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Case Reports
. 1989;18(2):121-5.
doi: 10.1007/BF00350660.

Longitudinal tibial epiphyseal bracket in Nievergelt syndrome

M I Burnstein  1 , A A De Smet, A L Breed, J R Thomas, G R Hafez
Affiliations
Case Reports

Longitudinal tibial epiphyseal bracket in Nievergelt syndrome

M I Burnstein et al. Skeletal Radiol. 1989.

Abstract

A patient is described with lower extremity mesomelic dwarfism associated with bilateral congenital elbow, hip, and knee dislocations. Rhomboid-shaped tibiae and delayed ossification of the primary fibular ossification centers were demonstrated at birth. Plain films and magnetic resonance imaging revealed that the tibial deformities were due to the presence of longitudinal epiphyseal brackets. These brackets were observed at surgery and confirmed histologically. Recognition of the longitudinal epiphyseal bracket and its relationship to the tibial deformities seen in this patient with Nievergelt syndrome is important for planning surgical treatment.

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