Proximal tibio-fibular synostosis. A rare congenital anomaly

A case of proximal tibiofibular synostosis is presented along with a review of the literature. The variety of presenting complaints is discussed and the syndrome is compared with that of radio-ulnar synostosis. Possible modes of treatment are explained.     

Intradiaphragmatic extralobar sequestration—a rare pulmonary anomaly

Extralobar pulmonary sequestrations are most commonly found within the thoracic cavity, but have been described within the abdomen. We present the case of a 16-month-old boy with an intradiaphragmatic pulmonary sequestration and demonstrate a computed tomographic scan finding that might help identify this extremely rare abnormality preoperatively.     

Berry syndrome—a rare congenital cardiac anomaly

Berry syndrome is a rare congenital cardiac anomaly, characterized by distal aortopulmonary window, hypoplasia or interruption of the aortic arch, intact ventricular septum, and aortic origin of the right pulmonary artery and patent ductus arteriosus. Anatomic depiction of each component is important for the diagnosis. Single-stage surgical repair is challenging but feasible with good survival outcomes. The available literature on this anomaly is limited. Hence, this paper aims at reviewing the literature on Berry syndrome.     

Congenital ureteric cyst—rare anomaly

A rare example of a congenital cyst of the ureter is described and the embyologic development of the abnormally discussed. The world literature relevant to the case is reviewed.     

Ball and socket ankle joint and tarsal synostosis (author's transl)]

Ball and socket ankle joints in 4 patients with "tarsal coalition" have first been described by Lamb and later by others. This report deals with a further case. The boy with a congenitally short left leg and absence of the lateral two toes was seen at the age of 4 months. He was again seen at 11 years of age after a sprain of the right ankle. Roentgen-examination showed calcaneotarsal synostosis and a ball and socket ankle joint with a fatigue fracture of the lateral metatarsal. The shape of the ankle joint appears to be part of a non-inheritable congenital defect with early embryonal disturbance of cleft formation in the tarsus.     

Urogenital nonunion—a rare anomaly associated with the undescended testis

Complete urogenital nonunion presenting as complete separation of the epididymis and testicle is a rare condition. The anomaly has an embryologic basis and frequently is associated with an undescended testis. We present a case of complete separation of the testis and epididymis found incidentally during an exploration of an undescended testicle palpable in the inguinal canal. We also provide a review of this topic and management strategies.     

Unilateral intra-areolar polythelia: a rare anomaly

Intra-areolar polythelia (IAP) is a rare anomaly of breast development characterized by the presence of two nipples located within an areola of normal size. The first two cases of sporadic, unilateral IAP in women are reported. In one case lactation and nursing from both of the doubled intra-areolar nipples had occurred.     

Sacral rib: a rare congenital anomaly

A 45-year-old patient reported for a follow-up visit after a motor vehicle accident with a history of vague right flank pain. He underwent a pelvic radiograph which revealed a long bony protuberance arising from the right sacral region; the appearance was consistent with a sacral rib. However due to the limited nature of his complaints the patient denied any surgical treatment.     

A rare case of bilateral congenital metatarsal synostosis

We report a rare case of bilateral congenital metatarsal synostosis of the first and second metatarsal bones in a 6-year-old female, who was initially referred with obscure swellings ofthesoles of the forefeet (at the heads of the 2nd metatarsals) and intermittent pain on weight-bearing. Clinical examination had raised suspicion of a bony connection between the first and second metatarsals. This was confirmed by radiographs. Surgical intervention in theform of bilateral osteotomies proved successful in establishing pain free and more natural weight-bearing.     

Multiple Pelvic digits: a rare congenital anomaly

Eleventh finger or pelvic digit is an uncommon congenital anomaly. Many cases are detected incidentally while evaluating back pain or other pelvic pathology. Though resembles Myositis Ossificans, clear cortico medullary differentiation and history of trauma ease up to diagnose this rare entity.