PMC6612976_01
Clinical photograph of the patient with bilateral upper limb meromelia.
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On physical examination, all skeletal elements beyond his left elbow and right wrist, and the fifth finger of his left foot were found to be absent (Figure 1).
Clinical photograph of the patient with oligodactyly of the left foot.
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He had oligodactyly of the left foot (Figure 2).
Anteroposterior radiographs of the right (a) and the left (b) arms demonstrating the absence of the right hand with well-developed radius and ulna, and the absence of the left forearm distal to the elbow where there are small radial and ulnar segments participating in the elbow joint. There is a rudimentary bone of about 1 cm in the medial neighborhood of the medial aspect of the right distal ulna.
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There was a rudimentary bone of about 1 cm in the medial neighborhood of the distal ulna (Figure 3(a)). Anteroposterior radiograph of the left arm demonstrated that the proximal forearm segment participating in the elbow joint structure was small but present, while the radius and ulna distal to this point were absent (Figure 3(b)).
Anteroposterior (a), lateral oblique (b), and mediolateral (c) radiographs of the left foot demonstrate the absence of the fifth finger and the lateral cuneiform. The second to fourth fingers are short. The number, size, and joint relations of the other bones forming the foot are normal.
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The number, size, and joint relations of the other bones forming the foot were normal (Figure 4).
Magnified anteroposterior (a) and lateral oblique (b) radiographs of the left foot show that the middle phalanges of the second and third fingers are shorter than the distal phalanges, and the middle phalanx of the fourth finger is absent.
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Magnified anteroposterior and lateral oblique radiographs of the left foot showed that the middle phalanges of the second and third fingers were shorter than the distal phalanges, and the middle phalanx of the fourth finger was absent (Figure 5).