tibial hemimelia

Types

Different consequences predictable by direction of bow

1. Lateral bowing

- normal variant during first year of life

- usually resolves spontaneously

2. Posteromedial Bowing

- benign

- packaging defect

3. Anteromedial Bowing

- fibular hemimelia

Paraxial deficiency of skeletal elements on medial aspect of lower limb

Only skeletal deficiency with a documented familial occurrence

- AD

1/ 1 000 000

Bilateral 30%

Leg short +++