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[Posteromedial bowing of the lower leg and neuroblastoma with possible neurofibromatosis type I: a case report and

N Ihme1, A H Mahnken, B Schmidt-Rohlfing

  • 1Orthopädische Klinik Universitätsklinik der RWTH Aachen. nihme@ukaachen.de

Zeitschrift Fur Orthopadie Und Ihre Grenzgebiete
|February 18, 2004
PubMed
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Posteromedial bowing of the tibia, a rare condition, affects more boys and the left leg, often presenting with limb shortening and pes calcaneovalgus. Conservative treatment is common, with surgical osteotomies showing no pseudarthrosis.

Area of Science:

  • Orthopedics
  • Pediatric Orthopedics
  • Medical Genetics

Background:

  • Posteromedial bowing of the tibia is a rare lower limb deformity.
  • Its association with neurofibromatosis is not well-established.
  • A case report of a child with neurofibromatosis and subsequent neuroblastoma prompted this literature review.

Observation:

  • Analysis of 122 cases from 20 publications (1949-2000) focused on demographics, affected side, limb length discrepancy, and treatment.
  • Posteromedial bowing appears more prevalent in males and affects the left leg more frequently.
  • Associated findings include limb shortening and pes calcaneovalgus, with firstborns being disproportionately affected.

Findings:

  • Conservative management was employed in 99 cases, while 21 underwent surgical intervention.

Related Experiment Videos

  • Nineteen osteotomies were performed without complications like pseudarthrosis.
  • Fracture cases demonstrated normal healing without intervention.

    • Implications:

    • This review provides insights into the epidemiology and clinical presentation of posteromedial tibial bowing.
    • Understanding these patterns aids in diagnosis and management strategies for this rare condition.
    • Further research may elucidate potential genetic links, such as with neurofibromatosis.