The radiograph shows a leg with an absent fibula and associated foot deformity

“Fibular hemimelia is a rare condition but is the most common long bone deficiency. A myriad of conditions are associated, the most common of which is femoral shortening (occurring in 50%). Other associated conditions include: developmental dysplasia of the hip (DDH), clubfoot, knee valgus and flexion contracture, cruciate deficiency, knee and ankle instability, ball and socket ankle, tarsal coalition and deficiency of the lateral rays of the foot. A careful assessment of the entire lower extremity is important in such patients.”