Shortening of all metacarpals in Turner syndrome
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A woman 35 years of age have a conventional radiograph of the hand showing a reduction of all metacarpals.
The patient has other diseases such as: type 1 diabetes mellitus, hypothyroidism and coeliac disease.
It is known that the shortening of the 4th and 5th metacarpals is seen in a variety of conditions including: idiopathic, post - traumatic, infectious post, Turner syndrome, pseudohypoparathyroidism, basal cell nevus syndrome - Gorlin syndrome, sickle cell disease with secondary infarction, hereditary exostosis multiple syndrome (1), homocystinuria and Langer- Giedion syndrome. In addition, the shortening of isolated 5th metacarpals has recently been described in a family of variant type 1 diabetes mellitus (2).
This patient is a particular case, which presents with all metacarpals shortening and not only the fourth and fifth, in association with a set of possible diseases that promote these shortenings metacarpals.
- 1. Zaveas A, Paraskevas G, Gekas C et-al. Anatomical variation of co-existence of 4th and 5th short metacarpal bones, sesamoid ossicles and exostoses of ulna and radius in the same hand: a case report. 2008;1 (1): 281.
- 2. Patel VK, Davies HA. Insulin resistance Type A and short 5th metacarpals. Diabet. Med. 2003;20 (6): 500-4