A 21-year-old woman presented with a left-hand deformity that had been present since birth.She had no clear family or genetic history.Physical examination revealed absence of the left metacarpal phalanges and four sof...A 21-year-old woman presented with a left-hand deformity that had been present since birth.She had no clear family or genetic history.Physical examination revealed absence of the left metacarpal phalanges and four soft tissue bulges at the distal end of the wrist(Figure 1a).Digital radiography showed fusion of the lunate and triangular bones of the left wrist,fusion of the scaphoid with the distal row of carpal bones,and an irregular bone with an uneven distal margin.展开更多
文摘A 21-year-old woman presented with a left-hand deformity that had been present since birth.She had no clear family or genetic history.Physical examination revealed absence of the left metacarpal phalanges and four soft tissue bulges at the distal end of the wrist(Figure 1a).Digital radiography showed fusion of the lunate and triangular bones of the left wrist,fusion of the scaphoid with the distal row of carpal bones,and an irregular bone with an uneven distal margin.