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Abnormal morphology of ulna

MedGen UID:
868062
•Concept ID:
C4022453
•
Anatomical Abnormality
HPO: HP:0040071

Definition

Any structural anomaly of the ulna, a bone of the forearm the extends from the elbow to the little finger. [from HPO]

Professional guidelines

PubMed

A genotype and phenotype analysis of SMAD6 mutant patients with radioulnar synostosis.
Shen F, Yang Y, Li P, Zheng Y, Luo Z, Fu Y, Zhu G, Mei H, Chen S, Zhu Y
Mol Genet Genomic Med 2022 Jan;10(1):e1850. Epub 2021 Dec 24 doi: 10.1002/mgg3.1850. PMID: 34953066Free PMC Article
Ulnar-Sided Wrist Pain in the Athlete: Sport-Specific Demands, Clinical Presentation, and Management Options.
Rios-Russo JL, Lozada-Bado LS, de Mel S, Frontera W, Micheo W
Curr Sports Med Rep 2021 Jun 1;20(6):312-318. doi: 10.1249/JSR.0000000000000853. PMID: 34099609
Management of posttraumatic radioulnar synostosis.
Bergeron SG, Desy NM, Bernstein M, Harvey EJ
J Am Acad Orthop Surg 2012 Jul;20(7):450-8. doi: 10.5435/JAAOS-20-07-450. PMID: 22751164

Recent clinical studies

Etiology

Correction of "Wrist" Deformity in Radial Dysplasia: A Systematic Review and Meta-Analysis.
Murphy GRF, Logan MPO, Smith G, Sivakumar B, Smith P
J Bone Joint Surg Am 2017 Dec 20;99(24):2120-2126. doi: 10.2106/JBJS.17.00164. PMID: 29257019Free PMC Article
Oligodactyly with Thumb.
Baek GH, Kim J
J Hand Surg Asian Pac Vol 2016 Oct;21(3):283-91. doi: 10.1142/S2424835516400087. PMID: 27595943
Familial radioulnar synostosis.
Spritz RA
J Med Genet 1978 Apr;15(2):160-2. doi: 10.1136/jmg.15.2.160. PMID: 641954Free PMC Article
Ulnar dysmelia.
Ogden JA, Watson HK, Bohne W
J Bone Joint Surg Am 1976 Jun;58(4):467-75. PMID: 818089
Dysmelia. A classification and a pattern of malformation in a group of congenital defects of the limbs.
Henkel L, Willert HG
J Bone Joint Surg Br 1969 Aug;51(3):399-414. PMID: 5820783

Diagnosis

Congenital Radioulnar Synostosis.
Rutkowski PT, Samora JB
J Am Acad Orthop Surg 2021 Jul 1;29(13):563-570. doi: 10.5435/JAAOS-D-20-01133. PMID: 33826558
Missed Pediatric Monteggia Fractures.
Hubbard J, Chauhan A, Fitzgerald R, Abrams R, Mubarak S, Sangimino M
JBJS Rev 2018 Jun;6(6):e2. doi: 10.2106/JBJS.RVW.17.00116. PMID: 29870420
Congenital malformations of the hand and forearm.
Buck-Gramcko D
Chir Main 2002 Mar;21(2):70-101. doi: 10.1016/s1297-3203(02)00103-8. PMID: 11980346
Meitens' syndrome.
Nagano A, Kurokawa T, Tachibana S, Tsuyama N
Arch Orthop Unfallchir 1977 Jul 29;89(1):81-6. doi: 10.1007/BF00414827. PMID: 889539
The Madelung deformity.
Matev I, Karagancheva S
Hand 1975 Jun;7(2):152-8. PMID: 1205348

Therapy

Correction of "Wrist" Deformity in Radial Dysplasia: A Systematic Review and Meta-Analysis.
Murphy GRF, Logan MPO, Smith G, Sivakumar B, Smith P
J Bone Joint Surg Am 2017 Dec 20;99(24):2120-2126. doi: 10.2106/JBJS.17.00164. PMID: 29257019Free PMC Article
Proximal radio-ulnar synostosis with bone marrow failure syndrome in an infant without a HOXA11 mutation.
Castillo-Caro P, Dhanraj S, Haut P, Robertson K, Dror Y, Sharathkumar AA
J Pediatr Hematol Oncol 2010 Aug;32(6):479-85. doi: 10.1097/MPH.0b013e3181e5129d. PMID: 20562651
Unilateral and asymmetric limb defects in man: delineation of the femur-fibula-ulna complex.
Lenz W, Feldmann U
Birth Defects Orig Artic Ser 1977;13(1):269-85. PMID: 851600
Congenital fusion of bones: radiology, embryology and pathogenesis.
McCredie J
Clin Radiol 1975 Jan;26(1):47-51. doi: 10.1016/s0009-9260(75)80011-0. PMID: 1122695
Dysmelia. A classification and a pattern of malformation in a group of congenital defects of the limbs.
Henkel L, Willert HG
J Bone Joint Surg Br 1969 Aug;51(3):399-414. PMID: 5820783

Prognosis

TBX3 and EFNA4 Variant in a Family with Ulnar-Mammary Syndrome and Sagittal Craniosynostosis.
Tung ML, Chandra B, Kotlarek J, Melo M, Phillippi E, Justice CM, Musolf A, Boyadijev SA, Romitti PA, Darbro B, El-Shanti H
Genes (Basel) 2022 Sep 14;13(9) doi: 10.3390/genes13091649. PMID: 36140816Free PMC Article
Congenital malformations of the hand and forearm.
Buck-Gramcko D
Chir Main 2002 Mar;21(2):70-101. doi: 10.1016/s1297-3203(02)00103-8. PMID: 11980346
Madelung's deformity.
Peh WC
Am J Orthop (Belle Mead NJ) 2001 Jun;30(6):512. PMID: 11411879
Radioulnar synostosis.
Sachar K, Akelman E, Ehrlich MG
Hand Clin 1994 Aug;10(3):399-404. PMID: 7962146
Ulnar dysmelia.
Ogden JA, Watson HK, Bohne W
J Bone Joint Surg Am 1976 Jun;58(4):467-75. PMID: 818089

Clinical prediction guides

Congenital Radioulnar Synostosis.
Rutkowski PT, Samora JB
J Am Acad Orthop Surg 2021 Jul 1;29(13):563-570. doi: 10.5435/JAAOS-D-20-01133. PMID: 33826558
Correction of "Wrist" Deformity in Radial Dysplasia: A Systematic Review and Meta-Analysis.
Murphy GRF, Logan MPO, Smith G, Sivakumar B, Smith P
J Bone Joint Surg Am 2017 Dec 20;99(24):2120-2126. doi: 10.2106/JBJS.17.00164. PMID: 29257019Free PMC Article
Oligodactyly with Thumb.
Baek GH, Kim J
J Hand Surg Asian Pac Vol 2016 Oct;21(3):283-91. doi: 10.1142/S2424835516400087. PMID: 27595943
Ulnar ray deficiency.
Schmidt CC, Neufeld SK
Hand Clin 1998 Feb;14(1):65-76. PMID: 9526157
Ulnar dysmelia.
Ogden JA, Watson HK, Bohne W
J Bone Joint Surg Am 1976 Jun;58(4):467-75. PMID: 818089

Recent systematic reviews

Results after treatment of congenital radioulnar synostosis: a systematic review and pooled data analysis.
Barik S, Farr S, Gallone G, Zarantonello P, Trisolino G, Di Gennaro GL
J Pediatr Orthop B 2021 Nov 1;30(6):593-600. doi: 10.1097/BPB.0000000000000841. PMID: 33315801Free PMC Article
Olecranon Fracture through Persistent Olecranon Apophysis in a 21-Year-Old Male: A Case Report and Systematic Review of the Literature.
Twu J, Landy DC, Wolf JM
J Hand Surg Asian Pac Vol 2020 Mar;25(1):110-113. doi: 10.1142/S2424835520720017. PMID: 32000610
Correction of "Wrist" Deformity in Radial Dysplasia: A Systematic Review and Meta-Analysis.
Murphy GRF, Logan MPO, Smith G, Sivakumar B, Smith P
J Bone Joint Surg Am 2017 Dec 20;99(24):2120-2126. doi: 10.2106/JBJS.17.00164. PMID: 29257019Free PMC Article
Systematic review: functional outcomes and complications of intramedullary nailing versus plate fixation for both-bone diaphyseal forearm fractures in children.
Patel A, Li L, Anand A
Injury 2014 Aug;45(8):1135-43. Epub 2014 May 2 doi: 10.1016/j.injury.2014.04.020. PMID: 24845408
Clinical prevalence of palmaris longus agenesis: a systematic review and meta-analysis.
Yammine K
Clin Anat 2013 Sep;26(6):709-18. Epub 2013 Jul 3 doi: 10.1002/ca.22289. PMID: 23825029

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