Elbow problem since birth: possible congenital radioulnar synostosis


Q: Hai Doctor I am Rizwan(21) By birth my left hand elbow have some problem Doctor said that two bones of elbow get jointed I am unable to turn my wrist, unable to touch my shoulder and unable to keep my hand palm horizontally straight will you please inform me is there any operation to cure my hand I am waiting for your reply. Thanking you Regards Rizwan....


A:   According to your description, possibly you have a congenital anomaly called: Congenital radioulnar synostosis, in which the proximal radius and ulna are united, this is usually hereditary and in 60% of cases, bilateral. This anomaly causes difficulty holding or using small objects, inability to dress, wiping and feeding. If there are no functional deficits, no surgical correction is needed, but if the deformity leads to a functional loss of the movements of the forearm then there are many surgical techniques described for correction, called derotational osteotomies. You should have a consultation with an orthopedic Surgeon specialist in the area and discuss your surgical options.

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