Hemimelia tibial izquierda con pie equino varo aducto bilateral y ausencia del tercer rayo de la mano izquierda. Reporte de Caso
DOI:
https://doi.org/10.1016/j.rccot.2020.06.008Palabras clave:
hueso, anormalidades del desarrollo, hemimelia tibial, pie equinovaroResumen
La hemimelia tibial se puede presentar en una gran variedad de espectros, desde la hipoplasia tibial hasta la ausencia completa de la tibia con o sin compromiso adjunto cuadricipital, ligamentario, patelar, fibular y/o femoral; esto ha dado lugar a múltiples clasificaciones con implicaciones anatómicas y terapéuticas. Esta enfermedad se ha descrito desde 1841, sin embargo, es la deficiencia más rara en las extremidades inferiores, siendo la más común la deficiencia fibular.
Presentamos un paciente con diagnóstico antenatal de pie equino varo bilateral, agenesia de la tibia izquierda y comunicación aurículo ventricular (CIA) con cariotipo normal. Al nacer presenta fascies normales. Se confirma con radiografías la ausencia del tercer rayo de la mano izquierda y la ausencia de la tibia izquierda con ensanchamiento del peroné, tipo 5C en la clasificación de Paley, y pie equino varo aducto bilateral.
Nivel de Evidencia: IV
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