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尺骨半侧发育不全与中轴性并指畸形的罕见关联。

An unusual association of ulnar hemimelia with mesoaxial synostotic syndactyly.

作者信息

Özdemir Meltem, Kavak Rasime Pelin, Kaplanoğlu Hatice

机构信息

University of Health Sciences, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Department of Radiology, Ankara, Turkey.

出版信息

BJR Case Rep. 2020 Feb 12;6(1):20190073. doi: 10.1259/bjrcr.20190073. eCollection 2020 Mar.

DOI:10.1259/bjrcr.20190073
PMID:32201614
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7068096/
Abstract

Ulnar hemimelia, also referred to as post-axial longitudinal deficiency of the upper limb, is a very rare skeletal anomaly characterized by the partial or complete absence of the ulna. The majority of the reported cases are sporadic and more common in males. The disorder is mostly unilateral, right-sided and incomplete. A slight shortening of the forearm, radial bowing and ulnar-sided hand drift are the anomalies which often accompany ulnar hemimelia. Ulnar hemimelia may also be seen in association with complex wrist and hand anomalies. The absence of post-axial metacarpal and digital bones are frequent findings in patients with this rare disorder. Cases with additional digital abnormalities such as post-axial syndactyly and camptodactyly are also present in the literature. However, a case of ulnar hemimelia in association with mesoaxial synostotic syndactyly has never been reported to date.

摘要

尺骨半侧发育不全,也被称为上肢轴后纵向发育缺陷,是一种非常罕见的骨骼异常,其特征是尺骨部分或完全缺失。大多数报道的病例为散发性,且在男性中更为常见。这种疾病大多为单侧、右侧且不完全性。前臂轻度缩短、桡骨弓形弯曲和尺侧手部偏移是常伴随尺骨半侧发育不全的异常情况。尺骨半侧发育不全也可能与复杂的腕部和手部异常同时出现。轴后掌骨和指骨缺失是这种罕见疾病患者的常见表现。文献中也有伴有额外手指异常(如轴后并指和屈曲指)的病例。然而,迄今为止,尚未有尺骨半侧发育不全合并中轴骨性并指的病例报道。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d535/7068096/1c583b8dde61/bjrcr.20190073.g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d535/7068096/1ed57231381f/bjrcr.20190073.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d535/7068096/3f9c7ffa96b7/bjrcr.20190073.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d535/7068096/44d7eaae2c26/bjrcr.20190073.g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d535/7068096/4c4e8e042715/bjrcr.20190073.g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d535/7068096/601263612e79/bjrcr.20190073.g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d535/7068096/1c583b8dde61/bjrcr.20190073.g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d535/7068096/1ed57231381f/bjrcr.20190073.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d535/7068096/3f9c7ffa96b7/bjrcr.20190073.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d535/7068096/44d7eaae2c26/bjrcr.20190073.g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d535/7068096/4c4e8e042715/bjrcr.20190073.g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d535/7068096/601263612e79/bjrcr.20190073.g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d535/7068096/1c583b8dde61/bjrcr.20190073.g006.jpg

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本文引用的文献

1
Ulnar hemimelia: a report of four cases.尺侧 (尺骨侧) 肢体缺如:四例报告。
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2
Response to: "Letter to the editor: Mesoaxial synostotic syndactyly with phalangeal reduction (MSSD): syndactyly type IX".对《致编辑的信:伴有指骨减少的中轴性并指畸形(MSSD):并指畸形IX型》的回复
Skeletal Radiol. 2018 Sep;47(9):1203. doi: 10.1007/s00256-018-3003-8.
3
Mesoaxial synostotic syndactyly with phalangeal reduction (MSSD): syndactyly type IX.伴有指骨发育不全的中轴型并指畸形(MSSD):第九型并指畸形
Skeletal Radiol. 2018 Feb;47(2):149. doi: 10.1007/s00256-017-2842-z. Epub 2017 Dec 11.
4
Case report of a novel nonsyndromic unilateral syndactyly of the hand.一例新型非综合征性单侧手部并指畸形的病例报告。
Skeletal Radiol. 2017 Dec;46(12):1741-1743. doi: 10.1007/s00256-017-2725-3. Epub 2017 Jul 26.
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Ulnar Hemimelia with Oilgodactyly: Report of Two Cases.伴有油指畸形的尺侧半肢畸形:两例报告。
Radiol Case Rep. 2016 Oct 4;4(1):240. doi: 10.2484/rcr.v4i1.240. eCollection 2009.
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Embryology, diagnosis, and evaluation of congenital hand anomalies.胚胎学、先天性手部畸形的诊断和评估。
Curr Rev Musculoskelet Med. 2014 Mar;7(1):60-7. doi: 10.1007/s12178-014-9201-7.
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Eur J Hum Genet. 2012 Aug;20(8):817-24. doi: 10.1038/ejhg.2012.14. Epub 2012 Feb 15.
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Ulnar hemimelia.尺骨半肢畸形
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