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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.

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.

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.


See References Chapter.

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