 14 (78 %) of 18 fetuses. Four patients opted for termination of pregnancy. All the live born babies (10/14) were followedup postnatally and were well at a median age of 28 months (6-63 months) with milestones appropriate for age at the time of writing. Spontaneous resolution was noted in all the cases and none of them required surgical correction for limb discrepancy so far. Congenital posteromedial bowing of the leg is a benign entity whose outcome includes spontaneous resolution of the angular deformity, albeit with some residual limb length discrepancy and ankle valgus which may need orthopedic intervention around 6-7 years of age. Awareness of this condition helps in making the diagnosis prenatally and in counseling the couples about the prognosis and management options available.

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“…In almost all cases foot cannot be brought to the neutral position. A range of motion of talocrural joint is limited and this limitation persist to some extent for the lifetime (5). Shortening of the leg is evident at birth and it increases with age.…”

Section: Introductionmentioning

confidence: 99%

Congenital Posteromedial Bowing of the Tibia: A Single Center Experience

Živanović¹,

Slavkovic²,

Marjanović³

et al. 2017

Acta Facultatis Medicae Naissensis

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SU M M A RY Congenital posteromedial bowing of the tibia (CPMBT) is a rare congenital anomaly of the lower limbs.The aim of the present study was to analyze our experience in the treatment of CPMBT.A retrospective study of patients treated for CPMBT in the period January 2000 -June 2016 was performed. In the observed period, six patients were treated (five girls and one boy), with predominance of the right tibia involvement (5:1).The initial treatment included a series of corrective casts (4-9) applied in all patients, followed by removable splints and physiotherapy. Four children with residual angulation of tibia after walking age were prescribed ankle-foot orthosis (AFO) as a prevention of pathological fractures. Both posterior and medial angulation correct over time. Mean initial shortening was 11 mm. At the last follow-up visit, mean shortening was 23.33mm. Three patients had lower limb shortening of more than 2 cm. In two of them, with shortening of 27 mm and 35 mm, Ilizarov lengthening was performed. In one girl, we performed lengthening over titanium elastic nails. In the other girl, after lengthening, circular frame was exchanged with a locking plate to reduce fixator wearing time. There were no major complications of treatment. Patients were followed up for 2-12 years (mean 6.83 years). None of them reached skeletal maturity yet.Primary manifestation of CPMBT -angulation of tibia and fibula as well as calcaneovalgus deformity usually correct spontaneously or with conservative measures. However, limb length inequality, as a consequence of CPMBT, progresses with growth and may require surgical correction in some children. Therefore, all children with CPMBT should be followed up until skeletal maturity.

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Congenital Posteromedial Bowing of the Tibia and Fibula

Cited by 59 publications

References 0 publications

Congenital Unilateral Bowing of Tibia and Fibula

Congenital Unilateral Bowing of Tibia and Fibula

Prenatal Sonographic Features and Postnatal Outcome of Congenital Posteromedial Bowing of Tibia: An Experience from a Tertiary Fetal Medicine Center

Congenital Posteromedial Bowing of the Tibia: A Single Center Experience

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