PMC3607412_01
(A) Front view of the patient, showing facial asymmetry, pes equinovarus on the left side, a 90 degree flexion contracture of the left knee, and marked shortness of the lower limb. Hypoplasia of the muscles and subcutaneous fat in the stylopod with overt reduction of the limb circumference were also noted. (B) Back view of the patient, showing scoliosis and tethered cord. (C) A low-set left ear and atretic pinna (left microtia).
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Dysgenesis of the left hemipelvis and sacrum, dysplasia of the left femur, and hypoplasia of muscles in the front and back of thigh were identified on magnetic resonance imaging of the hip (Figure 1A and B). She had low-set microtia on the left side (Figure 1C); furthermore, pure tone audiometry revealed a 60 dB hearing level in the left ear and a normal range of hearing in the right ear.
Right type 1 Duane's syndrome. (A) Preoperative appearance (-2 restriction on abduction, narrowing of the palpebral fissures, globe retraction, and upshoot on attempted adduction of right eye). (B) Postoperative appearance (-1 restriction of right abduction, no globe retraction or upshoot, orthotropic in primary position).
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The ophthalmological examination revealed type 1 Duane's retraction syndrome in the right eye (Figure 2A). She had no globe retraction or upshoot on attempted adduction and a -1 restriction of right abduction (Figure 2B).