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Tibial/Fibular Hemimelia
Arthur B. Meyers, MD
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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

                              • Image Interpretation Pearls

                                • Reporting Tips

                                  Selected References

                                  1. Bedoya MA et al: Common patterns of congenital lower extremity shortening: diagnosis, classification, and follow-up. Radiographics. 35(4):1191-207, 2015
                                  2. Huda S et al: Hemimelia and absence of the peroneal artery. J Perinatol. 34(2):156-8, 2014
                                  3. Radler C et al: Prenatal diagnosis of congenital femoral deficiency and fibular hemimelia. Prenat Diagn. 34(10):940-5, 2014
                                  4. Yoong P et al: Internal derangement of the knee in fibular hemimelia: radiographic and MRI findings. Knee. 21(3):749-56, 2014
                                  5. 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

                                                              • Image Interpretation Pearls

                                                                • Reporting Tips

                                                                  Selected References

                                                                  1. Bedoya MA et al: Common patterns of congenital lower extremity shortening: diagnosis, classification, and follow-up. Radiographics. 35(4):1191-207, 2015
                                                                  2. Huda S et al: Hemimelia and absence of the peroneal artery. J Perinatol. 34(2):156-8, 2014
                                                                  3. Radler C et al: Prenatal diagnosis of congenital femoral deficiency and fibular hemimelia. Prenat Diagn. 34(10):940-5, 2014
                                                                  4. Yoong P et al: Internal derangement of the knee in fibular hemimelia: radiographic and MRI findings. Knee. 21(3):749-56, 2014
                                                                  5. Oberc A et al: Fibular hemimelia - diagnostic management, principles, and results of treatment. J Pediatr Orthop B. 22(5):450-6, 2013