Prenatal Diagnosis of a Congenital Postaxial Longitudinal Limb Defect: A Case Report

Introduction. Although congenital longitudinal fibular deficiency is one of the most common long bone deficiencies, there are few published cases of its prenatal diagnosis. Case report. A right longitudinal deficiency of the fibula associated with tibial shortening, foot equinovalgus, and absence of...

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Main Authors: Joana Pauleta, Maria Antonieta Melo, Luís Mendes Graça
Format: Article
Language:English
Published: Wiley 2010-01-01
Series:Obstetrics and Gynecology International
Online Access:http://dx.doi.org/10.1155/2010/825639
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author Joana Pauleta
Maria Antonieta Melo
Luís Mendes Graça
author_facet Joana Pauleta
Maria Antonieta Melo
Luís Mendes Graça
author_sort Joana Pauleta
collection DOAJ
description Introduction. Although congenital longitudinal fibular deficiency is one of the most common long bone deficiencies, there are few published cases of its prenatal diagnosis. Case report. A right longitudinal deficiency of the fibula associated with tibial shortening, foot equinovalgus, and absence of the fourth and fifth foot rays diagnosed at 22 weeks gestation is described. Sequential ultrasonographic surveillance was performed without obstetric complications. The anomaly was confirmed after birth, and conservative orthopaedic management was decided. Conclusion. Though rarely seen, postaxial longitudinal limb defect may be detected by ultrasound. The correct approach can only be decided after birth, when the functional impact of the anomaly can be fully evaluated.
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spelling doaj-art-e742a13767df4874bdd6e19bf6452cc02025-02-03T01:20:30ZengWileyObstetrics and Gynecology International1687-95891687-95972010-01-01201010.1155/2010/825639825639Prenatal Diagnosis of a Congenital Postaxial Longitudinal Limb Defect: A Case ReportJoana Pauleta0Maria Antonieta Melo1Luís Mendes Graça2Ultrasound Unit, Department of Obstetrics, Gynecology and Reproductive Medicine, Santa Maria University Hospital, 1649-035 Lisbon, PortugalUltrasound Unit, Department of Obstetrics, Gynecology and Reproductive Medicine, Santa Maria University Hospital, 1649-035 Lisbon, PortugalUltrasound Unit, Department of Obstetrics, Gynecology and Reproductive Medicine, Santa Maria University Hospital, 1649-035 Lisbon, PortugalIntroduction. Although congenital longitudinal fibular deficiency is one of the most common long bone deficiencies, there are few published cases of its prenatal diagnosis. Case report. A right longitudinal deficiency of the fibula associated with tibial shortening, foot equinovalgus, and absence of the fourth and fifth foot rays diagnosed at 22 weeks gestation is described. Sequential ultrasonographic surveillance was performed without obstetric complications. The anomaly was confirmed after birth, and conservative orthopaedic management was decided. Conclusion. Though rarely seen, postaxial longitudinal limb defect may be detected by ultrasound. The correct approach can only be decided after birth, when the functional impact of the anomaly can be fully evaluated.http://dx.doi.org/10.1155/2010/825639
spellingShingle Joana Pauleta
Maria Antonieta Melo
Luís Mendes Graça
Prenatal Diagnosis of a Congenital Postaxial Longitudinal Limb Defect: A Case Report
Obstetrics and Gynecology International
title Prenatal Diagnosis of a Congenital Postaxial Longitudinal Limb Defect: A Case Report
title_full Prenatal Diagnosis of a Congenital Postaxial Longitudinal Limb Defect: A Case Report
title_fullStr Prenatal Diagnosis of a Congenital Postaxial Longitudinal Limb Defect: A Case Report
title_full_unstemmed Prenatal Diagnosis of a Congenital Postaxial Longitudinal Limb Defect: A Case Report
title_short Prenatal Diagnosis of a Congenital Postaxial Longitudinal Limb Defect: A Case Report
title_sort prenatal diagnosis of a congenital postaxial longitudinal limb defect a case report
url http://dx.doi.org/10.1155/2010/825639
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