Duncan G J, Omer G E, Garcia J F, Latimer E
Department of Orthopaedics and Rehabilitation, University of New Mexico School of Medicine, Albuquerque 87131-5296.
J Hand Surg Am. 1993 Jul;18(4):588-92. doi: 10.1016/0363-5023(93)90295-E.
The Baller-Gerold syndrome is identified by radial aplasia with craniosynostosis. Only 12 cases have been reported previously in the literature; none of the reports describe surgical treatment for the radial aplasia. We report the case of a 10-month-old female infant with this syndrome, including severe bilateral radial clubhands. A radial anlage, which was tethering growth of the ulna, was suspected on physical examination and confirmed with magnetic resonance imaging. Resection of the anlage resulted in dramatic improvement in elbow extension, but additional follow-up will be necessary to determine the complete functional effect of the procedure.
巴勒-杰罗尔德综合征以桡骨发育不全合并颅骨缝早闭为特征。此前文献仅报道过12例；所有报道均未描述针对桡骨发育不全的手术治疗。我们报告了1例患有该综合征的10个月大女婴，其患有严重双侧桡侧畸形手。体格检查怀疑存在限制尺骨生长的桡骨原基，并经磁共振成像证实。切除该原基后，肘部伸展显著改善，但还需要进一步随访以确定该手术的完整功能效果。
