Hemimelia: Type of meromelia with absence of all or portion of distal limb
Transverse hemimelia: Defect of both tibia & fibula
Paraxial hemimelia: Defect of tibia (preaxial) or fibula (postaxial), not both
Terminal hemimelia: Associated absence of some or all of tarsals, metatarsals, & digits
Intercalary hemimelia: Hemimelia with no associated foot anomaly
IMAGING
General Features
Radiographic Findings
Ultrasonographic Findings
MR Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
Staging, Grading, & Classification
Gross Pathologic & Surgical Features
CLINICAL ISSUES
Presentation
Demographics
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Reporting Tips
Selected References
Tsai A et al: Lower-extremity growth patterns and skeletal maturation in children with unilateral fibular hemimelia. Pediatr Radiol. 49(1):122-7, 2019
Kaplan-List K et al: Systematic radiographic evaluation of tibial hemimelia with orthopedic implications. Pediatr Radiol. 47(4):473-83, 2017
Paley D: Tibial hemimelia: new classification and reconstructive options. J Child Orthop. 10(6):529-55, 2016
Bedoya MA et al: Common patterns of congenital lower extremity shortening: diagnosis, classification, and follow-up. Radiographics. 35(4):1191-207, 2015
Huda S et al: Hemimelia and absence of the peroneal artery. J Perinatol. 34(2):156-8, 2014
Radler C et al: Prenatal diagnosis of congenital femoral deficiency and fibular hemimelia. Prenat Diagn. 34(10):940-5, 2014
Yoong P et al: Internal derangement of the knee in fibular hemimelia: radiographic and MRI findings. Knee. 21(3):749-56, 2014
Oberc A et al: Fibular hemimelia - diagnostic management, principles, and results of treatment. J Pediatr Orthop B. 22(5):450-6, 2013
Related Anatomy
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Related Differential Diagnoses
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References
Tables
Tables
KEY FACTS
Terminology
Imaging
Diagnostic Checklist
TERMINOLOGY
Definitions
Melos: Greek root word for "limb"
Amelia: Complete absence of limb
Meromelia: Partial absence of limb
Hemimelia: Type of meromelia with absence of all or portion of distal limb
Transverse hemimelia: Defect of both tibia & fibula
Paraxial hemimelia: Defect of tibia (preaxial) or fibula (postaxial), not both
Terminal hemimelia: Associated absence of some or all of tarsals, metatarsals, & digits
Intercalary hemimelia: Hemimelia with no associated foot anomaly
IMAGING
General Features
Radiographic Findings
Ultrasonographic Findings
MR Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
Staging, Grading, & Classification
Gross Pathologic & Surgical Features
CLINICAL ISSUES
Presentation
Demographics
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Reporting Tips
Selected References
Tsai A et al: Lower-extremity growth patterns and skeletal maturation in children with unilateral fibular hemimelia. Pediatr Radiol. 49(1):122-7, 2019
Kaplan-List K et al: Systematic radiographic evaluation of tibial hemimelia with orthopedic implications. Pediatr Radiol. 47(4):473-83, 2017
Paley D: Tibial hemimelia: new classification and reconstructive options. J Child Orthop. 10(6):529-55, 2016
Bedoya MA et al: Common patterns of congenital lower extremity shortening: diagnosis, classification, and follow-up. Radiographics. 35(4):1191-207, 2015
Huda S et al: Hemimelia and absence of the peroneal artery. J Perinatol. 34(2):156-8, 2014
Radler C et al: Prenatal diagnosis of congenital femoral deficiency and fibular hemimelia. Prenat Diagn. 34(10):940-5, 2014
Yoong P et al: Internal derangement of the knee in fibular hemimelia: radiographic and MRI findings. Knee. 21(3):749-56, 2014
Oberc A et al: Fibular hemimelia - diagnostic management, principles, and results of treatment. J Pediatr Orthop B. 22(5):450-6, 2013
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