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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

Complex Monteggia Fractures in the Adult Cohort: Injury and Management.
Kim JM, London DA
J Am Acad Orthop Surg 2020 Oct 1;28(19):e839-e848. doi: 10.5435/JAAOS-D-19-00625. PMID: 32649440
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
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
The ulnar impaction syndrome.
Friedman SL, Palmer AK
Hand Clin 1991 May;7(2):295-310. PMID: 1880164
Ulnar dysmelia.
Ogden JA, Watson HK, Bohne W
J Bone Joint Surg Am 1976 Jun;58(4):467-75. PMID: 818089

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
Post-traumatic humero-ulnar synostosis.
Mollen BP, Heesterbeek PJ, de Vos MJ, ten Ham AM
J Pediatr Orthop B 2014 Jul;23(4):379-82. doi: 10.1097/BPB.0000000000000049. PMID: 24732097
Osteomyelitis variolosa.
Andrews MA, Jayan KG
Rheumatol Int 2011 Sep;31(9):1231-3. Epub 2009 Dec 12 doi: 10.1007/s00296-009-1272-1. PMID: 20012626
Developmental biology and classification of congenital anomalies of the hand and upper extremity.
Oberg KC, Feenstra JM, Manske PR, Tonkin MA
J Hand Surg Am 2010 Dec;35(12):2066-76. doi: 10.1016/j.jhsa.2010.09.031. PMID: 21134615

Therapy

Radial longitudinal deficiency. Analysis of clinical and radiological results.
Vergara-Amador E, López Rincón L, Herrera Rodríguez S
Rev Esp Cir Ortop Traumatol (Engl Ed) 2019 May-Jun;63(3):217-226. Epub 2018 Dec 9 doi: 10.1016/j.recot.2018.10.004. PMID: 30541698
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
The effects of radial bowing and complications in intramedullary nail fixation of adult forearm fractures.
Yörükoğlu AÇ, Demirkan AF, Akman A, Kitiş A, Usta H
Eklem Hastalik Cerrahisi 2017 Apr;28(1):30-4. doi: 10.5606/ehc.2017.05. PMID: 28291436
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
Geometrical adaptation in ulna and radius of cerebral palsy patients: measures and consequences.
de Bruin M, van de Giessen M, Vroemen JC, Veeger HE, Maas M, Strackee SD, Kreulen M
Clin Biomech (Bristol, Avon) 2014 Apr;29(4):451-7. Epub 2014 Jan 15 doi: 10.1016/j.clinbiomech.2014.01.003. PMID: 24485089

Prognosis

Complex Monteggia Fractures in the Adult Cohort: Injury and Management.
Kim JM, London DA
J Am Acad Orthop Surg 2020 Oct 1;28(19):e839-e848. doi: 10.5435/JAAOS-D-19-00625. PMID: 32649440
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
Radioulnar synostosis.
Sachar K, Akelman E, Ehrlich MG
Hand Clin 1994 Aug;10(3):399-404. PMID: 7962146
Ulnar deficiency.
Miller JK, Wenner SM, Kruger LM
J Hand Surg Am 1986 Nov;11(6):822-9. doi: 10.1016/s0363-5023(86)80230-1. PMID: 3794237
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
Radial longitudinal deficiency. Analysis of clinical and radiological results.
Vergara-Amador E, López Rincón L, Herrera Rodríguez S
Rev Esp Cir Ortop Traumatol (Engl Ed) 2019 May-Jun;63(3):217-226. Epub 2018 Dec 9 doi: 10.1016/j.recot.2018.10.004. PMID: 30541698
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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