What is congenital shortening?

What is congenital shortening?

Congenital lower limb shortening is a group of relatively rare, het- erogeneous disorders. Proximal focal femoral deficiency (PFFD) and fibular hemimelia (FH) are the most common pathologic enti- ties in this disease spectrum.

What is fibular hemimelia?

What Is Fibular Hemimelia? Children who have fibular hemimelia are born with a short or missing fibula (one of the two bones in the lower leg). Other bones in the leg, ankle, and foot can be affected too. Most children with fibular hemimelia (FIB-yoo-luhr heh-me-MEEL-yuh) have it in one leg, but some have it in both.

What causes leg length discrepancy?

Limb length discrepancy (LLD) can be congenital or acquired. Some causes of congenital LLD include fibular hemimelia, tibial hemimelia, congenital femoral deficiency, hemihypertrophy or other limb hypoplasias. Acquired LLD is usually due to an insult to the growth plate by trauma, infection, radiation, or tumor.

What is Paraxial Tibial hemimelia?

Description: Tibial hemimelia has been referred to in the literature by many names, including paraxial tibial hemimelia, congenital deficiency or absence of the tibia, congenital longitudinal deficiency of the tibia, congenital dysplasia of the tibia and congenital tibial deficiency.

What causes fibula Hemimelia?

The exact cause of fibular hemimelia is unknown. A spontaneous genetic error occurs during limb bud development. This growth abnormality occurs during the development of the lower limb bud at six to eight weeks after conception.

How can I increase my leg length?

Lie down on the floor, keeping the legs together. Ask a friend or family member to place the palms of their hands on the person’s hip bones, so that they have one hand on each hip. Ask the helper to move the person’s hips gently from side to side for approximately 60 seconds. This motion helps loosen up tight muscles.

Can you fix leg length discrepancy?

If a child has stopped growing, orthopedists can sometimes correct a leg length discrepancy by shortening the longer leg. This is done by removing a piece of bone from the longer leg. Limb lengthening surgery also can be done.

What is postaxial hypoplasia of lower extremity (fibular hemimelia)?

Postaxial Hypoplasia of Lower Extremity (Fibular Hemimelia) 1 Background. Fibular hemimelia was described initially as a condition that is related to aplasia… 2 Etiology. A number of causes have been suggested for fibular hemimelia. 3 Epidemiology. Postaxial hypoplasia of the lower extremity is rare and has variable expression,… 4 Prognosis.

What are the treatment options for postaxial hypoplasia of the lower extremity?

Historically, the recommended treatment for postaxial hypoplasia of the lower extremity (fibular hemimelia) was amputation, but only as a last resort.

What are the early classification systems for fibular hemimelia?

Coventry and Johnson, and later Achterman and Kalamchi, provided early classification systems. [ 2, 3] These are primarily based on and concerned with treatment of the accompanying limb-length discrepancy. Fibular hemimelia cannot be characterized fully by any single anatomic feature.