Biniamtadesse¹, Ararso Gonfa¹, Teshome Eshetu¹ and Habtewold Mulat²*

¹Orthopedic and Trauma Surgery Residents at St. Paul Millennium Medical College, Aabet Hospital, Addis Ababa, Ethiopia
²Assistant Professor, Orthopedic and trauma surgeon at St. Paul Millennium Medical Collage, Aabet Hospital, Addis Ababa, Ethiopia and Member of College of Surgeons in Central, East and South Africa

*Corresponding Author: Habtewold Mulat, Assistant Professor, Orthopedic and trauma surgeon at St. Paul Millennium Medical Collage, Aabet Hospital, Addis Ababa, Ethiopia and Member of College of Surgeons in Central, East and South Africa.

Received: November 02, 2021; Published: December 02, 2021

Abstract

Introduction: Congenital deformity reported in mirror hand is rare in literature, usually ulna is doubled and faces each other or follows each other. The etiology suggested is probably failure of differentiation of part of the ray than its pure duplication.

Presentation of Case: We present a case of mirror hand (ulna diamelia) in 1-hour old female born from gravid seven, Para four, abortion two mother at term with birth weight 2.5 kilogram with normal APGAR score.

Discussion: Duplication of ulna is an extremely rare anomaly. The radial sided ulna is almost always hypo plastic and short and the hand is deviated to radial side and the limb is shorter than the contra lateral side, according to international federation society of surgery of the hand it is classified as duplication. But because the complete substitution of the radial components this anomaly is not absolutely classified as pure duplication.

Conclusion: Even if it is rare clinical condition with unknown exact etiology, it needs early diagnosis and intervention especially with in the first two years of life to have functional as well as cosmetically acceptable hand, forearm and elbow.

Keywords: Ulnar Diamelia, Mirror Hand

References

1. , et al. “Ulnar dimelia diagnosis and management of a rare congenital anomaly of the upper limb”. Journal of Orthopedics 12 (2015): S121-S124.
2. Yang SS., et al. “A rare variant of mirror hand: a case report”. Journal of Hand Surgery 21A (1996): 1048-1051.
3. Apiou F., et al. “Fine mapping of human HOX gene clusters”. Cytogenetic and Genome Research 73 (1996): 114-115.
4. Chinegwundoh JOM., et al. “Ulnar dimelia is true duplication of the ulna”. Journal of Hand Surgery1 (1997): 77-79.
5. Namdev Rupesh. “Ulnar dimelia”. Radiology Reference Article/Radiopaedia.Org.

Citation

Citation: Habtewold Mulat., et al. “Case Report on Ulna Diamelia (Mirror Hand) at St. Luke Catholic Hospital, Woliso".Acta Scientific Orthopaedics 5.1 (2022): 02-04.

Copyright

Copyright: © 2022 Habtewold Mulat., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.