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FIBULAR HEMIMELIA: A RARE CASE REPORT
Ethiopian Medical Journal
|December 19, 2015
Summary
Fibular hemimelia, a congenital absence of the fibula, causes significant leg-length discrepancy. This case report highlights its radiological diagnosis in a 6-year-old boy.
Area of Science:
- Orthopedics
- Pediatric Radiology
- Clinical Genetics
Background:
- Fibular hemimelia is a rare congenital anomaly characterized by the partial or complete absence of the fibula.
- It can present as an isolated defect or be associated with broader malformation syndromes.
- Limb length discrepancy is a common and noticeable clinical manifestation from birth.
Observation:
- A case report details a 6-year-old male patient diagnosed with fibular hemimelia.
- Clinical presentation included obvious shortening of the affected extremity.
- Radiographic imaging of the leg and foot revealed significant fibular deficiency.
Findings:
- Plain radiographs confirmed the absence or severe underdevelopment of the fibula.
- The study emphasizes the importance of radiological assessment for diagnosis.
- Differential diagnostic considerations for fibular hemimelia were explored.
Implications:
- Accurate radiological diagnosis is crucial for managing fibular hemimelia.
- Understanding the spectrum of fibular hemimelia aids in appropriate patient care.
- This case contributes to the literature on the diagnosis and management of congenital fibular defects.

