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Spots and bends
  1. Alexandra Lemaigre1,
  2. Anjan Chakrabarty1,
  3. Archana Kshirsagar1,
  4. Caroline Miller2
  1. 1 Paediatrics, West Middlesex University Hospital, Isleworth, UK
  2. 2 Radiology, West Middlesex University Hospital, Isleworth, UK
  1. Correspondence to Dr Alexandra Lemaigre, Paediatrics, West Middlesex University Hospital, Isleworth TW7 6AF, UK; alex.lemaigre{at}



  1. What is the differential diagnosis for infantile tibial bowing and what are the clinical clues that aid diagnosis?

  2. What is the most likely diagnosis in this case? How will you confirm the diagnosis?

  3. What is the significance for future surveillance and prognosis?

  4. What is the mechanism and complications of this bone abnormality?

Questions Answers can be found on page 2.

  • bone disease
  • congenital abnorm
  • general paediatrics
  • genetics
  • imaging

Statistics from


  • Patient consent for publication Parental/guardian consent obtained.

  • Contributors AL wrote the article, overseen by the consultants AC and AK. CM reported the radiograph.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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