Unilateral Ulnar Hemimelia with Humeroradial Synostosis and Oligodactyly: A Rare Congenital Limb Anomaly

Ulnar hemimelia (UH), a rare congenital skeletal condition, is frequently linked to other upper limb abnormalities and is characterized by the partial or total absence of the ulna. We describe a rare instance of a 12-year-old patient with unilateral UH, humeroradial synostosis, and oligodactyly. The patient presented with obvious left upper limb shortening and functional limitations. The absence of the ulna, fusion of the humerus and radius, and the underdeveloped digits were all verified by radiographic examination. This case emphasizes the phenotypic variability linked to UH and contributes to the small body of literature on such complex presentations. In order to improve function and quality of life, management prioritized physiotherapy, supportive care, and regular follow-up for possible surgical procedures. For the best outcomes, early detection and a multidisciplinary approach are crucial.

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Journal
Annals of African Medicine
Published
2025-12-05
DOI
https://doi.org/10.4103/aam.aam_266_25
Primary Topic
Congenital limb and hand anomalies
Type
article
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article

Unilateral Ulnar Hemimelia with Humeroradial Synostosis and Oligodactyly: A Rare Congenital Limb Anomaly

M. Desai, Purnachandra Lamghare
Annals of African Medicine
Congenital limb and hand anomalies
article

Unilateral Ulnar Hemimelia with Humeroradial Synostosis and Oligodactyly: A Rare Congenital Limb Anomaly

M. Desai, Purnachandra Lamghare
article en

Abstract

Ulnar hemimelia (UH), a rare congenital skeletal condition, is frequently linked to other upper limb abnormalities and is characterized by the partial or total absence of the ulna. We describe a rare instance of a 12-year-old patient with unilateral UH, humeroradial synostosis, and oligodactyly. The patient presented with obvious left upper limb shortening and functional limitations. The absence of the ulna, fusion of the humerus and radius, and the underdeveloped digits were all verified by radiographic examination. This case emphasizes the phenotypic variability linked to UH and contributes to the small body of literature on such complex presentations. In order to improve function and quality of life, management prioritized physiotherapy, supportive care, and regular follow-up for possible surgical procedures. For the best outcomes, early detection and a multidisciplinary approach are crucial.

Annals of African Medicine
Dr. D. Y. Patil Medical College, Hospital and Research Centre (IN)
Openalex Percentile: Top 64%
Congenital limb and hand anomalies
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Unilateral Ulnar Hemimelia with Humeroradial Synostosis and Oligodactyly: A Rare Congenital Limb Anomaly — M. Desai, Purnachandra Lamghare · Annals of African Medicine (2025) | TGRS Research Map | TGRS