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Journal of Bone and Joint Surgery - British Volume, Vol 87-B, Issue 2,
226-230.
doi: 10.1302/0301-620X.87B2.15132 Copyright © 2005 by British Editorial Society of Bone and Joint Surgery Pathomorphology and treatment of congenital anterolateral bowing of the tibia associated with duplication of the halluxH. M. Manner, MD, Orthopaedic Resident1; C. Radler, MD, Orthopaedic Resident1; R. Ganger, MD, Orthopaedic Surgeon1; G. Grossbötzl, MD, Orthopaedic Surgeon2; G. Petje, MD, Orthopaedic Surgeon1; and F. Grill, MD, Professor and Head of Department1
1 Paediatric Orthopedic Department, Orthopaedic Hospital Vienna-Speising, Speisingerstrasse 109, 1130 Vienna, Austria. Correspondence should be sent to Dr H. M. Manner; e-mail: hannes.manner{at}oss.at
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.
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