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Case report
Isolated unilateral proximal focal femoral deficiency presenting in a young woman
  1. Meltem Özdemir,
  2. Rasime Pelin Kavak,
  3. Arda Halil Ceylan and
  4. Zeycan Kübra Cevval
  1. Radiology, University of Health Sciences Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkey
  1. Correspondence to Dr Meltem Özdemir; meltemkaan99{at}


Proximal focal femoral deficiency (PFFD) is a rare congenital skeletal abnormality characterised by the partial absence of the proximal femoral segment with shortening of the entire lower extremity. It typically presents as a shortened thigh, which is flexed, externally rotated and abducted. Some other skeletal anomalies, especially fibular hemimelia, usually accompany the disorder. The diagnosis of PFFD is made in early childhood and based mainly on conventional radiography. However, the radiographic appearance of the disease evolves as the child grows. In addition, treatment procedures applied to the child affect the radiographic presentation of the disease in adulthood. Almost all cases of PFFD reported to date are in young children and in the current literature, there is a paucity of radiographic images of PFFD in mature skeleton. The aim of this case report is to present the radiographic appearance of PFFD in an adult patient and to increase awareness among radiologists about this disease.

  • orthopaedics
  • congenital disorders
  • radiology
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  • Contributors MÖ: acquisition of data, analysis and interpretation of data, drafting the article, final approval of the version to be published. RPK: final approval of the version to be published. AHC: analysis and interpretation of data. ZKC: acquisition of data.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

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

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