ABSTRACT
The Antley-Bixler syndrome is a rare disorder with many musculoskeletal anomalies that demand orthopedic assessment. The syndrome includes skeletal, craniofacial, and urogenital anomalies. The most common skeletal deformities are radiohumeral synostosis, craniosynostosis, multiple joint contractures, and arachnodactyly. Other orthopedic manifestations that may occur are femoral bowing, ulnar bowing, camptodactyly, synostoses of carpal and tarsal bones, clubfoot, vertebral body anomalies, perinatal fractures, and advanced skeletal age. The inheritance pattern is thought to be autosomal recessive. A patient with this syndrome is described, which is the 18th of 24 reports published in the world literature. This case is compared with the other reported cases.
Subject(s)
Abnormalities, Multiple/diagnostic imaging , Clubfoot/diagnosis , Craniosynostoses/diagnostic imaging , Genitalia, Female/abnormalities , Humerus/abnormalities , Marfan Syndrome/diagnostic imaging , Radius/abnormalities , Synostosis , Abnormalities, Multiple/genetics , Clubfoot/genetics , Craniosynostoses/genetics , Fatal Outcome , Female , Humans , Infant, Newborn , Marfan Syndrome/genetics , Radiography , Syndrome , Synostosis/diagnostic imaging , Synostosis/geneticsABSTRACT
A variety of systemic diseases may affect both the hand and eye, leading to profound sensory and functional deficits. The aetiology of some of the most common conditions is reviewed, with an explanation of their manifestations in the hand and eye. Recognition of the association between a hand condition and ocular pathology may aid in diagnosis of a systemic disorder or allow early detection and prevention of ocular disease and loss of vision.
Subject(s)
Functional Laterality/physiology , Psychomotor Disorders/etiology , Psychomotor Performance/physiology , Visual Acuity/physiology , Visual Perception/physiology , Blindness/etiology , Blindness/physiopathology , Humans , Psychomotor Disorders/physiopathology , PsychophysiologySubject(s)
Muscle, Skeletal/abnormalities , Radius Fractures/surgery , Tendon Transfer/methods , Wrist Injuries/surgery , Child, Preschool , Humans , Male , Paralysis/surgery , Peripheral Nerve Injuries , Peripheral Nerves/surgery , Postoperative Complications/surgery , Reoperation , Wrist/innervationABSTRACT
Brachial plexus injury is a rare complication of the fractured clavicle. The authors describe the second reported case of brachial plexus injury due to secondary fracture displacement. This case emphasizes the following points: the neurologic status of the arm after a fracture of the clavicle must be documented; fractures of the middle one-third of the clavicle are prone to displacement; patients should be advised to report immediately any new symptoms in the arm; when fracture displacement is the cause of brachial-plexus compression then a trial of conservative therapy is indicated; the prognosis for neurologic recovery after this injury is good.
