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Systematic radiographic evaluation of tibial hemimelia with orthopedic implications


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.

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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.

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Correspondence to Katia Kaplan-List.

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

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Kaplan-List, K., Klionsky, N.B., Sanders, J.O. et al. Systematic radiographic evaluation of tibial hemimelia with orthopedic implications. Pediatr Radiol 47, 473–483 (2017).

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