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Bilateral hand malformations with absence of carpal bones with fusion of proximal metacarpals

Ravindra Muralidhar Gurav1, Annasaheb B Patil

  • 1Orthopaedic clinic, Belgaum, Karnataka, India.

Clinical Dysmorphology
|November 9, 2011
PubMed

Insights

This case study details a 14-year-old boy with a congenital left hand deformity, characterized by restricted wrist movement and ulnar deviation. The findings highlight a rare presentation of congenital hand anomaly.

Area of Science:

  • Developmental biology
  • Orthopedic surgery
  • Clinical case reports

Background:

  • Congenital hand deformities represent a spectrum of developmental anomalies affecting hand and wrist structures.
  • Early identification and characterization are crucial for understanding etiology and planning management strategies.
  • This report focuses on a unique case of congenital hand deformity presenting in adolescence.

Observation:

  • A 14-year-old male presented with a lifelong left hand deformity.
  • Clinical examination revealed complete palmar flexion restriction, limited active dorsiflexion (30°), and exaggerated passive dorsiflexion.
  • The left hand exhibited significant ulnar deviation; a small right index finger was also noted. No other dysmorphic features were present.

Findings:

  • The patient displayed a congenital left hand deformity with severe wrist motion limitations.
  • Ulnar deviation of the hand and hyperextensibility during passive dorsiflexion were key clinical findings.
  • The absence of pain or tenderness suggests a non-inflammatory, structural etiology.

Implications:

  • This case underscores the variability in congenital hand anomalies and their clinical manifestations.
  • Understanding such presentations aids in differential diagnosis for pediatric hand conditions.
  • Further investigation may be warranted to elucidate the specific genetic or developmental pathways involved.

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