In utero sonographic detection of hand and foot deformities.

Jeanty, P; Romero, R; Dalton, Michelle; Venus, Ingeborg; Jc, Hobbins

doi:10.7863/jum.1985.4.11.595

Cited by 48 publications

(20 citation statements)

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“…The carpal bones are normally not noticeable in the x-ray at this age. It is known that ossification of the phalanges takes place antenatally, while the carpal bones ossify postnatally 6. Limb anomalies can usually be diagnosed by antenatal ultrasound scan; nevertheless, we missed the diagnosis antenatally, mainly due to lack of suspicion for such potential deformities with the use of finasteride in pregnancy.…”

Section: To the Editormentioning

confidence: 96%

Aphalangia possibly linked to unintended use of finasteride during early pregnancy

Sallout¹,

Wadi²

2009

Annals of Saudi Medicine

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Section: To the Editormentioning

confidence: 96%

Aphalangia possibly linked to unintended use of finasteride during early pregnancy

Sallout¹,

Wadi²

2009

Annals of Saudi Medicine

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“…Numerous studies have reported on the feasibility of prenatal diagnosis of trisomy 18 by ultrasonography [6][7][8][9][10][11]. The most common findings include: strawberryshaped head, ventriculomegaly, posterior fossa cyst, facial cleft micrognathia, nuchal edema, diaphragmatic hernia, heart defects, exomphalos, esophageal atresia, renal defects, intrauterine growth retardation and abnormalities of the extremities [12].…”

Section: Discussionmentioning

confidence: 99%

“…In the hands the most common findings are overlapping fingers, persistent abnormal position of the fetal fingers, a clenched wrist, and upper limb reduction such as aplasia or hypoplasia of the radius and thumb [1,6,7,13,14]. Abnormal position of the fetal fingers or clenched fist is the most common finding in trisomy 18, found in 90% of the cases and as Shields et al reported in their series of 35 fetuses with trisomy 18 this may be the only finding in some cases [8].…”

Section: Discussionmentioning

confidence: 99%

Upper Limb Abnormalities as an Isolated Ultrasonographic Finding in Early Detection of Trisomy 18

Makrydimas¹,

Papanikolaou²,

Paraskevaidis³

et al. 2003

Fetal Diagn Ther

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Trisomy 18 is the second most common multisystem malformation syndrome. We present here a case of a fetus with trisomy 18, in which upper limb reduction was detected prenatally, as an isolated defect, at 17 weeks of gestation. The pregnancy was terminated by vaginal administration of misoprostol, and postmortem examination confirmed the ultrasound findings, including bilateral upper limb reduction with radial aplasia, absent first metacarpal and thumb and ventrally hyperflexed hands. This case demonstrates the need for thorough ultrasound evaluation of the fetal hands, as early as possible, because upper limb deformities can be the only abnormality of trisomy 18.

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“…a convex plantar surface is observed, together with posterior bulging of the calcaneus (Fig. 9)(9). Sonographically, this convexity plus protrusion behind the posterior calf line of the heel can be observed.…”

Section: Anomalies Of the Footmentioning

confidence: 99%

Prenatal Sonographic Diagnosis of Focal Musculoskeletal Anomalies

2003

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Focal musculoskeletal anomalies vary, and can manifest as part of a syndrome or be accompanied by numerous other conditions such as genetic disorders, karyotype abnormalities, central nervous system anomalies and other skeletal anomalies. Isolated focal musculoskeletal anomaly does, however, also occur; its early prenatal diagnosis is important in deciding prenatal care, and also helps in counseling parents about the postnatal effects of numerous possible associated anomalies. We have encountered 50 cases involving focal musculoskeletal anomalies, including focal limb dysplasia [radial ray abnormality (n=3), mesomelic dysplasia (n=1)]; anomalies of the hand [polydactyly (n=8), syndactyly (n=3), ectrodactyly (n=1), clinodactyly (n=6), clenched hand (n=5)]; anomalies of the foot [clubfoot (n=10), rockerbottom foot (n=5), sandal gap deformity (n=1), curly toe (n=2)]; amniotic band syndrome (n=3); and anomalies of the focal spine [block vertebra (n=1), hemivertebra (n=1)]. Among these 50 cases, five [polydactyly (n=1), syndactyly (n=2) and curly toe (n=2)] were confirmed by postnatal physical evaluation, two (focal spine anomalies) were diagnosed after postnatal radiologic examination, and the remaining 43 were proven at autopsy.For each condition, we describe the prenatal sonographic findings, and include a brief review.

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In utero sonographic detection of hand and foot deformities.

Cited by 48 publications

References 0 publications

Aphalangia possibly linked to unintended use of finasteride during early pregnancy

Aphalangia possibly linked to unintended use of finasteride during early pregnancy

Upper Limb Abnormalities as an Isolated Ultrasonographic Finding in Early Detection of Trisomy 18

Prenatal Sonographic Diagnosis of Focal Musculoskeletal Anomalies

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