Scarcity in Plenty: Mirror Hand—A Case Report

Ulnar dimelia is an uncommon congenital anomaly of the hand. An absent thumb, multiple digits, and duplication of the forearm bones characterize it. Here, we have reported a case of a 2-year-old male child who presented to the hand surgery outpatient department of Sri Ramachandra Medical Center, Sri...

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Main Authors: Sriman Narayan Madan Mohan, Subashini Rajendiran, Srinivasan Rajappa
Format: Article
Language:English
Published: Jaypee Brothers Medical Publisher 2025-01-01
Series:Journal of Orthopedics and Joint Surgery
Subjects:
Online Access:https://www.jojs.in/doi/JOJS/pdf/10.5005/jojs-10079-1174
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author Sriman Narayan Madan Mohan
Subashini Rajendiran
Srinivasan Rajappa
author_facet Sriman Narayan Madan Mohan
Subashini Rajendiran
Srinivasan Rajappa
author_sort Sriman Narayan Madan Mohan
collection DOAJ
description Ulnar dimelia is an uncommon congenital anomaly of the hand. An absent thumb, multiple digits, and duplication of the forearm bones characterize it. Here, we have reported a case of a 2-year-old male child who presented to the hand surgery outpatient department of Sri Ramachandra Medical Center, Sri Ramachandra Institute of Higher Education and Research (Deemed to be University), Chennai, Tamil Nadu, India, with ulnar dimelia of the left hand. On examination, he had six well-developed digits and one short digit on the radial end without a thumb. He had a radial deviation of the wrist. Radiological examination revealed seven metacarpals, six triphalangeal digits, and one biphalangeal digit on the radial-most side. No other musculoskeletal abnormalities were noted. The management is aimed at creating a functional and esthetically better-looking hand. The radial-most two digits were disarticulated, and the third digit from the radial side was used for pollicization. Postoperative follow-up showed excellent outcomes regarding function and esthetic appearance.
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spelling doaj-art-6cbfd71e84eb45e5b796af50156875482025-08-20T02:08:31ZengJaypee Brothers Medical PublisherJournal of Orthopedics and Joint Surgery2582-78632025-01-017111211510.5005/jojs-10079-117421Scarcity in Plenty: Mirror Hand—A Case ReportSriman Narayan Madan Mohan0Subashini Rajendiran1Srinivasan Rajappa2Sriman Narayan Madan Mohan, Department of Orthopedics, Sri Ramachandra Medical College and Research Institute, Sri Ramachandra Institute of Higher Education and Research (Deemed to be University), Chennai, Tamil Nadu, India, Phone: +91 8056275991Department of Hand Surgery, Sri Ramachandra Medical Center, Sri Ramachandra Institute of Higher Education and Research (Deemed to be University), Chennai, Tamil Nadu, IndiaDepartment of Hand Surgery, Sri Ramachandra Medical Center, Sri Ramachandra Institute of Higher Education and Research (Deemed to be University), Chennai, Tamil Nadu, IndiaUlnar dimelia is an uncommon congenital anomaly of the hand. An absent thumb, multiple digits, and duplication of the forearm bones characterize it. Here, we have reported a case of a 2-year-old male child who presented to the hand surgery outpatient department of Sri Ramachandra Medical Center, Sri Ramachandra Institute of Higher Education and Research (Deemed to be University), Chennai, Tamil Nadu, India, with ulnar dimelia of the left hand. On examination, he had six well-developed digits and one short digit on the radial end without a thumb. He had a radial deviation of the wrist. Radiological examination revealed seven metacarpals, six triphalangeal digits, and one biphalangeal digit on the radial-most side. No other musculoskeletal abnormalities were noted. The management is aimed at creating a functional and esthetically better-looking hand. The radial-most two digits were disarticulated, and the third digit from the radial side was used for pollicization. Postoperative follow-up showed excellent outcomes regarding function and esthetic appearance.https://www.jojs.in/doi/JOJS/pdf/10.5005/jojs-10079-1174case reportcongenitalfunctional outcomemirror handpollicizationulnar dimelia
spellingShingle Sriman Narayan Madan Mohan
Subashini Rajendiran
Srinivasan Rajappa
Scarcity in Plenty: Mirror Hand—A Case Report
Journal of Orthopedics and Joint Surgery
case report
congenital
functional outcome
mirror hand
pollicization
ulnar dimelia
title Scarcity in Plenty: Mirror Hand—A Case Report
title_full Scarcity in Plenty: Mirror Hand—A Case Report
title_fullStr Scarcity in Plenty: Mirror Hand—A Case Report
title_full_unstemmed Scarcity in Plenty: Mirror Hand—A Case Report
title_short Scarcity in Plenty: Mirror Hand—A Case Report
title_sort scarcity in plenty mirror hand a case report
topic case report
congenital
functional outcome
mirror hand
pollicization
ulnar dimelia
url https://www.jojs.in/doi/JOJS/pdf/10.5005/jojs-10079-1174
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AT subashinirajendiran scarcityinplentymirrorhandacasereport
AT srinivasanrajappa scarcityinplentymirrorhandacasereport