Congenital Radiocubital Synostosis. Case report

Authors

DOI:

https://doi.org/10.55204/scc.v2i2.e41

Keywords:

synostosis, Radioulnar, Congenital, Bilateral, Treatment

Abstract

Introduction: congenital radioulnar synostosis is a malformation developed in early fetal life, classified as a rare condition. It consists of a heterotopic ossification of the interosseous membrane of the forearm that blocks rotational movements, considerably limiting the performance of daily activities. It has a family inheritance pattern, autosomal dominant, without sex predilection and is bilateral in 60 to 80% of cases. This case report presents a 5-year-old male patient of indigenous ethnicity who resides in the city of Sucúa, canton of the province of Morona Santiago, diagnosed with bilateral congenital radioulnar synostosis for 1 year.

General objective: to carry out an update on congenital radioulnar synostosis and report of a clinical case presented at the Basic Hospital of Sucúa.

Conclusions: congenital radioulnar synostosis is a rare disease, difficult to identify in the first years of life. Image analysis of bone fusion of the proximal ends of the ulna and radius bones by radiography or computed tomography is currently the only validated method of diagnosis. Surgical treatment is appropriate before the infant begins school life, due to the recovery and rehabilitation time that this type of surgery requires. As there is no gold standard of treatment, the patient must be treated according to the degree of disability they present.

Downloads

Download data is not yet available.

References

Martínez-Martínez F, Moreno-Fernández J, García-López A, Izquierdo-Santiago V, Illan-Franco S. Tratamiento de la sinostosis radiocubital proximal mediante la interposición de colgajo interóseo posterior de flujo anterógrado. Revista Española de Cirugía Ortopédica y Traumatología. 2014;58(2):120-4.

Siemianowicz A, Wawrzynek W, Besler K. Congenital radioulnar synostosis – case report. Pol J Radiol. 2010;75(4):51-4.

Abad H, Parra J, Enríquez J. Osteotomía desrotadora para el tratamiento de la sinostosis congénita radiocubital proximal. Rev Metro Ciencia. 2016;24(2):59-63.

Iyoko IK, Iyoko II, Essien M, Henshaw J. Congenital proximal radioulnar synostosis—a case report. Radiology Case Reports. 2020;15(8):1313-6.

Jia Y, Geng G, Song Z, Lv S, Dai B. Congenital unilateral proximal radioulnar synostosis: A surgical case report. Medicine. 2020;99(16):1-7.

Ozdemir M. Congenital Proximal radioulnar synostosis. Eurorad; 2019.

Yang Z, Ni J, Long Z, Kuang L, Tao S. Unusual presentation of congenital radioulnar synostosis with osteoporosis, fragility fracture and nonunion: A case report and review of literature. WJCC. 2020;8(8):1538-46.

Atinuke O, Oyekale O, Adeniyi T. A case report of congenital bilateral proximal radioulnar synostosis in a 22-month-old child. West Afr J Radiol. 2019;26(1):50-2.

Lafai I, Aguilar N, Figueredo H. Sinostosis radio cubital proximal congénita. Revista Cubana de Ortopedia y Traumatología. 2021;35(3):1-7.

Barik S, Farr S, Gallone G, Zarantonello P, Trisolino G, Di Gennaro G. Results after treatment of congenital radioulnar synostosis: a systematic review and pooled data analysis. Journal of Pediatric Orthopaedics B. 2021;30(6):593-600.

Wurapa R. Sinostosis Radiocubital [Internet]. Medscape; 2022. Disponible en: https://emedicine.medscape.com/article/1240467-treatment

Bai F, Chen S, Liu L, Tong D, Pengcheng L, Rong Y, et al. Treatment of Congenital Radioulnar Synostosis Using a Free Vascularized Fascia Lata Graft. Orthopaedic Surgery. 2022;14(6):1229-34.

Xinjian P, Jiuhui H. Efficacy and feasibility of proximal radioulnar derotational osteotomy and internal fixation for the treatment of congenital radioulnar synostosis. J Orthop Surg Res. 2019;14(1):1-7.

Giannicola G, Spinello P, Villani C, Cinotti G. Post-traumatic proximal radioulnar synostosis: results of surgical treatment and review of the literature. Journal of Shoulder and Elbow Surgery. 2020;29(2):329-39.

Dominguez L, Aguilar G. Síndrome de Jorgenson-Lenz: Sinostosis radiocubital y blefarofimosis familiar. Acta Médica Grupo Ángeles. 2005;3(3):191-6.

Balado J, Garcia M, Gianchandani C, Acitores E. ¿Por qué este niño coge mal los cubiertos? Un caso de sinostosis radiocubital. Rev Pediatr Aten Primaria. 2018;20:69-72.

Elliott A, Kibria L, Reed M. The developmental spectrum of proximal radioulnar synostosis. Skeletal Radiol. 2010;39(1):49-54.

Karrar M, Mahmoud J, Taha K, Elamin A, Bakhit N, Noureddin M, et al. Congenital radioulnar synostosis presenting in adulthood - a case report. PAMJ. 2020;36(75):1-5.

Barclay A, Esfandiari A, Nixon M. Traumatic elbow dislocation in a patient with congenital radioulnar synostosis. Shoulder & Elbow. 2022;14(4):434-7.

Li YY, Olisova K, Chen YN, Chang CH, Chang TY. Congenital radioulnar synostosis: is prenatal diagnosis possible? - A case report. Taiwanese Journal of Obstetrics and Gynecology. 2023;62(2):334-5.

Azeem A, Alhojailan K, Awad M, Khaja A. Post-traumatic radioulnar synostosis: a retrospective case series of 10 patients in Kuwait. Journal of Shoulder and Elbow Surgery. 2022;31(8):1595-602.

Hamiti Y, Yushan M, Yalikun A, Lu C, Yusufu A. Derotational Osteotomy and Plate Fixation of the Radius and Ulna for the Treatment of Congenital Proximal Radioulnar Synostosis. Front Surg. 2022;9(888916):1-6.

Li J, Chen K, Wang J, Guo Y, Rai S, Tang X, et al. An anatomical classification of congenital proximal radioulnar synostosis based on retrospective MRI measurement combined with radiography. Sci Rep. 2022;12(1):1-8.

Bishay S. Minimally invasive single-session double-level rotational osteotomy of the forearm bones to correct fixed pronation deformity in congenital proximal radioulnar synostosis. Journal of Children’s Orthopaedics. 2016;10(4):295-300.

Yang C, Liu L, Wei Q, Bai F, Chen S. Quantitative Analysis of Deformity in Digital Model of Congenital Radioulnar Synostosis. Orthopaedic Surgery. 2023;15(5):1348-56.

Downloads

Published

2023-10-31

Issue

Section

Case Report

How to Cite

1.
Congenital Radiocubital Synostosis. Case report. Salud ConCienc. [Internet]. 2023 Oct. 31 [cited 2026 Nov. 3];2(2):e41. Available from: https://salud.puertomaderoeditorial.com.ar/index.php/scc/article/view/41

Similar Articles

1-10 of 50

You may also start an advanced similarity search for this article.