Abstract
We report three infants with a poorly known form of congenital anterolateral angulation of the tibia with distinctive features seen on lateral roentgenograms. In these films the affected tibia appears to be divided into two segments, one proximal and the other distal, which taper as they approach each other at the site of the angulation, and end separately at the apex of the curve with an intervening radiolucent gap in the anterior tibial cortex. The two tibial segments are originally bridged and held firmly in that position by a well-defined triangular osseous structure located in the concavity of the tibial bow. It appears from the three cases reported in this paper and a few comparable cases in the literature that this form of tibial bowing is not prone to fracture followed by pseudoarthrosis and that it tends to improve (and resolve) spontaneously, with a resorption of the intramedullary bony structures at the apex of the curve resulting in the formation of a normal medullary cavity. A limb length discrepancy of varying degree is the main residual change of the anomaly.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 346-353 |
| Number of pages | 8 |
| Journal | Pediatric Radiology |
| Volume | 33 |
| Issue number | 5 |
| State | Published - May 1 2003 |
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Keywords
- Anterolateral bowing
- Congenital anomalies
- Delta tibia
- Tibia
ASJC Scopus subject areas
- Radiology Nuclear Medicine and imaging
- Pediatrics, Perinatology, and Child Health
- Radiological and Ultrasound Technology
Cite this
An unusual form of congenital anterolateral tibial angulation - The delta tibia. / Currarino, Guido; Herring, John A.; Johnston, Charles E.; Birch, John G.
In: Pediatric Radiology, Vol. 33, No. 5, 01.05.2003, p. 346-353.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - An unusual form of congenital anterolateral tibial angulation - The delta tibia
AU - Currarino, Guido
AU - Herring, John A.
AU - Johnston, Charles E.
AU - Birch, John G.
PY - 2003/5/1
Y1 - 2003/5/1
N2 - We report three infants with a poorly known form of congenital anterolateral angulation of the tibia with distinctive features seen on lateral roentgenograms. In these films the affected tibia appears to be divided into two segments, one proximal and the other distal, which taper as they approach each other at the site of the angulation, and end separately at the apex of the curve with an intervening radiolucent gap in the anterior tibial cortex. The two tibial segments are originally bridged and held firmly in that position by a well-defined triangular osseous structure located in the concavity of the tibial bow. It appears from the three cases reported in this paper and a few comparable cases in the literature that this form of tibial bowing is not prone to fracture followed by pseudoarthrosis and that it tends to improve (and resolve) spontaneously, with a resorption of the intramedullary bony structures at the apex of the curve resulting in the formation of a normal medullary cavity. A limb length discrepancy of varying degree is the main residual change of the anomaly.
AB - We report three infants with a poorly known form of congenital anterolateral angulation of the tibia with distinctive features seen on lateral roentgenograms. In these films the affected tibia appears to be divided into two segments, one proximal and the other distal, which taper as they approach each other at the site of the angulation, and end separately at the apex of the curve with an intervening radiolucent gap in the anterior tibial cortex. The two tibial segments are originally bridged and held firmly in that position by a well-defined triangular osseous structure located in the concavity of the tibial bow. It appears from the three cases reported in this paper and a few comparable cases in the literature that this form of tibial bowing is not prone to fracture followed by pseudoarthrosis and that it tends to improve (and resolve) spontaneously, with a resorption of the intramedullary bony structures at the apex of the curve resulting in the formation of a normal medullary cavity. A limb length discrepancy of varying degree is the main residual change of the anomaly.
KW - Anterolateral bowing
KW - Congenital anomalies
KW - Delta tibia
KW - Tibia
UR - http://www.scopus.com/inward/record.url?scp=0037505706&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0037505706&partnerID=8YFLogxK
M3 - Article
C2 - 12695868
AN - SCOPUS:0037505706
VL - 33
SP - 346
EP - 353
JO - Pediatric Radiology
JF - Pediatric Radiology
SN - 0301-0449
IS - 5
ER -