12 results on '"Ulnar hemimelia"'
Search Results
2. Skeletal dysplasia of an adult male from medieval Łekno in Poland, Central Europe.
- Author
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Matczak, Magdalena D., Krenz‐Niedbała, Marta, Łukasik, Sylwia, Buikstra, Jane E., Wyrwa, Andrzej Marek, and Pearson, Jessica
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SKELETAL dysplasia , *ACHONDROPLASIA , *MEDIEVAL archaeology , *SIRENOMELIA , *MIDDLE Ages , *DWARFISM , *ARCHAEOLOGICAL excavations - Abstract
The skeletal dysplasias are a group of more than 450 heritable disorders that affect bone and cartilage, along with muscles, tendons, and ligaments. Achondroplasia is one of the most common skeletal dysplasias in both current and past populations. It can be transmitted intergenerationally, or it can result from a mutation. This paper aims to describe the lesions visible on the skeleton of a 30–45 year old male with achondroplasia, who lived during the 9th–11th centuries AD (medieval period) in Łekno, Poland. The Łekno settlement complex (Site 3) includes a cemetery with approximately 400 burials of monks and local lay people. Macroscopic examination facilitated a differential diagnosis that identified a probable case of achondroplastic dwarfism, combined with Léri–Weill dyschondrosteosis and ulnar hemimelia. This is the first case of dwarfism in the bioarchaeological literature that had been documented and visualized using 3D modelings, which were used to show quantitative differences in articular surface areas between the achondroplastic individual and contemporaries of normal stature. Ulnar hemimelia is most commonly seen today as a component of skeletal dysplasias. The right ulna of this male was significantly shorter than the right radius and the left ulna. It is probable that he had multiple skeletal dysplasia (achondroplasia, Léri–Weill dyschondrosteosis) as well as ulnar hemimelia as a component of achondroplasia. The combination of these disorders has not been previously reported in the bioarchaeological literature, and this individual is also the first case of achondroplasia and Léri–Weill dyschondrosteosis from the medieval period in Central Europe. As such, this example is used here to provide insights on a variety of different diseases, syndromes, and conditions in Polish medieval populations and that will help in future identification of rare diseases from archaeological sites. [ABSTRACT FROM AUTHOR]
- Published
- 2022
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3. Four Unusual Cases of Congenital Forelimb Malformations in Dogs
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Simona Di Pietro, Giuseppe Santi Rapisarda, Luca Cicero, Vito Angileri, Simona Morabito, Giovanni Cassata, and Francesco Macrì
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congenital limb deformity ,dog ,ectrodactily ,syndactyly ,ulnar hemimelia ,Veterinary medicine ,SF600-1100 ,Zoology ,QL1-991 - Abstract
Four dogs were presented with thoracic limb deformity. After clinical and radiographic examinations, a diagnosis of congenital malformations was performed for each of them. In one case, a deformity involving both the radial and ulnar side of the distal limb was observed. Based on clinical and radiological evaluations, a diagnosis of postaxial terminal longitudinal ulnar hemimelia was performed. The term ectrodactyly was used to refer different malformations characterized by skin and soft tissue separation of the distal forelimb observed in two dogs. Simple complete uncomplicated syndactyly of the right forelimb, and complex incomplete uncomplicated syndactyly of the left forelimb were diagnosed in the fourth case. To the authors’ knowledge, ectrodactyly and simple complete uncomplicated syndactyly are very uncommon anomalies in companion animals and have been rarely documented. Moreover, postaxial terminal longitudinal ulnar hemimelia has still not been reported in dogs.
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- 2021
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4. Ulnar Longitudinal Deficiency: A Case Report.
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Velasquez Restrespo S, Oboli VN, Kumar D, Marino-Villamizar C, and Khanna S
- Abstract
Ulnar longitudinal deficiency (ULD) is a rare skeletal condition marked by the partial or complete failure of the formation of the ulna. This rare condition is often associated with fixed flexion deformity, radial head subluxation, complex carpal, metacarpal, and digital abnormalities. Most presentations are male-preponderant and right-sided. Different classifications have described ULD. Usually, the condition is not associated with systemic findings; however, detailed physical examination and radiologic evaluations are crucial for assessing and managing affected patients. We report a rare case of ULD in an 11-month-old female infant with congenital absence of the left ulna, four digits, and a postaxial hypoplastic finger., Competing Interests: The authors have declared that no competing interests exist., (Copyright © 2023, Velasquez Restrespo et al.)
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- 2023
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5. Toe-to-Hand Transfer in an Ulnar Hemimelia Patient
- Author
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Erhan Sönmez and Ersin Aksam
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Male ,Microsurgery ,medicine.medical_specialty ,Foot Deformities, Congenital ,Ulnar hemimelia ,Ectromelia ,030230 surgery ,03 medical and health sciences ,0302 clinical medicine ,Congenital Deformity ,Deformity ,Humans ,Medicine ,Abnormalities, Multiple ,Child ,Preoperative planning ,Hand Strength ,medicine.diagnostic_test ,business.industry ,Plastic Surgery Procedures ,Toes ,Surgery ,body regions ,Treatment Outcome ,030220 oncology & carcinogenesis ,Angiography ,medicine.symptom ,business ,Hand Deformities, Congenital ,Follow-Up Studies - Abstract
Ulnar hemimelia is a rare congenital deformity. The severity of the deformity increases with the number of fingers that are absent. Clearly, grip function is impossible with a mono-finger hand. Here, we present a case report of a patient with bilateral ulnar hemimelia that included the absence of radial fingers and also deformity in the toes of his left foot. A toe-to-hand transfer was performed successfully to help the patient gain grip function. Both the patient and the parents were very pleased with the result. To our knowledge, this is the first case report of a patient with ulnar hemimelia and absent radial fingers who was treated with a toe-to-hand transfer.The most important factors in a successful surgery are careful preoperative planning and microsurgical expertise. Angiography is the key to careful planning, and physiotherapy should also be done to increase the patient's functions. The psychological well-being of patients and parents will be positively affected after a successful surgery.
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- 2019
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6. Ulnar hemimelia in deformed left forearm treated with ilizarov fixator
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Aditya K Agrawal, Jeet Patel, Sagar Patel, Dhruven Kosada, Jagdish J. Patwa, and Sarvang Desai
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musculoskeletal diseases ,medicine.medical_specialty ,Ulnar hemimelia ,business.industry ,Scaphoid nonunion ,Nonunion ,Avascular necrosis ,Scaphoid fracture ,medicine.disease ,030218 nuclear medicine & medical imaging ,Surgery ,03 medical and health sciences ,surgical procedures, operative ,0302 clinical medicine ,Vascularized bone ,030220 oncology & carcinogenesis ,medicine ,Left forearm ,business ,Primary procedure - Abstract
Pedicle bone graft as primary procedure for treatment of scaphoid nonunion. Pedicle bone graft use in delayed and nonunion of fractures and avascular necrosis scaphoid fracture. The most common indications for Pedicle bone graft have been for scaphoid nonunion, lunatomalacia (Kienbock's disease), and osteonecrosis of the scaphoid (Preiser's disease). Advantages over non vascularized bone graft have been established. Pedicle bone graft provide improved blood flow, osteocyte preservation, and accelerated healing rates. Local pedicle VBGs are the most commonly used methods. They are technically less demanding than are free VBGs and are associated with less morbidity. In managing osteonecrosis, most surgeons would agree that VBG should be reserved for scaphoid nonunion with an intact cartilaginous shell and no collapse. In treating scaphoid pathology, indications for pedicle bone graft include fractures/nonunions with proximal pole avascular necrosis and/or small proximal pole fragments.
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- 2017
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7. Carpal Tunnel Syndrome in the Setting of Ulnar Dysmelia.
- Author
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Milam RJ, Drayer NJ, Garries MP, and Ghidella SD
- Abstract
Ulnar dysmelia is a congenital anatomic disorder characterized by abnormal development of the ulna and subsequent distal bones. This rare disorder has a heterogeneous presentation in patients described in the literature. We present the case of a 23-year-old woman with ulnar dysmelia who lacked the ulnar attachments of the transverse carpal ligament and developed carpal tunnel syndrome at a relatively young age, requiring carpal tunnel release. This case report presents an interesting and unique cause of carpal tunnel syndrome and reviews the literature on ulnar dysmelia.
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- 2022
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8. An unusual association of ulnar hemimelia with mesoaxial synostotic syndactyly
- Author
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Rasime Pelin Kavak, Hatice Kaplanoglu, and Meltem Özdemir
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musculoskeletal diseases ,0303 health sciences ,Ulnar hemimelia ,business.industry ,Hand anomalies ,030305 genetics & heredity ,Ulna ,Case Report ,General Medicine ,Anatomy ,Wrist ,musculoskeletal system ,medicine.disease ,030218 nuclear medicine & medical imaging ,body regions ,03 medical and health sciences ,Camptodactyly ,0302 clinical medicine ,medicine.anatomical_structure ,Forearm ,medicine ,Upper limb ,Syndactyly ,medicine.symptom ,business - 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.
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- 2020
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9. Ulnar hemimelia: a report of four cases
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Rasime Pelin Kavak, Aynur Turan, and Meltem Özdemir
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musculoskeletal diseases ,Adult ,Male ,medicine.medical_specialty ,Ulnar hemimelia ,Ectromelia ,Ulna ,Wrist ,Asymptomatic ,030218 nuclear medicine & medical imaging ,Diagnosis, Differential ,03 medical and health sciences ,0302 clinical medicine ,Forearm ,medicine ,Hemimelia ,Humans ,Radiology, Nuclear Medicine and imaging ,030203 arthritis & rheumatology ,business.industry ,musculoskeletal, neural, and ocular physiology ,Anatomy ,musculoskeletal system ,medicine.disease ,body regions ,medicine.anatomical_structure ,Orthopedic surgery ,Upper limb ,Female ,medicine.symptom ,business - Abstract
Ulnar hemimelia is a very rare skeletal abnormality characterized by the total or partial absence of the ulna. It is reported to occur in approximately 1 per 150,000 live births. Some shortening of the forearm, radial bowing, and tendency of the hand to drift to the ulnar side of the wrist usually accompany ulnar hemimelia. Other skeletal anomalies such as humeroradial synostosis, radial head dislocation, carpal or metacarpal coalition, and digital abnormalities may also be seen in cases of ulnar hemimelia. The patients may be asymptomatic in the presence of an isolated mild ulnar deficiency. On the other hand, cases of prominent ulnar deficiency accompanied by complex upper limb abnormalities leading to severe disability may also be observed. We herein present four patients with varying degrees of ulnar hemimelia. Our first case had an isolated ulnar hemimelia, whereas the other three had additional upper limb abnormalities of different types.
- Published
- 2018
10. Four Unusual Cases of Congenital Forelimb Malformations in Dogs.
- Author
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Di Pietro, Simona, Rapisarda, Giuseppe Santi, Cicero, Luca, Angileri, Vito, Morabito, Simona, Cassata, Giovanni, Macrì, Francesco, and Ciotola, Francesca
- Subjects
HUMAN abnormalities ,DOGS ,FORELIMB ,PETS ,DIAGNOSIS ,ULNA - Abstract
Simple Summary: Congenital limb defects are sporadically encountered in dogs during normal clinical practice. Literature concerning their diagnosis and management in canine species is poor. Sometimes, the diagnosis and description of congenital limb abnormalities are complicated by the concurrent presence of different malformations in the same limb and the lack of widely accepted classification schemes. In order to improve the knowledge about congenital limb anomalies in dogs, this report describes the clinical and radiographic findings in four dogs affected by unusual congenital forelimb defects, underlying also the importance of reviewing current terminology. Four dogs were presented with thoracic limb deformity. After clinical and radiographic examinations, a diagnosis of congenital malformations was performed for each of them. In one case, a deformity involving both the radial and ulnar side of the distal limb was observed. Based on clinical and radiological evaluations, a diagnosis of postaxial terminal longitudinal ulnar hemimelia was performed. The term ectrodactyly was used to refer different malformations characterized by skin and soft tissue separation of the distal forelimb observed in two dogs. Simple complete uncomplicated syndactyly of the right forelimb, and complex incomplete uncomplicated syndactyly of the left forelimb were diagnosed in the fourth case. To the authors' knowledge, ectrodactyly and simple complete uncomplicated syndactyly are very uncommon anomalies in companion animals and have been rarely documented. Moreover, postaxial terminal longitudinal ulnar hemimelia has still not been reported in dogs. [ABSTRACT FROM AUTHOR]
- Published
- 2021
- Full Text
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11. Scoliosis Associated with Congenital Deficiencies of the Upper Extremity
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Kingsbury G. Heiple and John T. Makley
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medicine.medical_specialty ,Ulnar hemimelia ,business.industry ,musculoskeletal, neural, and ocular physiology ,Ulna ,macromolecular substances ,General Medicine ,Scoliosis ,Phocomelia ,Thumb ,medicine.disease ,Surgery ,Ectromelia ,medicine.anatomical_structure ,medicine ,Deformity ,Orthopedics and Sports Medicine ,medicine.symptom ,Fibula ,business - Abstract
We found that certain upper-extremity anomalies, specifically radial and ulnar hemimelia, phocomelia, and amelia, are associated with a striking incidence of scoliosis. Many of the curvatures were noted at an early age and progressed rapidly in severity. Several required spine fusion for control and several others were neglected to the point of severe clinical deformity. The physician treating congenital anomalies of the upper extremity should be aware of the possibility of a very early scoliosis. It is suggested that routine anteroposterior roentgenograms of the spine be obtained on all patients with upper-extremity anomalies of the types considered here since mild curves with a potential marked progression may not be appreciated by casual observation.
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- 1970
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12. Ulnar Hemimelia with Oilgodactyly: Report of Two Cases
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Adekunle Y Abdulkadir and IA Adigun
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musculoskeletal diseases ,medicine.medical_specialty ,Ulnar hemimelia ,business.industry ,Radiohumeral synostosis ,Elbow ,Oligodactyly ,medicine.disease ,musculoskeletal system ,Article ,Surgery ,body regions ,medicine.anatomical_structure ,VACTERL, vertebral, anal, tracheal, cardiac, esophageal, renal and limb ,medicine ,Hemimelia ,Radiology, Nuclear Medicine and imaging ,business - Abstract
We present two sporadic cases of complete ulnar hemimelia, a rare congenital defect. In one case, ulnar hemimelia was associated with tridactyly and elbow malrotation with radiohumeral synostosis; in the second case, ulnar hemimelia was assciated with mono-metacarpal bidactyly and anterior cubital webbing of the elbow with fixed flexion. To the best of our knowledge, there is dearth of information on these combinations of anomalies in the literature and their management remains a challenge.
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