PMC2878671_01
Ultrasound images showing absence of right fibula, bowing of right tibia (a), and tibial discrepancy (right tibia: 27.2 mm and left tibia: 33.6 mm) at 23 weeks gestation (b).
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Further assessment of the ipsilateral lower limb detected a discrete femur shortening (35 mm versus 37 mm of left femur, discrepancy of 5.4%), anteromedial bowing and tibial shortening (27.2 mm versus 33.6 mm of left tibia, discrepancy of 19%), see Figure 1, foot equinovalgus, and absence of the fourth and fifth foot rays and digits.
Ultrasound images showing absence of right fibula (a) and absence of the fourth and fifth right foot rays and digits (b) at 31 weeks gestation.
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Follow-up ultrasound examinations were carried out periodically until birth (Figure 2).
Neonatal pediatric examination at the 1st postnatal day: right limb shortening and bowing (a) and right foot with three digits (b).
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Neonatal examination (Figure 3) and X-Ray (Figure 4) confirmed the anomalies.
Radiograph showing absence of right fibula and shortening and bowing of right tibia at the 7th postnatal day.
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Neonatal examination (Figure 3) and X-Ray (Figure 4) confirmed the anomalies.