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Unusual presentation of more common disease/injury
Case report
Conjoined twins presenting with foot deformities: insights to management and challenges
  1. Himanshu Kanwat,
  2. Roshan Banjara,
  3. Venkatesan Sampath Kumar and
  4. Abdul Majeed
  1. Orthopaedics, All India Institute of Medical Sciences, New Delhi, Delhi, India
  1. Correspondence to Dr Himanshu Kanwat; himsgr8589{at}gmail.com

Abstract

Conjoined twins are a rare outcome of conception associated with numerous anomalies involving multiple organ systems. Musculoskeletal abnormalities like vertebral anomalies, sacral agenesis, foot deformities and hip dysplasia have been described in literature. We describe two cases of pyopagus twins with congenital talipes equinovarus and congenital vertical talus deformity which have not been described previously in this type of conjoined twins. The orthopaedist should look actively for such deformities in this patient population and be wary of the difficulties associated with their management.

  • orthopaedic and trauma surgery
  • congenital disorders
  • orthopaedics

https://doi.org/10.1136/bcr-2019-231247

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    Footnotes

    • Contributors HK: involved in case selection, case management, drafting the manuscript, acquisition of images and consent. RB: involved in designing and conceptualising the work, case management, drafting the manuscript and critical analysis of the drafted manuscript. VSK: involved in critically revising the draft for intellectual content, supervising the case management and in designing and conceptualising the work. AM: instrumental in manuscript editing and in conceptualising the work.

    • Competing interests None declared.

    • Patient consent for publication Parental/guardian consent obtained.

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