Rare Anomalies of Shoulder Girdle

Congenital Glenoid Hypoplasia

This malformation is due to failure of formation of the lower and upper glenoid epiphysis. It is characterized in the radiogram by flattening, shallowness, and a denate appeareance of the glenoid cavity.

The lower aspect of the clavicle may be hypertrophied into a bony prominence, and there may be spina bifida in the cervical region.

Often, the abnormality is bilateral and is encountered as an isolated malformation. It may be hereditary. Samilson reported congenital glenoid hypoplasia in three successive generations of the same family.

Occasionally, it is seen in association with other congenital malformations such as Apert’s syndrome, Hurler’s syndrome, aglossia-adactylia, oculodento-osseous dysplasia, Holt-Oram syndrome, and Cornelia De Lange’s syndrome. [Read more...]

Popularity: 2% [?]

Congenital Radioulnar Synostosis

In this uncommon condition there is congenital fusion of the proximal ends of the radius and ulna, fixing the forearm in varying degrees of pronation. In about 60 percent of cases, involvement is bilateral.

Male and female incidence is approximately equal.

There are three types of radioulnar synostosis. [Read more...]

Popularity: 7% [?]

Congenital Dislocation Of The Shoulder

This is a rare abnormality, with few cases recorded. If discovered at birth, it may be congenital, i.e., developed in utero. Often the dislocation is paralytic and not congenital, in which case there is associated paralysis of the musculature of the shoulder such as that seen in obstetrical brachial plexus paralysis. [Read more...]

Popularity: 1% [?]

Pseudarthrosis Of The Clavicle

This rare anomaly was first described by Fitzwilliams. The cause of this curious defect remains obscure. The pseudarthrosis is fully present at birth.

Failure of normal ossification of the precartilaginous bridge connecting the acromial and sternal ossific centers of the clavicle or failure of amalgamation of the two clavicular parts may be the cause of congenital pseudarthrosis.
Familial incidence is reported in some patients, particularly in bilateral cases. There is no genetic pattern. [Read more...]

Popularity: 1% [?]

Dignosis And Treatment of Klippel-Feil syndrome

This is last article in discussion of Klippel Feil Syndrome. We have discusesed cause and associated anomalies. We would be discussing Diagnosis and treatment today.

Radiological examination is important in establishing a diagnosis and in determining the extent of the deformity. [Read more...]

Popularity: 1% [?]

List of Associated Anomalies in Klippel-Feil Syndrome

Musculoskeletal System

Relatively Common:
Scoliosis
Sprengel’s deformity
Torticollis
Pterygium colli

[Read more...]

Popularity: 1% [?]

Klippel-Feil Syndrome-Overview and Clinical Presentation

The Klippel-Feil syndrome is also known as congenital synostosis of the cervical vertebrae, or brevicollis. It is a rare malformation in which there is congenital fusion of two or more vertebrae in the cervical region.

It is manifested clinically by

  • Shortening of the neck
  • Limitation of neck motion
  • Low posterior hairline.

There is a risk of less apparent but serious accompanying abnormalities of the genitourinary, cardiopulmonary and nervous systems. [Read more...]

Popularity: 1% [?]

Xray of Fracture of Upper End of Humerus

Following image depicts an xray of 5 years old woman who sufffered fracture of upper end of left humerus after a trivial fall.

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Popularity: 5% [?]

Height Gene Linked To Osteoarthritis Too

Common genetic variants associated with osteoarthritis may also play a role in determining a person’s height, according to a U.S.-European study which included an analysis of the genomes of more than 35,000 people.

Many genes control height, but only a few are associated with osteoarthritis.

The findings also add to overall understanding of height. [Read more...]

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Congenital Muscular Torticollis-Diagnosis and Treatment

This article is in continuation with our previous article on torticollis

Diagnosis

Recognition of congenital muscular torticollis is not usually difficult because of the characteristic cordlike contracture of the sternocleidomastoid muscle. The early fusiform tumor may escape notice. Postural torticollis should be distinguished from congenital muscular torticollis.

The postural deformation is caused by intrauterine malposture, and the deformity is less severe. Although the sternocleidomastoid muscle is shortened, there is no true fibrotic replacement of the muscle. Often there are other findings associated with intrauterine malposture such as pelvic obliquity with abduction-adduction contracture of the hips, or postural metatarsus varus or valgus.

Postural torticollis responds quickly to passive manipulative stretching. I [Read more...]

Popularity: 2% [?]