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Pediatric Radiology

, Volume 47, Issue 4, pp 473–483 | Cite as

Systematic radiographic evaluation of tibial hemimelia with orthopedic implications

  • Katia Kaplan-ListEmail author
  • Nina B. Klionsky
  • James O. Sanders
  • Michael E. Katz
Pictorial Essay

Abstract

Tibial hemimelia is a rare lower-extremity pre-axial longitudinal deficiency characterized by complete or partial absence of the tibia. The reported incidence is 1 in 1 million live births. In this pictorial essay, we define tibial hemimelia and describe associated conditions and principles of preoperative imaging assessment for a child with tibial hemimelia. We also indicate the imaging findings that might influence the choice of treatment, describe the most widely used classification systems, and briefly discuss current treatment approaches.

Keywords

Children Congenital limb deficiency Jones classification Lower extremity Magnetic resonance imaging Paley classification Radiography Tibia Tibial hemimelia Weber classification 

Notes

Acknowledgments

We thank the Gillaspy family, Dr. Dror Paley from the Paley Institute, St. Mary’s Hospital, West Palm Beach, FL, and Dr. Phillip Katzman and the Department of Pathology and Laboratory Medicine, University of Rochester Medical Center, Rochester, NY.

Compliance with ethical standards

Conflicts of interest

Dr. Sanders discloses the following: stockholder with Abbott Laboratories, GE and AbbVie. Dr. Kaplan-List, Dr. Klionsky and Dr. Katz have no disclosures.

Supplementary material

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Copyright information

© Springer-Verlag Berlin Heidelberg 2017

Authors and Affiliations

  1. 1.Department of Diagnostic ImagingRochester General HospitalRochesterUSA
  2. 2.University of Rochester Medical Center, School of Medicine and DentistryRochesterUSA
  3. 3.Department of RadiologyGolisano Children’s HospitalRochesterUSA
  4. 4.Department of OrthopaedicsGolisano Children’s HospitalRochesterUSA
  5. 5.Department of PediatricsGolisano Children’s HospitalRochesterUSA
  6. 6.Department of RadiologySt. Mary’s Medical Center and Palm Beach Children’s HospitalWest Palm BeachUSA

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