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Unilateral congenital proximal radioulnar synostosis in a 4-year-old boy: A case report

Emmanuel Kobina Mesi Edzie1, Klenam Dzefi-Tettey2, Edmund Kwakye Brakohiapa3

  • 1Department of Medical Imaging, School of Medical Sciences, College of Health and Allied Sciences, University of Cape Coast, Pedu Interberton Road, Cape Coast, Opposite main gate of Cape Coast Teaching Hospital, Ghana.

Radiology Case Reports
|February 17, 2023
PubMed

Insights

Congenital radioulnar synostosis is a rare elbow disorder caused by fused bones. Early diagnosis and treatment, including surgery and psychotherapy, are crucial for managing this condition and its psychosocial impact.

Area of Science:

  • Orthopedics
  • Pediatric Orthopedics
  • Musculoskeletal Disorders

Background:

  • Congenital radioulnar synostosis is a rare musculoskeletal disorder characterized by the fusion of the proximal radioulnar joint.
  • This condition affects elbow function and can present with varying degrees of severity.
  • Early presentation to healthcare facilities is common, depending on the functional impact of the synostosis.

Observation:

  • Patients with congenital radioulnar synostosis often seek medical attention early in life.
  • The severity of the bone fusion directly influences the degree of elbow dysfunction.
  • Significant deformities can lead to notable psychosocial effects as individuals mature.

Findings:

  • The fusion of the proximal radioulnar joint is the primary pathological finding.
  • Functional limitations and cosmetic deformities are key clinical observations.
  • Psychosocial challenges are frequently associated with more pronounced physical manifestations.

Implications:

  • Timely diagnosis and intervention are essential for optimizing functional outcomes.
  • Treatment strategies may include conservative management, surgical correction, or psychotherapy.
  • Addressing both the physical and psychosocial aspects is vital for comprehensive patient care.

Keywords:
CongenitalGhanaProximalRadioulnar synostosisUnilateral

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