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Rare case of tibial hemimelia, preaxial polydactyly, and club foot

A seven-month old female presented with left tibial hemimelia (or congenital tibial aplasia; Weber type VIIb, Jones et al type 1a), seven-toed preaxial polydactyly, and severe club foot (congenital talipes equinovarus). Definitive amputation surgery disarticulated the lower limb at the knee. This ca...

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Autores principales: Granite, Guinevere, Herzenberg, John E, Wade, Ronald
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Baishideng Publishing Group Inc 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5156877/
https://www.ncbi.nlm.nih.gov/pubmed/28035313
http://dx.doi.org/10.12998/wjcc.v4.i12.401
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author Granite, Guinevere
Herzenberg, John E
Wade, Ronald
author_facet Granite, Guinevere
Herzenberg, John E
Wade, Ronald
author_sort Granite, Guinevere
collection PubMed
description A seven-month old female presented with left tibial hemimelia (or congenital tibial aplasia; Weber type VIIb, Jones et al type 1a), seven-toed preaxial polydactyly, and severe club foot (congenital talipes equinovarus). Definitive amputation surgery disarticulated the lower limb at the knee. This case report describes the anatomical findings of a systematic post-amputation examination of the lower limb’s superficial dissection, X-rays, and computed tomography (CT) scans. From the X-rays and CT scans, we found curved and overlapping preaxial supernumerary toes, hypoplastic first metatarsal, lack of middle and distal phalanges in one supernumerary toe, three tarsal bones, hypoplastic middle phalanx and no distal phalanx for fourth toe, and no middle or distal phalanges for fifth toe. The fibula articulated with the anteromedial calcaneus and the tibia was completely absent. We identified numerous muscles and nerves in the superficial dissection that are described in the results section of the case report. Due to the rarity of this combination of anatomical findings, descriptions of such cases are very infrequent in the literature.
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spelling pubmed-51568772016-12-30 Rare case of tibial hemimelia, preaxial polydactyly, and club foot Granite, Guinevere Herzenberg, John E Wade, Ronald World J Clin Cases Case Report A seven-month old female presented with left tibial hemimelia (or congenital tibial aplasia; Weber type VIIb, Jones et al type 1a), seven-toed preaxial polydactyly, and severe club foot (congenital talipes equinovarus). Definitive amputation surgery disarticulated the lower limb at the knee. This case report describes the anatomical findings of a systematic post-amputation examination of the lower limb’s superficial dissection, X-rays, and computed tomography (CT) scans. From the X-rays and CT scans, we found curved and overlapping preaxial supernumerary toes, hypoplastic first metatarsal, lack of middle and distal phalanges in one supernumerary toe, three tarsal bones, hypoplastic middle phalanx and no distal phalanx for fourth toe, and no middle or distal phalanges for fifth toe. The fibula articulated with the anteromedial calcaneus and the tibia was completely absent. We identified numerous muscles and nerves in the superficial dissection that are described in the results section of the case report. Due to the rarity of this combination of anatomical findings, descriptions of such cases are very infrequent in the literature. Baishideng Publishing Group Inc 2016-12-16 2016-12-16 /pmc/articles/PMC5156877/ /pubmed/28035313 http://dx.doi.org/10.12998/wjcc.v4.i12.401 Text en ©The Author(s) 2016. Published by Baishideng Publishing Group Inc. All rights reserved. http://creativecommons.org/licenses/by-nc/4.0/ Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
spellingShingle Case Report
Granite, Guinevere
Herzenberg, John E
Wade, Ronald
Rare case of tibial hemimelia, preaxial polydactyly, and club foot
title Rare case of tibial hemimelia, preaxial polydactyly, and club foot
title_full Rare case of tibial hemimelia, preaxial polydactyly, and club foot
title_fullStr Rare case of tibial hemimelia, preaxial polydactyly, and club foot
title_full_unstemmed Rare case of tibial hemimelia, preaxial polydactyly, and club foot
title_short Rare case of tibial hemimelia, preaxial polydactyly, and club foot
title_sort rare case of tibial hemimelia, preaxial polydactyly, and club foot
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5156877/
https://www.ncbi.nlm.nih.gov/pubmed/28035313
http://dx.doi.org/10.12998/wjcc.v4.i12.401
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