Skip to main content
Top
Published in: Journal of Children's Orthopaedics 1/2007

01-03-2007 | Original Clinical Article

Pre-axial mirror polydactyly associated with tibial deficiency: a study of the patterns of skeletal anomalies of the foot and leg

Authors: Renjit Verghese, Hitesh Shah, Gleeson Rebello, Benjamin Joseph

Published in: Journal of Children's Orthopaedics | Issue 1/2007

Login to get access

Abstract

Purpose

The study was undertaken to identify the patterns and spectrum of aberrant development of the skeletal elements of the leg and foot in children with pre-axial mirror polydactyly of the foot.

Methods

Case records and radiographs of eight children (ten feet) with pre-axial mirror polydactyly were studied. Four feet were seen in association with fibular dimelia, three feet with dysplastic trapezoid shaped tibia, two with tibial aplasia and one with tibial hypoplasia.

Results

Distinct patterns of anomalies of the hindfoot, midfoot and forefoot were noted, with different patterns of leg malformation. Fibular dimelia was associated with duplication of the calcaneum, cuboid and the lateral cuneiform. Talar duplication occurred in children with a trapezoidal tibia. No duplication of tarsal bones was seen in association with tibial aplasia or hypoplasia. The first metatarsal was hypoplastic wherever the tibia failed to develop. Mere resection of the supernumerary rays resulted in a near normal looking foot in feet without calcaneal duplication. The cosmetic appearance of the foot was poorest in children with fibular dimelia.
Literature
1.
go back to reference Bayram H, Herdem M, Temocin AK (1996) Fibular dimelia and mirror foot without associated anomalies. Clin Genet 49:311–313CrossRef Bayram H, Herdem M, Temocin AK (1996) Fibular dimelia and mirror foot without associated anomalies. Clin Genet 49:311–313CrossRef
2.
go back to reference Ganey TM, Carey TP, O’Neal ML et al (2000) Morphologic and radiographic characterization of fibular dimelia. J Pediatr Orthop B 9:293–305CrossRef Ganey TM, Carey TP, O’Neal ML et al (2000) Morphologic and radiographic characterization of fibular dimelia. J Pediatr Orthop B 9:293–305CrossRef
3.
go back to reference Hatchwell E, Dennis N (1996) Mirror hands and feet: a further case of Laurin–Sandrow syndrome. J Med Genet 33:426–428CrossRef Hatchwell E, Dennis N (1996) Mirror hands and feet: a further case of Laurin–Sandrow syndrome. J Med Genet 33:426–428CrossRef
4.
go back to reference Igou RA, Kruger LM (1990) Fibular dimelia in association with proximal focal femoral deficiency, tibial deficiency, and polydactyly. Clin Orthop 258:237–241 Igou RA, Kruger LM (1990) Fibular dimelia in association with proximal focal femoral deficiency, tibial deficiency, and polydactyly. Clin Orthop 258:237–241
5.
go back to reference Kantaputra PN (2001) Laurin–Sandrow syndrome with additional associated manifestations. Am J Med Genet 98:210–215CrossRef Kantaputra PN (2001) Laurin–Sandrow syndrome with additional associated manifestations. Am J Med Genet 98:210–215CrossRef
6.
go back to reference Kumar A, Kruger LM (1993) Fibular dimelia with deficiency of the tibia. J Pediatr Orthop 13:203–209 Kumar A, Kruger LM (1993) Fibular dimelia with deficiency of the tibia. J Pediatr Orthop 13:203–209
7.
go back to reference Laurin CA, Favreau JC, Labelle P et al (1964) Bilateral absence of the radius and tibia with bilateral duplication of the ulna and fibula. J Bone Joint Surg Am 46:137–142 Laurin CA, Favreau JC, Labelle P et al (1964) Bilateral absence of the radius and tibia with bilateral duplication of the ulna and fibula. J Bone Joint Surg Am 46:137–142
8.
go back to reference Martinez-Frias ML, Alcaraz M, Espejo P et al (1994) Laurin–Sandrow syndrome (mirror hands and feet and nasal defects): description of a new case. J Med Genet 31:410–412CrossRef Martinez-Frias ML, Alcaraz M, Espejo P et al (1994) Laurin–Sandrow syndrome (mirror hands and feet and nasal defects): description of a new case. J Med Genet 31:410–412CrossRef
9.
go back to reference Narang IC, Mysorekar VR, Mathur BP (1982) Diplopodia with double fibula and agenesis of the tibia. J Bone Joint Surg Br 64:206–209 Narang IC, Mysorekar VR, Mathur BP (1982) Diplopodia with double fibula and agenesis of the tibia. J Bone Joint Surg Br 64:206–209
10.
go back to reference Pilkington S, Hearth M (2000) Laurin–Sandrow syndrome—a surgical challenge. Br J Plastic Surg 53:68–79CrossRef Pilkington S, Hearth M (2000) Laurin–Sandrow syndrome—a surgical challenge. Br J Plastic Surg 53:68–79CrossRef
11.
go back to reference Rivera RE, Hootnick DR, Gingold AR et al (1999) Anatomy of a duplicated human foot from a limb with fibular dimelia. Teratology 60:272–282CrossRef Rivera RE, Hootnick DR, Gingold AR et al (1999) Anatomy of a duplicated human foot from a limb with fibular dimelia. Teratology 60:272–282CrossRef
12.
go back to reference Sandrow RE, Sullivan PD, Steel HH (1970) Hereditary ulnar and fibular dimelia with peculiar facies. A case report. J Bone Joint Surg Am 52:367–370 Sandrow RE, Sullivan PD, Steel HH (1970) Hereditary ulnar and fibular dimelia with peculiar facies. A case report. J Bone Joint Surg Am 52:367–370
13.
go back to reference Kogekar N, Teebi AS, Vockley J (1993) Sandrow syndrome of mirror hands and feet and facial abnormalities. Am J Med Genet 46:126–128CrossRef Kogekar N, Teebi AS, Vockley J (1993) Sandrow syndrome of mirror hands and feet and facial abnormalities. Am J Med Genet 46:126–128CrossRef
14.
go back to reference Borg DH, Van Roermund PM, Kon M (1999) A sporadic case of tetramelic mirror-image polydactyly and unilateral tibial hypoplasia without associated anomalies. J Hand Surg [Br] 24:482–485CrossRef Borg DH, Van Roermund PM, Kon M (1999) A sporadic case of tetramelic mirror-image polydactyly and unilateral tibial hypoplasia without associated anomalies. J Hand Surg [Br] 24:482–485CrossRef
15.
go back to reference Karchinov K (1973) Congenital diplopodia with hypoplasia or aplasia of the tibia. A report of six cases. J Bone Joint Surg Br 55:604–611 Karchinov K (1973) Congenital diplopodia with hypoplasia or aplasia of the tibia. A report of six cases. J Bone Joint Surg Br 55:604–611
16.
go back to reference Martin RA, Jones MC (1993) Mirror hands and feet with a distinct nasal defect, an autosomal dominant condition. Am J Med Genet 46:129–131CrossRef Martin RA, Jones MC (1993) Mirror hands and feet with a distinct nasal defect, an autosomal dominant condition. Am J Med Genet 46:129–131CrossRef
17.
go back to reference Bonnet F, Garrido I, Haddad R et al (2005) Complex polydactyly of the limbs: mirror foot. Ann Chir Plast Esthet 50:323–327CrossRef Bonnet F, Garrido I, Haddad R et al (2005) Complex polydactyly of the limbs: mirror foot. Ann Chir Plast Esthet 50:323–327CrossRef
18.
go back to reference Mastumoto N, Ohashi H,Kato R,Fujimoto M (1997) Molecular mapping of a translocation breakpoint at 14q13 in a patient with mirror-image polydactyly of hands and feet. Human Genet 99:450–453CrossRef Mastumoto N, Ohashi H,Kato R,Fujimoto M (1997) Molecular mapping of a translocation breakpoint at 14q13 in a patient with mirror-image polydactyly of hands and feet. Human Genet 99:450–453CrossRef
19.
go back to reference Hamanishi C, Ueba Y, Iwashita Y, Yamamuro T (1985) Diplopodia with reversed foot. Normal gait after operation at 8 years of age. Acta Orthop Scand 56:439–441CrossRef Hamanishi C, Ueba Y, Iwashita Y, Yamamuro T (1985) Diplopodia with reversed foot. Normal gait after operation at 8 years of age. Acta Orthop Scand 56:439–441CrossRef
20.
go back to reference Skoll JP, Silfen R, Hudson DA et al (2000) Mirror foot. Plast Reconstr Surg 105:2086–2088CrossRef Skoll JP, Silfen R, Hudson DA et al (2000) Mirror foot. Plast Reconstr Surg 105:2086–2088CrossRef
Metadata
Title
Pre-axial mirror polydactyly associated with tibial deficiency: a study of the patterns of skeletal anomalies of the foot and leg
Authors
Renjit Verghese
Hitesh Shah
Gleeson Rebello
Benjamin Joseph
Publication date
01-03-2007
Publisher
Springer Berlin Heidelberg
Published in
Journal of Children's Orthopaedics / Issue 1/2007
Print ISSN: 1863-2521
Electronic ISSN: 1863-2548
DOI
https://doi.org/10.1007/s11832-006-0001-5

Other articles of this Issue 1/2007

Journal of Children's Orthopaedics 1/2007 Go to the issue

Calendar of Events

Upcoming Meetings