Fordham Lynn A., Applegate Kimberly E., Wilkes David C., Chung Charles J.
Pediatric Imaging Section, Department of Radiology University of North Carolina, Chapel Hill, North Carolina.
Semin Musculoskelet Radiol. 1999;3(3):227-238. doi: 10.1055/s-2008-1080068.
Fibular hemimelia is a congenital deficiency or absence of the fibula. There is a spectrum of disease from mild fibular hypoplasia to fibular aplasia. The ipsilateral tibia may be hypoplastic, bowed or normal. Fibular hemimelia can be an isolated deformity of the lower leg but frequently it is associated with proximal focal femoral deficiency, deficiencies of the lateral aspect of the foot, or is part of a malformation syndrome. In this article, we review the embryology of the extremities, discuss proposed etiologies for fibular hemimelia, highlight associated abnormalities, and present the radiographic and imaging findings. Surgical treatment options and long-term outcomes are discussed.
腓骨半侧发育不全是一种先天性腓骨缺失或发育不全的疾病。其疾病范围从轻度腓骨发育不良到腓骨缺如。同侧胫骨可能发育不全、弯曲或正常。腓骨半侧发育不全可以是小腿的孤立畸形,但通常与近端股骨局灶性缺损、足部外侧缺损相关,或是畸形综合征的一部分。在本文中,我们回顾了四肢的胚胎学,讨论了腓骨半侧发育不全的病因,强调了相关异常,并介绍了影像学表现。还讨论了手术治疗方案和长期预后。