FRCS Paediatric Ortho — improved notes
FRCS Paediatric Ortho — visual inline notes

023. Fibular hemimelia radiographic assessment

visual-inline rebuild1 extracted figuresspeaker notes XML10 study lines2 Q&A

Individual slide images have been cropped from the rendered slide and inserted beside the matching note section. The full slide remains below only for layout/audit.

Clean FRCS notes with inline figures

XR description

Radiograph / imaging
Fig 1. Radiograph / imagingtop left
•Recognise LLD (pelvis not level despite block)
•Fibular hypoplastic
•Why short? (N: fibula head = proximal tibial physis, distal fibular physis = tibial plafond)

Associations

•Foot: tarsal coalition, absent lateral rays
•Ankle: ball and socket joint, ankle valgus
•Tibia: short + AM bowing
•Knee: LFC hypoplasia, genu valgum, patellar subluxation
•Hip: PFFD

Direct Q&A

Q1 What are the radiographic findings for Fibular hemimelia radiographic assessment?

Recognise LLD (pelvis not level despite block)

•Fibular hypoplastic
•Why short? (N: fibula head = proximal tibial physis, distal fibular physis = tibial plafond)
Q2 How is Fibular hemimelia radiographic assessment managed?

XR description

•Recognise LLD (pelvis not level despite block)
•Fibular hypoplastic
•Why short? (N: fibula head = proximal tibial physis, distal fibular physis = tibial plafond)

Associations

•Foot: tarsal coalition, absent lateral rays
•Ankle: ball and socket joint, ankle valgus
•Tibia: short + AM bowing
•Knee: LFC hypoplasia, genu valgum, patellar subluxation
•Hip: PFFD

Raw speaker-note hierarchy audit

#lvlmarLindentlogicaloriginal note line
10NoneNone0XR description
20171450-1714501Recognise LLD (pelvis not level despite block)
30171450-1714501Fibular hypoplastic
41628650-1714502Why short? (N: fibula head = proximal tibial physis, distal fibular physis = tibial plafond)
50171450-1714501Associations
61628650-1714502Foot: tarsal coalition, absent lateral rays
71628650-1714502Ankle: ball and socket joint, ankle valgus
81628650-1714502Tibia: short + AM bowing
91628650-1714502Knee: LFC hypoplasia, genu valgum, patellar subluxation
101628650-1714502Hip: PFFD

Improved semantic hierarchy used for the study notes

#semantic levelsection?rewritten line
10yesXR description
21Recognise LLD (pelvis not level despite block)
31Fibular hypoplastic
42Why short? (N: fibula head = proximal tibial physis, distal fibular physis = tibial plafond)
50yesAssociations
62Foot: tarsal coalition, absent lateral rays
72Ankle: ball and socket joint, ankle valgus
82Tibia: short + AM bowing
92Knee: LFC hypoplasia, genu valgum, patellar subluxation
102Hip: PFFD