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Sigmoid Volvulus
Joseph Junewick, MD FACR
over 7 years ago
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Brachymetacarpalia

Case Detail

Anatomy: Musculoskeletal
Junewick
Joseph Junewick, MD FACR
Diagnostic Category: Developmental or Congenital
Created: over 7 years ago
Updated: over 7 years ago
Tags: PEDS
Modality/Study Types: CR
Activities:
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History

Injury, rule out fracture.


Case Images


Diagnosis

Brachymetacarpalia

Findings

CR – PA view of the thumb demonstrates a short and broad 1st metacarpal with closed epiphysis and enlarged greater multangular bone.

Discussion

Etiology of short 1st metacarpals depends upon its width and the association of other abnormalities. A short and thin 1st metacarpal may be familial. A short thin 1st metacarpal with other hand/wrist deformities may be associated with radial ray hypoplasia syndromes or Fanconi anemia. A short thin 1st metacarpal may also be associated with Taybi-Linder syndrome, 18 q- syndrome, and Juberg-Hayward syndrome. A short normal width or broad 1st metacarpal may be idiopathic or related to arthritis, infection, trauma, neoplasm (ostechondroma), or sickle cell disease.

Reference

Poznanski AK. The hand in radiologic diagnosis with gamuts in pattern profiles. WB Saunders Co (1984).



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