U.S. flag

An official website of the United States government

Format

Send to:

Choose Destination

Anterior tibial bowing

MedGen UID:
537020
Concept ID:
C0240920
Anatomical Abnormality
Synonym: Anterior bowing of tibia
SNOMED CT: Saber shin (47381006)
 
HPO: HP:0006390

Definition

An abnormal anterior bending or curvature of the tibia. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVAnterior tibial bowing

Conditions with this feature

Mesomelic dysplasia, Savarirayan type
MedGen UID:
343129
Concept ID:
C1854470
Disease or Syndrome
Severely hypoplastic and triangular-shaped tibiae and absence of the fibulae.Two sporadic cases have been described. Moderate mesomelia of the upper limbs, proximal widening of the ulnas, pelvic anomalies and marked bilateral glenoid hypoplasia also reported.
Camptomelic dysplasia
MedGen UID:
354620
Concept ID:
C1861922
Disease or Syndrome
Campomelic dysplasia (CD) is a skeletal dysplasia characterized by distinctive facies, Pierre Robin sequence with cleft palate, shortening and bowing of long bones, and clubfeet. Other findings include laryngotracheomalacia with respiratory compromise and ambiguous genitalia or normal female external genitalia in most individuals with a 46,XY karyotype. Many affected infants die in the neonatal period; additional findings identified in long-term survivors include short stature, cervical spine instability with cord compression, progressive scoliosis, and hearing impairment.
Weismann-Netter syndrome
MedGen UID:
350610
Concept ID:
C1862172
Disease or Syndrome
The diagnostic hallmarks of Weismann-Netter syndrome (WNS) are anterior bowing of the diaphyses of the tibia and fibula, broadening or 'tibialization' of the fibula, posterior cortical thickening of both bones, and short stature. The diaphyses of other long bones may be similarly affected, but usually to a milder degree. Some WNS patients have also displayed mental retardation (summary by Peippo et al., 2009).
Chromosome 2q32-q33 deletion syndrome
MedGen UID:
436765
Concept ID:
C2676739
Disease or Syndrome
SATB2-associated syndrome (SAS) is a multisystem disorder in which all affected individuals have developmental delay / intellectual disability that can range from mild to profound but is most commonly moderate to profound. Speech delay and/or absent speech is observed in all affected individuals. Other neurobehavioral manifestations can include jovial or friendly personality, autistic tendencies, agitation or aggressive outbursts, self-injury, impulsivity, hyperactivity, anxiety, difficulty falling asleep or maintaining sleep, and sensory issues. Most affected individuals have hypotonia. EEG abnormalities are frequent but may be without clinically recognizable seizures. While only about 20% of affected individuals have clinical seizures, a subset of affected individuals have electrical status epilepticus in sleep. Craniofacial findings can include nonspecific dysmorphic features, palatal anomalies (cleft palate, high-arched palate, velopharyngeal insufficiency, bifid uvula), and dental anomalies (abnormal shape or size or the upper central incisors, dental crowding, hypodontia, and delayed teeth eruption, among others). Skeletal anomalies can include scoliosis, tibial bowing, and joint contractures. At least one third of individuals have a history of previous fractures and about one quarter of affected individuals have documented low bone mineral density. Other finding can include pre- and postnatal growth restriction, feeding issues, and eye anomalies (strabismus, refractive error). In those with a larger deletion involving SATB2 and adjacent genes, cardiovascular, genitourinary, and ectodermal findings may also be present.

Professional guidelines

PubMed

Iamaguchi RB, Fucs PM, Carlos da Costa A, Chakkour I, Gomes MD
J Pediatr Orthop B 2011 Sep;20(5):323-9. doi: 10.1097/BPB.0b013e328347a361. PMID: 21691227
Johnson EE, Urist MR
Nihon Seikeigeka Gakkai Zasshi 1989 May;63(5):613-20. PMID: 2794636

Recent clinical studies

Etiology

Zhao T, Chen C, Zeng Y, Huang L, Shi C, Wang M, Liang J, Dai Z, Hu X
Eur J Radiol 2025 Feb;183:111932. Epub 2025 Jan 19 doi: 10.1016/j.ejrad.2025.111932. PMID: 39914893
Hees T, Zielke J, Petersen W
Arch Orthop Trauma Surg 2023 Jun;143(6):2959-2964. Epub 2022 Jun 28 doi: 10.1007/s00402-022-04507-0. PMID: 35761121
Mladenov KV, Spiro AS, Krajewski KL, Stücker R, Kunkel P
Childs Nerv Syst 2020 Oct;36(10):2409-2425. Epub 2020 Jul 1 doi: 10.1007/s00381-020-04775-4. PMID: 32613421Free PMC Article

Diagnosis

Zhao T, Chen C, Zeng Y, Huang L, Shi C, Wang M, Liang J, Dai Z, Hu X
Eur J Radiol 2025 Feb;183:111932. Epub 2025 Jan 19 doi: 10.1016/j.ejrad.2025.111932. PMID: 39914893
Hees T, Zielke J, Petersen W
Arch Orthop Trauma Surg 2023 Jun;143(6):2959-2964. Epub 2022 Jun 28 doi: 10.1007/s00402-022-04507-0. PMID: 35761121

Prognosis

Zhao T, Chen C, Zeng Y, Huang L, Shi C, Wang M, Liang J, Dai Z, Hu X
Eur J Radiol 2025 Feb;183:111932. Epub 2025 Jan 19 doi: 10.1016/j.ejrad.2025.111932. PMID: 39914893

Clinical prediction guides

Zhao T, Chen C, Zeng Y, Huang L, Shi C, Wang M, Liang J, Dai Z, Hu X
Eur J Radiol 2025 Feb;183:111932. Epub 2025 Jan 19 doi: 10.1016/j.ejrad.2025.111932. PMID: 39914893
Mladenov KV, Spiro AS, Krajewski KL, Stücker R, Kunkel P
Childs Nerv Syst 2020 Oct;36(10):2409-2425. Epub 2020 Jul 1 doi: 10.1007/s00381-020-04775-4. PMID: 32613421Free PMC Article

Supplemental Content

Table of contents

    Clinical resources

    Practice guidelines

    • PubMed
      See practice and clinical guidelines in PubMed. The search results may include broader topics and may not capture all published guidelines. See the FAQ for details.

    Consumer resources

    Recent activity

    Your browsing activity is empty.

    Activity recording is turned off.

    Turn recording back on

    See more...