Saturday, January 9, 2010

A CASE OF ABSENT RADIUS

ABSENT RADIUS


The case repsents absence of radius alongwith absent first metacarpal and associated hypoplasia of the thumb.



1


2




DISCUSSION


Absent radius is a very rare medical condition in which the radius bone is not developed. This results in a typical position of the arm in which the wrist is plantarflexed and radially deviated.


The aetiology of radial club hand or radial dysplasia can be divided into:


1.sporadic cases, which are not inherited and are presumed to be due to de novo genetic mutations


2.syndromal cases; certain syndromes have a higher than expected association with radial dysplasia. Typically, organ systems are affected that develop at the same time as the upper limb :


§VACTERL or VATER syndrome


§Holt-Oram syndrome


§Edwards syndrome


§haematopoietic syndromes:


§Fanconi anemia


§Thrombocytopaenia with Absent Radius (TAR syndrome)


§craniofacial syndromes:


§Nager’s Syndrome


§Goldenhar’s syndrome


§Mobius syndrome


§cleft lip and palate


§Treacher-Collins syndrome


§skeletal syndromes and isolated skeletal associations:


§Klippel-Feil syndrome


§Sprengel deformity


§syndactyly


§scoliosis


§teratogens:


§radiations


§valproic acid


§thalidomide


1 comments:

shashank said...

Here is a link to more information about the genetics of Thrombocytopenia-Absent Radius Syndrome that was prepared by our genetic counselor and which has links to some useful resource for those dealing with this condition: http://www.accessdna.com/condition/Thrombocytopenia-Absent_Radius_Syndrome/778. There is also a number listed for anyone who wants to speak to a genetic counselor by phone. I hope it helps. Thanks, AccessDNA

Post a Comment