Radial ray anomaly

Case contributed by Dalia Ibrahim
Diagnosis certain

Presentation

Newborn with bilateral upper limb deformity.

Patient Data

Gender: Female
ct

Absent both radii with normal thumbs.

Severely hypoplastic both humerii. 

Normal both ulna.

 

mri

Absent both radii with normal thumbs.

Severely hypoplastic both humerii. 

Case Discussion

This case illustrates type IV radial ray anomaly with complete absence of both radii, associated with severely hypoplastic humeri on both sides.

Radial ray anomalies comprise of a large spectrum of upper limb anomalies which range from partial (radial hypoplasia) to a complete (radial aplasia) deficiency of the radius with or without accompanying deficiency of the thumb bones.

Radial ray syndrome may be associated with multiple syndromes such as Holt-oram, TAR or VACTRAL syndromes.

This case is courtesy of Dr.Mohamed Ibrahim,MD Radiodiagnosis

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