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Obstetrics and Gynecology International
Volume 2010 (2010), Article ID 825639, 4 pages
http://dx.doi.org/10.1155/2010/825639
Case Report

Prenatal Diagnosis of a Congenital Postaxial Longitudinal Limb Defect: A Case Report

Ultrasound Unit, Department of Obstetrics, Gynecology and Reproductive Medicine, Santa Maria University Hospital, 1649-035 Lisbon, Portugal

Received 27 December 2009; Revised 17 March 2010; Accepted 19 March 2010

Academic Editor: John M. G. van Vugt

Copyright © 2010 Joana Pauleta et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Introduction. Although congenital longitudinal fibular deficiency is one of the most common long bone deficiencies, there are few published cases of its prenatal diagnosis. Case report. A right longitudinal deficiency of the fibula associated with tibial shortening, foot equinovalgus, and absence of the fourth and fifth foot rays diagnosed at 22 weeks gestation is described. Sequential ultrasonographic surveillance was performed without obstetric complications. The anomaly was confirmed after birth, and conservative orthopaedic management was decided. Conclusion. Though rarely seen, postaxial longitudinal limb defect may be detected by ultrasound. The correct approach can only be decided after birth, when the functional impact of the anomaly can be fully evaluated.