Congenital anterolateral tibial bowing associated with polydactyly: case report and literature review

Keywords: Tibial bowing, polydactyly, hallux

Abstract

The congenital anterolateral tibial bowing associated with polydactyly (CABTP) is an extremely rare deformity. To the best of our knowledge, only 21 cases have been documented in the English literature. Although there is a strong relationship between anterolateral bowing of the tibia, congenital pseudoarthrosis of the tibia (CPT), and neurofibromatosis type 1 (NF1), CATBP is a specific entity associated with a more favorable prognosis. We report a new CABTP case and our literature review on the previously reported cases of CABTP concerning its associated deformities, diagnosis, and treatment. Key words: Tibial bowing; polydactyly; hallux.Level of Evidence: IV

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Author Biographies

Paula Biolatto, Department of Pediatric Orthopedics and Traumatology, Sanatorio Allende (Córdoba, Argentina)
Department of Pediatric Orthopedics and Traumatology, Sanatorio Allende (Córdoba, Argentina)
Miguel Carabajal Mattar, Department of Pediatric Orthopedics and Traumatology, Sanatorio Allende (Córdoba, Argentina)
Department of Pediatric Orthopedics and Traumatology, Sanatorio Allende (Córdoba, Argentina)
Florencia Turazza, Department of Pediatric Orthopedics and Traumatology, Sanatorio Allende (Córdoba, Argentina)
Department of Pediatric Orthopedics and Traumatology, Sanatorio Allende (Córdoba, Argentina)
Julio Javier Masquijo, Department of Pediatric Orthopedics and Traumatology, Sanatorio Allende (Córdoba, Argentina)
Department of Pediatric Orthopedics and Traumatology, Sanatorio Allende (Córdoba, Argentina)

References

Hefti F, Bollini G, Dungl P, Fixsen J, Grill F, Ippolito E, et al. Congenital pseudarthrosis of the tibia: history,

etiology, classification, and epidemiologic data. J Pediatr Orthop Br 2000;9(1):11-5.

https://doi.org/10.1097/01202412-200001000-00003

Crawford DA, Tompkins BJ, Baird GO, Caskey PM. The long-term function of the knee in patients with fibular

hemimelia and anterior cruciate ligament deficiency. J Bone Joint Surg Br 2012;94(3):328-33.

https://doi.org/10.1302/0301-620X.94B3.27997

Shah HH, Doddabasappa SN, Joseph BJ. Congenital posteromedial bowing of the tibia: a retrospective analysis of growth abnormalities in the leg. J Pediatr Orthop Br 2009;18(3):120-8.

https://doi.org/10.1097/BPB.0b013e328329dc86

Currarino G, Herring JA, Johnston CE Jr, Birch JG. An unusual form of congenital anterolateral tibial angulationthe delta tibia. Pediatr Radiol 2003;33(5):346-53. https://doi.org/10.1007/s00247-002-0856-7

Gilbert A, Brockman R. Congenital pseudarthrosis of the tibia. Long-term follow-up of 29 cases treated by

microvascular bone transfer. Clin Orthop Relat Res 1995;314:37-44. PMID: 7634649

Newell RL, Durbin FC. The aetiology of congenital angulation of tubular bones with constriction of the medullary canal, and its relationship to congenital pseudarthrosis. J Bone Joint Surg Br 1976;58:444-7. PMID: 1018030

Adamsbaum C, Kalifa G, Seringe R, Bonnet JC. Minor tibial duplication: a new cause of congenital bowing of the

tibia. Pediatr Radiol 1991;21(3):185-8. https://doi.org/10.1007/BF02011043

Weaver KM, Henry GW, Reinker KA. Unilateral duplication of the great toe with anterolateral tibial bowing. J

Pediatr Orthop 1996;16:73-7. https://doi.org/10.1097/00004694-199601000-00015

Kitoh H, Nogami H, Hattori T. Congenital anterolateral bowing of the tibia with ipsilateral polydactyly of the great toe. Am J Med Genet 1997;73:404-7. PMID: 9415465

Bressers MM, Castelein RM. Anterolateral tibial bowing and duplication of the hallux: a rare but distinct entity with good prognosis. J Pediatr Orthop Br 2001;10(2):153-7. PMID: 11360782

Manner HM, Radler C, Ganger R, Grossbotzl G, Petje G, Grill F. Pathomorphology and treatment of congenital

anterolateral bowing of the tibia associated with duplication of the hallux. J Bone Joint Surg Br 2005;87:226-30.

https://doi.org/10.1302/0301-620x.87b2.15132

Lemire EG. Congenital anterolateral tibial bowing and polydactyly: a case report. J Med Case Rep 2007;1:54.

https://doi.org/10.1186/1752-1947-1-54

Breckpot J, Thienpont B, Vanhole C, Van Rossem E, Van Schoubroeck D, Fryns JP, et al. Congenital anterolateral bowing of the tibia with ipsilateral polydactyly of the hallux associated with cerebral cyst: A new entity? Clin Dysmorphol 2009;18:195-200. https://doi.org/10.1097/MCD.0b013e32832d06d7

Han J, Qu L, Li Y, Luo J, Cao J, Zhao W. A benign form of congenital anterolateral bowing of the tibia associated

with ipsilateral polydactyly of the hallux: case report and literature review. Am J Med Genet Am 2012;158(7):1742-

https://doi.org/10.1002/ajmg.a.35417

Beck JJ, Altiok H. Congenital tibial dysplasia with lateral bowing and duplication of hallux: case presentations. J

Pediatr Orthop B 2013;22(3):213-8. https://doi.org/10.1097/BPB.0b013e328352ad09

Jahmani R, Alorjani M. Anterolateral bowing of congenital pseudoarthrosis of tibia treated by percutaneous

osteotomy and gradual correction using Taylor spatial frame, then late insertion of a Fussier-Duval nail: a case

report. Am J Case Rep 2018;19:426-30. https://doi.org/10.12659/ajcr.908482

Published
2020-11-18
How to Cite
Biolatto, P., Carabajal Mattar, M., Turazza, F., & Masquijo, J. J. (2020). Congenital anterolateral tibial bowing associated with polydactyly: case report and literature review. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 85(4), 418-426. https://doi.org/10.15417/issn.1852-7434.2020.85.4.1080
Section
Case Presentations