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Virtual Pediatric Hospital: Paediapaedia: Tibial Bowing, Posterior Paediapaedia: Musculoskeletal Diseases

Tibial Bowing, Posterior

Michael P. D'Alessandro, M.D.
Peer Review Status: Internally Peer Reviewed


Clinical Presentation:
Present with bowing at birth with a cutaneus dimple at the site of the deformity.

Etiology/Pathophysiology:
Usually due to fetal malposition, and usually bilateral. Have a good prognosis for remodeling during growth but a leg length discrepancy can arise. If a fracture does occur healing is normal and the patient does not get a pseudoarthrosis.

Pathology:
Not applicable

Imaging Findings:
The apex of the bowing deformity is posterior. There is a thickened cortex on the concave side and cortical thinning on convex side of the bend. The tibia and fibula are frequently shortened and calcaneal deformity may be present.

DDX:

References:
See References Chapter.

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