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1.
J Pediatr Orthop B ; 13(3): 184-8, 2004 May.
Artigo em Inglês | MEDLINE | ID: mdl-15083119

RESUMO

We have noted a number of patients with features of fibular hemimelia with radiographically normal fibulae. This study was undertaken to further define this group. A review of hospital records and radiographs over a 72-year period identified 149 limbs in 123 patients with features of fibular hemimelia syndrome. Sixteen limbs in fourteen patients had findings of fibular hemimelia with radiographically normal fibulae. Thirteen of 16 had absent lateral rays with either ball and socket ankle joint, tarsal coalition or both. Six of the 13 had limb shortening. Three limbs in three patients did not have absent lateral rays, but had at least two other features of fibular hemimelia syndrome. All of these three limbs had ball and socket ankles and tarsal coalitions and two had shortening. These patients represent a mild subset of fibular hemimelia syndrome and we propose that they be classified as type 0 fibular hemimelia.


Assuntos
Ectromelia/diagnóstico por imagem , Fíbula/anormalidades , Fíbula/diagnóstico por imagem , Articulação do Tornozelo/anormalidades , Articulação do Tornozelo/diagnóstico por imagem , Ectromelia/classificação , Deformidades Congênitas do Pé/diagnóstico por imagem , Humanos , Articulação do Joelho/anormalidades , Articulação do Joelho/diagnóstico por imagem , Desigualdade de Membros Inferiores/diagnóstico por imagem , Estudos Prospectivos , Radiografia , Estudos Retrospectivos , Síndrome
2.
J Pediatr Orthop ; 22(4): 522-5, 2002.
Artigo em Inglês | MEDLINE | ID: mdl-12131452

RESUMO

This study was designed to determine the incidence of clubfoot in our fibular hemimelia population. A retrospective review of fibular hemimelia patients treated at our institution over the past seventy years was conducted. We identified twenty-three cases of clubfoot in 121 patients with 147 involved limbs. Nineteen of twenty-three limbs retained the foot, four were converted to Syme's amputation because a plantigrade functional foot could not be obtained. Hindfoot coalitions were present in eighteen limbs and nineteen had one or more missing lateral rays. In summary, the association of clubfoot deformity with fibular hemimelia is more common than previously reported. It was not always evident to the surgeon treating these patients that fibular hemimelia syndrome was present in addition to clubfoot deformity. The presence of a coalition is a relatively constant finding in this condition and should be anticipated by the treating clubfoot surgeon.


Assuntos
Pé Torto Equinovaro/epidemiologia , Ectromelia/epidemiologia , Fíbula/anormalidades , Pré-Escolar , Pé Torto Equinovaro/diagnóstico por imagem , Comorbidade , Ectromelia/diagnóstico por imagem , Feminino , Fêmur/anormalidades , Fêmur/diagnóstico por imagem , Fíbula/diagnóstico por imagem , Humanos , Incidência , Lactente , Recém-Nascido , Masculino , Radiografia , Estudos Retrospectivos , Medição de Risco , Tíbia/anormalidades , Tíbia/diagnóstico por imagem , Estados Unidos/epidemiologia
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