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Autosomal dominant and sporadic radio-ulnar synostosis

✍ Scribed by Rizzo, Renata; Pavone, Vito; Corsello, Giovanni; Sorge, Giovanni; Neri, Giovanni; Opitz, John M.


Publisher
John Wiley and Sons
Year
1997
Tongue
English
Weight
297 KB
Volume
68
Category
Article
ISSN
0148-7299

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✦ Synopsis


We report on seven cases of congenital radio-ulnar synostosis (RUS). Five were found in the same family and two were sporadic. In six the synostosis was bilateral and consistently involved the proximal end of the radius and ulna. In the familial cases the anomaly was inherited as an autosomal dominant trait and was associated with a Dubois sign and relative shortness of metacarpals number 4 and 5 in two patients, and of number 2 in another patient, and of all phalanges of the 5th fingers. These observations suggest involvement of an ulnar developmental field. RUS does not seem to be rare in the Sicilian population. Am.


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Proximal radio-ulnar synostosis (RUS) may occur congenitally, either as an isolated condition or as part of a syndrome, or it may occur as a secondary complication of forearm trauma. We provide a key for the differential diagnosis of congenital versus traumatic RUS, and for differentiation between t