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Ulnar hemimelia

Case contributed by Yusra Sheikh
Diagnosis certain

Presentation

Referred to the department with left upper limb abnormality.

Patient Data

Age: 3 month old
Gender: Female
x-ray

The left humerus is normal in size and morphology. The left radius is foreshortened and bowed. Poor alignment identified at the elbow joint with a flexion position noted here. The ulna is however absent. The thumb, index and middle fingers are present and normal. The respective three metacarpals are present. There is complete abscence of the index and little finger with their associated metacarpals.

Findings are consistent with ulnar hemimelia.

Case Discussion

Ulnar hemimelia is a rare congenital upper limb anomaly characterized by complete or partial absence of the ulna bone.

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