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Ultrasonographic Diagnosis of Finger Flexor Tendon Hypoplasia in a Child with Phalangeal Agenesis

Authors :
Cheng-I Chen
Hong-Yi Lin
Wei-Ting Wu
Ke-Vin Chang
Levent Özçakar
Source :
Diagnostics, Vol 14, Iss 3, p 257 (2024)
Publication Year :
2024
Publisher :
MDPI AG, 2024.

Abstract

Agenesis and hypoplasia affecting multiple flexor tendons within the same hand represent an exceedingly uncommon occurrence, with no previous studies addressing this condition. This report details a 4-year-old girl with agenesis of the right third and fourth fingers, who sought consultation due to the inability to flex her seemingly unaffected second and fifth fingers. Ultrasound examination revealed substantial thinning of the flexor tendons in the second to fifth digits, with a notable absence of attachment to the middle phalanx. In addition to flexor tendon hypoplasia, hypoplasia of the third and fourth middle phalanges was observed. Hand deformities featuring both finger agenesis and flexor tendon hypoplasia across multiple fingers were exceptionally rare. In such instances, ultrasound, in conjunction with radiography, emerges as the recommended initial imaging tool for comprehensive evaluation of both the phalangeal bones and flexor tendons.

Details

Language :
English
ISSN :
20754418
Volume :
14
Issue :
3
Database :
Directory of Open Access Journals
Journal :
Diagnostics
Publication Type :
Academic Journal
Accession number :
edsdoj.8683bd6cebf74e2b87d6eae2215e6bfb
Document Type :
article
Full Text :
https://doi.org/10.3390/diagnostics14030257