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Dedicated preoperative wrist and hand views were done at a subsequent visit for surgical planning.

There is a dysplastic left radius, which is shortened, with an irregular distal radial metaphysis and a suspected absent distal radial epiphysis. There is a complete absence of the left thumb (absent the first metacarpal, proximal, and distal phalanges). There is a radial deviation of the left wrist and hand.

There is a shortened left ulna with mild bowing, proximal hypertrophy, and an irregular distal metaphysis.

The left forearm is shortened.

Image courtesy of Dr. S. Palliam.