A rare association of deformities with diplopodia, aplasia of the tibia and double fibula: A case report

Shah Alam Khan,Ashok Kumar,Manish Kumar Varhney

doi:10.1186/1752-1947-2-102

Shah Alam Khan, Ashok Kumar + Show 1 more

Open Access

https://doi.org/10.1186/1752-1947-2-102

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Abstract

IntroductionThe association of fibular duplication with metatarsal diplopodia is extremely rare with only a few cases reported in the medical literature.Case presentationWe present a 4-month-old girl with left tibial agenesis with fibular duplication (mirror foot) and metatarsal diplopodia.ConclusionThe case report highlights the need for an understanding of this rare congenital anomaly which may be seen only once in the working lifetime of an orthopaedic surgeon.

Highlights

The association of fibular duplication with metatarsal diplopodia is extremely rare with only a few cases reported in the medical literature.Case presentation: We present a 4-month-old girl with left tibial agenesis with fibular duplication and metatarsal diplopodia
Diplopodia, which is an accessory tarsal or metatarsal bone with double fibula, is an extremely rare condition. It has to be differentiated from polydactyly, where accessory tarsal or metatarsal bones are not seen and is a relatively innocuous condition both in terms of diagnosis and management
A four-month-old female child with deformity of her left leg and seven toes on her left foot was brought to the clinic by her parents

Summary

Introduction

Diplopodia, which is an accessory tarsal or metatarsal bone with double fibula, is an extremely rare condition. A four-month-old female child with deformity of her left leg and seven toes on her left foot was brought to the clinic by her parents. She was their first child and there was no obvious family history. The left foot was short, broad and had an equinovarus deformity and a total of seven toes (Fig. 1). Anteroposterior radiograph (Fig 2) of the left lower limb showed two fibulae, with absence of the tibia, patella and the actual knee joint line. Diplopodia (accessory tarsal or metatarsal bone) with double fibula is an extremely rare condition It has to be differentiated from polydactyly, where accessory tarsal or metatarsal bones are not seen [1]. If the limb length discrepancy is extreme, or if the deformity at the ankle is grotesque, amputation can be performed to limit further disability and improve the quality of life of the child [3]

Conclusion

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