Hakan Atalar1, Sacit Turanlı2, O. Şahap Atik2, Ahmet Yiğit Kaptan2, Fatih Süheyl Ezgü3

1Gazi Üniversitesi Tıp Fakültesi 1Ortopedi ve Travmatoloji Anabilim Dalı
2Gazi Üniversitesi Tıp Fakültesi 1Ortopedi ve Travmatoloji Anabilim Dalı,
3Çocuk Sağlığı ve Hastalıkları Anabilim Dalı, Ankara, Türkiye

Keywords: Fibula; lower extremity; situs inversus; valproic acid.

Abstract

Congenital extremity anomalies are caused by pathological changes during the development process of the embryo. Exposure to toxins during 4-12 weeks of pregnancy may lead to extremity anomalies. In this article, we present a girl patient born as one of triplets at the 31st week and fifth day of pregnancy with meningomyelocele, Arnold-Chiari type 2 malformation, developmental dysplasia of the right hip, hypothyroidism, and lower extremity anomaly. Mother had a history of antenatal usage of sodium valproate. Radiographic examination of the lower extremity showed medial location of the fibula.