PMC10024562_01
patient was in supine position showing angular curvature of tibia of left leg
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F1
Clinical findings: the patient was evaluated in supine position (Figure 1), with a tibial fracture in his left leg.
patient was in sitting position showing anterior bowing of tibia of the left leg
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F2
On inspection, anterior bowing of tibia was present (Figure 2) and healed scar mark present over the fracture site and overlying skin appears normal with no dilated veins, discharging sinus and mild bowing of right leg is also observed with apparent limb length discrepancy and thoracic curvature scoliosis was seen.
postoperative X-ray showing open reduction and internal fixation with plate osteosynthesis and bone grafting for midshaft tibia fracture
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F3
Diagnostic assessment: X-ray of the left leg was done, which shows midshaft tibia fracture with anterior bowing of tibia on the left side with osteogenesis imperfecta (Figure 3).
a funnel chart representing manual muscle testing (MMT) of the left lower limb according to medical research council (MRC) grading
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F4