Surgical correction of club hand by radialization of ulna and leaving distal epiphysis in situ: a case study

Manoj Kumar Reddy Vusthepalli; Prabodh Kumar Dake; Killi Aswith Ram; Chalumuri Navya

doi:10.18203/issn.2455-4510.IntJResOrthop20263954

Authors

Manoj Kumar Reddy Vusthepalli Department of Orthopaedics, GSL Medical College, Lakshmipuram, Rajanagaram, Rajahmundry Andhra Pradesh, India https://orcid.org/0009-0007-9077-3603
Prabodh Kumar Dake Department of Orthopaedics, Narasanna Nagar, Buddha Vihar Street, Kakinada, Andhra Pradesh, India https://orcid.org/0009-0005-9426-2400
Killi Aswith Ram Department of Orthopaedics, GSL Medical College, Lakshmipuram, Rajanagaram, Rajahmundry Andhra Pradesh, India
Chalumuri Navya Department of Orthopaedics, Rangaraya Medical College & GGH, JNTU Road Pitapuram, Kakinada, Andhra Pradesh, India

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20263954

Keywords:

Radialization, Distal epiphysis, Club hand, Apical ectodermal ridge, Sonic hedge hog gene

Abstract

Radial club hand is a very rare congenital anomaly which gives deformity as well as functional disability. A 2-year-old female child presented with a radially deviated wrist and an absent thumb on the left side. She was unable to use her left hand. We performed the surgery by radialization of the ulna, leaving the distal epiphysis of the ulna in situ. The leftover distal epiphysis of the ulna started growing proximally and joined the radialized ulna, which provided additional stability to the wrist. The outcome of the procedure was successful, with improved functionality and cosmesis. The procedure was deemed safe with no recurrence in the short term for one year. Further research and long-term follow-up are needed to assess any potential complications associated with this procedure. This case is reported to enlighten the readers about the new technique for treating a rare disorder.

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