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At least 289 records · Page 16Linked to original sources

Spondylocarpotarsal synostosis with ocular findings.

We report on three sibs presenting with spondylocarpotarsal synostosis, short-trunk dwarfism of postnatal onset, scoliosis, unsegmented thoracic vertebrae with unilateral bar, and carpal bone fusion. Tarsal bone fusion and dental abnormalities were noted in some of them, indicating pleiotropy and intrafamilial variability. Lens opacities, rarefaction of retinal pigmentation, and narrowing of retinal vessels, detected in two patients, are findings that have not been described to date in this condition.

Abnormalities, Multiple↗

Congenital radioulnar synostosis in an active duty soldier: case report and literature review.

Congenital radioulnar synostosis (CRS) is a developmental deformity that interferes with pronation and supination of the upper extremity. CRS often results in functional, cosmetic, and cultural limitations. The purpose of this paper is to present a patient with CRS who is currently functioning as a generator mechanic in the U.S. Army and to review the literature for current treatment options. We know of no other individual in the U.S. Army who is on active duty status with this deformity.

Adolescent↗

[Ball and socket ankle joint and tarsal synostosis (author's transl)].

Ball and socket ankle joints in 4 patients with "tarsal coalition" have first been described by Lamb and later by others. This report deals with a further case. The boy with a congenitally short left leg and absence of the lateral two toes was seen at the age of 4 months. He was again seen at 11 years of age after a sprain of the right ankle. Roentgen-examination showed calcaneotarsal synostosis and a ball and socket ankle joint with a fatigue fracture of the lateral metatarsal. The shape of the ankle joint appears to be part of a non-inheritable congenital defect with early embryonal disturbance of cleft formation in the tarsus.

Abnormalities, Multiple↗

Surgical treatment of posttraumatic radioulnar synostosis in children.

The authors describe two children who underwent surgical treatment of radioulnar synostosis. One case involved simple excision; the other, excision and interposition of Gore-Tex vascular graft material. In a review of the literature, no other report of the latter type of surgical treatment was found. A discussion of the literature concerning this rare complication in children and the current surgical treatment options are included.

Accidental Falls↗

Asymptomatic naviculocuneiform synostosis with a ganglion cyst.

This is the report of a naviculocueniform synostosis in a patient whose primary symptoms were due to a ganglion cyst over the involved area. Only eight patients have been reported in any past literature with this particular condition. This is the first case to present with an overlying ganglion cyst.

Adult↗

Tetraphocomelia and bilateral femorotibial synostosis. A severe variant of the thrombocytopenia-absent radii (TAR) syndrome?

In this report we describe severe tetraphocomelia with complete femorotibial fusion in a second trimester male fetus. The association of severe tetraphocomelia-femorotibial synostosis has previously been reported in three patients as examples of a severe variant of the thrombocytopenia-absent radii (TAR) syndrome. In the present fetus no morphological abnormalities of the megakaryocytes were detected. This observation is not in favour of the hypothesis that abnormalities of the primordial megakaryocytes may be causally related with the pathogenesis of the limb malformations as present in this syndrome.

Ectromelia↗

Proximal tibiofibular synostosis as a source of ankle pain: a case report.

We report the case of a 61-year-old man who presented with ankle pain of unknown etiology. The actual cause for his pain was missed during his two initial visits when only ankle radiographs were taken. During his third visit, a full-length tibia film revealed a proximal tibiofibular synostosis. He successfully underwent a fibular osteotomy with complete symptomatic relief. A literature review of this topic is presented.

Ankle↗

Imaging rounds #103. Myositis ossificans in association with congenital radioulnar synostosis and congenital anterior radial head dislocation.

Although the initial trauma was minimal in this unusual case of bilateral congenital radioulnar synostosis and anterior radial head dislocation associated with myositis ossificans, a progressive decrease in elbow ROM ensued. Manipulation under general anesthesia was performed to improve flexion and extension of the involved elbow. This manipulation most likely initiated or enhanced the process of myositis ossificans in the elbow. Final treatment consisted of reassurance and active ROM exercises, with resolution of symptoms.

Adult↗

Congenital proximal radio-ulnar synostosis: clinical and anatomical features.

A new radiographic classification is proposed based on a study of 31 cases of congenital proximal radio-ulnar synostosis in which close correlation was observed between the clinical and radiographic pictures. The authors attempt to clarify some aspects of the pathogenesis of this rare disease.

Child, Preschool↗

Radioulnar synostosis following proximal radial fracture in child.

A case is presented with an eight-year follow-up of a proximal radial fracture complicated by radioulnar synostosis. The case and a review of the literature reveal that the complication is associated with certain risk factors. These factors include a fracture in a child over ten years of age with a severe degree of angulation, displacement uncorrected over 4 mm, concomitant posterior dislocation of the elbow, treatment by open reductions supplemented with transcapitellar wires, and a fracture treated by late open reduction without osteotomy.

Child↗

Congenital radio-ulnar synostosis.

Thirty-three patients with congenital radio-ulnar synostosis were examined. There was one familial predisposition. Chromosomal patterns were examined in seventeen patients and were normal. Bone maturation appeared normal. The radial deviation angle, in the patients whose distal radial epiphysis had closed, was elevated (Madelung's deformity). However, in the patients whose distal epiphysis maturation score was 8, it was not elevated. On the other hand, elongation of the ulna (plus variant) and/or dorsal dislocation of the distal end of the ulna was seen in early life. In terms of treatment, all attempts to divide the two bones failed. It was found that derotation of the nonwriting hand by an osteotomy through the proximal fusion mass was a useful procedure.

Adult↗

Cranial synostosis and intra-uterine compression: a developmental study of human sutures.

The following hypothetical statements can be made. 1) Increased intra-uterine compression of the human cranium during the third trimester appears to produce sagittal synostosis by irreversibly altering the still immature sutural tissue that separates the parietal bones. 2) Intra-uterine compression does not cause facial sutures to fuse because they are physically shielded by the larger neurocranium and their ligaments are sufficiently mature to survive a chronic compressive force. 3) Postnatal compression of cranial and facial sutures normally does not result in bony fusion because their vascularized, differentiated, mature ligaments are capable of repair and regeneration.

Embryo, Mammalian↗

Illusional tarsometatarsal synostosis.

Two cases are reviewed which presented findings strongly suggesting congenital synostosis between the third metatarsal and third cuneiform bones. Supplementary x-ray films proved these joints to be present and intact. This point, though well known to skeletal radiologists, is worthy of emphasis to nonskeletal radiologists and other physicians.

Diagnosis, Differential↗

Radioulnar synostosis.

Radioulnar synostosis is a rare condition that exists in two forms: congenital and post-traumatic. Although both may involve either a bony or a fibrous union between the radius and ulna, they differ considerably in their etiologies, treatment, and prognosis. This article explores both of these conditions.

Humans↗

Tibiofibular synostosis: a cause of ankle disability.

A syndrome of ankle pain on weight-bearing while running due to post-traumatic ossification of the tibiofibular ligament is described. Pain is caused by failure of normal downward and lateral motion of the fibula. Treatment consists of complete excision of the synostosis, followed by cast immobilization for 3 weeks.

Adult↗

Contracted valgus flat foot caused by tarsal synostosis in the adolescent.

Contracted valgus flat foot in the adolescent is frequently caused by tarsal synostosis or synchondrosis which are often not revealed in common radiographic views, and which may instead by clearly shown by CT scan. These synostoses are prevalently symptomatic during adolescence, when by ossifying they block the subtalar joint in valgus; they are less symptomatic between 20 and 40 years of age. Pain returns during the fifth decade due to the occurrence of secondary arthrosis of the nearby joints.

Adolescent↗

Radiohumeral synostosis, femoral bowing, other skeletal anomalies and anal atresia, a variant example of Antley-Bixler syndrome?

We report a newborn with radiohumeral synostosis, femoral bowing, anal atresia, a prominent nose (pear shaped nose), slender ribs, long tapering fingers with distal camptodactyly, genital hypoplasia and a neonatal humeral fracture. Among the possible differential diagnoses a variant example of Antley-Bixler syndrome is considered to be the most likely final diagnosis.

Abnormalities, Multiple↗