Pathomorphology and treatment of congenital anterolateral bowing of the tibia associated with duplication of the hallux

H. M. Manner; C. Radler; R. Ganger; G. Grossbötzl; G. Petje; F. Grill

doi:10.1302/0301-620X.87B2.15132

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Children's Orthopaedics

Pathomorphology and treatment of congenital anterolateral bowing of the tibia associated with duplication of the hallux

H. M. Manner
C. Radler
R. Ganger
G. Grossbötzl
G. Petje
F. Grill

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Pathomorphology and treatment of congenital anterolateral bowing of the tibia associated with duplication of the hallux

Manner HM, Radler C, Ganger R, Grossbötzl G, Petje G, Grill F. Pathomorphology and treatment of congenital anterolateral bowing of the tibia associated with duplication of the hallux. J Bone Joint Surg Br. 2005;87-B(2):226-230. doi:10.1302/0301-620X.87B2.15132

Manner, H. M., et al. “Pathomorphology and treatment of congenital anterolateral bowing of the tibia associated with duplication of the hallux.” The Journal of Bone & Joint Surgery British Volume, vol. 87-B, no. 2, 2005, pp. 226-230., https://doi.org/10.1302/0301-620X.87B2.15132

Manner, H. M., Radler, C., Ganger, R., Grossbötzl, G., Petje, G., & Grill, F. (2005). Pathomorphology and treatment of congenital anterolateral bowing of the tibia associated with duplication of the hallux. The Journal of Bone & Joint Surgery British Volume, 87-B(2), 226-230. https://doi.org/10.1302/0301-620X.87B2.15132

Manner, H. M., Radler, C., Ganger, R., Grossbötzl, G., Petje, G. and Grill, F. (2005) “Pathomorphology and treatment of congenital anterolateral bowing of the tibia associated with duplication of the hallux.” The Journal of Bone & Joint Surgery British Volume, 87-B(2), pp. 226-230. Available at: https://doi.org/10.1302/0301-620X.87B2.15132

Manner, H. M., C. Radler, R. Ganger, G. Grossbötzl, G. Petje, and F. Grill. “Pathomorphology and treatment of congenital anterolateral bowing of the tibia associated with duplication of the hallux.” The Journal of Bone & Joint Surgery British Volume 87-B, no. 2 (2005): 226-230. https://doi.org/10.1302/0301-620X.87B2.15132

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Abstract

Congenital unilateral anterolateral tibial bowing in combination with a bifid ipsilateral great toe is a very rare deformity which resembles the anterolateral tibial bowing that occurs in association with congenital pseudarthrosis of the tibia. However, spontaneous resolution of the deformity without operative treatment and with a continuously straight fibula has been described in all previously reported cases. We report three additional cases and discuss the options for treatment. We suggest that this is a specific entity within the field of anterolateral bowing of the tibia and conclude that it has a much better prognosis than congenital pseudarthrosis of the tibia, although conservative treatment alone may not be sufficient.

Correspondence should be sent to Dr H. M. Manner; e-mail: hannes.manner@oss.at

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