Module 41, General Medical Level

This child was 6 months old when she was referred for a second opinion on her lower extremity deformity. She was the product of a normal pregnancy and delivery. Considerable shortening of the left lower extremity was noted with abnormal musculature about the hip and a marked laxity about the knee joint. The left foot showed valgus deformity and had only four toes.

Question 41A

This combination of deformities is usually part of an inheritable condition.

Question 41B

The leg length difference between the right and left legs will not proportionally change with growth.

Question 41C

Cardiac abnormalities are the highest associated congenital anomaly.

Question 41D

This limb deformity will likely prevent this child from walking until very late maybe past 2 years of age.

Question 41E

This condition can diagnosed by in utero.

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