Manner H M, Radler C, Ganger R, Grossbötzl G, Petje G, Grill F
Orthopaedic Hospital Vienna-Speising, Vienna, Austria.
J Bone Joint Surg Br. 2005 Feb;87(2):226-30. doi: 10.1302/0301-620x.87b2.15132.
Congenital unilateral anterolateral tibial bowing in combination with a bifid ipsilateral great toe is a very rare deformity which resembles the anterolateral tibial bowing that occurs in association with congenital pseudarthrosis of the tibia. However, spontaneous resolution of the deformity without operative treatment and with a continuously straight fibula has been described in all previously reported cases. We report three additional cases and discuss the options for treatment. We suggest that this is a specific entity within the field of anterolateral bowing of the tibia and conclude that it has a much better prognosis than congenital pseudarthrosis of the tibia, although conservative treatment alone may not be sufficient.