Bilateral Proximal Femoral Focal Deficiency with fracture shaft of femur – A case report and review of literature.
A Qayum, A Koka, Q Khursheed, A Vakil, N Shah
bilateral, fracture femur, pffd, proximal femoral focal deficiency
A Qayum, A Koka, Q Khursheed, A Vakil, N Shah. Bilateral Proximal Femoral Focal Deficiency with fracture shaft of femur – A case report and review of literature.. The Internet Journal of Radiology. 2009 Volume 11 Number 2.
Proximal Femoral Focal Deficiency
A 13 weeks male child born in a twin pregnancy, born out of nonconsaguinous marriage was brought to us with gross deformity of lower limbs. The babies were born at full term by normal vaginal delivery. The labour had been difficult. The other sibling was born without apparent deformity but had died after three days. The baby in our case report was born with gross deformity of the lower limbs, the left leg being much shorter than the right leg. According to parents the baby was not moving the right leg at birth and cried on passive movements of right leg. They were told that the thigh bone on right side is fractured. None of the parents or their blood relatives had such a deformity
On presentation to us the left leg was much shorter than the left one. The right lower limb was kept in flexion and external rotation at the hip (Fig 1 & 2). The thigh on left side was markedly reduced in length with no solid structure felt on palpation. The baby was moving both the lower limbs. The feet were normal in shape and size. No other deformity was seen on examination of rest of the body.