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CLINICAL IMAGE
Year : 2020  |  Volume : 152  |  Issue : 7  |  Page : 214

A differently-abled child with bilateral congenital radial longitudinal deficiency


Department of Physical Medicine & Rehabilitation, All India Institute of Medical Sciences, New Delhi 110 029, India

Date of Submission20-Nov-2019
Date of Web Publication25-May-2021

Correspondence Address:
S L Yadav
Department of Physical Medicine & Rehabilitation, All India Institute of Medical Sciences, New Delhi 110 029
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijmr.IJMR_2346_19

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How to cite this article:
Swarnakar R, Yadav S L. A differently-abled child with bilateral congenital radial longitudinal deficiency. Indian J Med Res 2020;152, Suppl S1:214

How to cite this URL:
Swarnakar R, Yadav S L. A differently-abled child with bilateral congenital radial longitudinal deficiency. Indian J Med Res [serial online] 2020 [cited 2021 Aug 4];152, Suppl S1:214. Available from: https://www.ijmr.org.in/text.asp?2020/152/7/214/316833

The child's ascent and patient's consent obtained to publish clinical information and images.


A right-handed 11 yr old male child presented to the Physical Medicine and Rehabilitation outpatient department, All India Institute of Medical Sciences, New Delhi, India, with hand deformity in February 2018. On examination, bilateral radial longitudinal deficiency (Modified Bayne Type-IV) was found [Figure 1]. X-ray [Figure 2] also confirmed the clinical findings. A comprehensive hand-rehabilitation emphasizing on hand-function training was followed. At one-month follow up, ten coordinated hand-activities assessment (Disability Assessment Guidelines, The Gazette of India) showed that he was able do all activities with minimal to no assistance. The present case highlighted that even in the most severe form (Type-IV), the patient could write well (Video) and had good hand function which is a rare finding in this rare congenital condition. Hand rehabilitation focusing on exercises to improve hand-function without surgical intervention may show positive results in such selected cases.
Figure 1: (A) Dorsal aspect and (B) palmar aspect of both hands showing the absence of thumbs bilaterally in a case of congenital bilateral radial longitudinal deficiency.

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Figure 2: X-ray images of bilateral hands and forearm. (A) right hand and forearm in two different views showing bowing of ulnar bone (white arrows), absence of radius (red arrow) and absence of thumb and (B) left hand and forearm in two different views showing bowing of ulnar bone (white arrows), absence of radius (red arrow) and absence of thumb.

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[Additional file 1]

Conflicts of Interest: None.


    Figures

  [Figure 1], [Figure 2]



 

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