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Epididymal Appendageal Torsion
Joseph Junewick, MD FACR
over 5 years ago
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Radioulnar Synostosis

Case Detail

Anatomy: Musculoskeletal
Junewick
Joseph Junewick, MD FACR
Diagnostic Category: Genetic or Congenital
Created: over 8 years ago
Updated: over 7 years ago
Tags: PEDS
Modality/Study Types: CR
Activities:
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History

Infant with limited range of motion.


Case Images


Diagnosis

Radioulnar sysostosis.

Findings

Dysmorphic posteriorly displaced proximal radius.
Bowed mid and distal radius with widened interosseous space.

Discussion

The radius and ulna originate from a single block of mesenchyme which segments distal to proximal. Therefore, radioulnar synostosis almost always involves the proximal forearm. The fusion may not be evident in infancy secondary to incomplete ossification of the cartilaginous block. Radioulnar synostosis is often bilateral (>50%), more common in males, and occasionally associated with abnormal karyotype.

Reference

Ozonoff MB. Pediatric Orthopedic Radiology, 2nd Edition. WB Saunders Co 1992.



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