Turner's syndrome - hand

Case contributed by Assoc Prof Frank Gaillard
X-ray

X-ray of the hand of a girl with Turner's syndrome, demonstrating the characteristic findings of short fourth metacarpal with positive metacarpal sign. Also note the Madelung deformity.

Case Discussion

In the metacarpal sign, a line drawn along the heads of the 4th and 5th metacarpals will intersect the head of the 3rd metacarpal if shortening is present. The shortened 4th metacarpal is the key to the sign.

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Case information

rID: 6273
Published: 21st May 2009
Last edited: 3rd Sep 2020
Inclusion in quiz mode: Included