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Prehistoric radio-ulnar synostosis

Implications for function

Bibliographic Data

ID12371396
AuthorsSusan C Ant�n (University of Florida, corresponding author), Gina M Polidoro (Wake Forest University)
Year2000
Volume10
Issue3
Pages189-197
Publication date2000-01-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInternational Journal of Osteoarchaeology (JOURNAL)
Journal identifiersISSN: 1047-482X • E-ISSN: 1099-1212
PublisherWiley (PUBLISHER • GB)
DOI10.1002/1099-1212(200005/06)10:3<189::aid-oa521>3.0.co;2-g
OpenAlexW2057874919
LanguageEN
Citations received6
References cited22

Proximal radio-ulnar synostosis (RUS) may occur congenitally, either as an isolated condition or as part of a syndrome, or it may occur as a secondary complication of forearm trauma. We provide a key for the differential diagnosis of congenital versus traumatic RUS, and for differentiation between types of congenital RUS. Congenital cases (CRUS) include absence of fracture, radial head abnormalities, radial shaft bowing, and absence of a sigmoid notch, whereas post-traumatic RUS results from either radial neck fracture or evulsion of the biceps brachii, followed by ossification of the resulting haematoma or of the interosseous (IO) membrane. Congenital cases include those which result from incompetent differentiation of the single mesenchymal mass that gives rise to the radius and ulna (Type I) and those that result from radial head dislocation in utero, resulting usually from humeral or ulnar defects (Type II). Type II CRUS can be differentiated by the presence of radial overgrowth, among other factors. Following these guidelines, we describe and compare the morphology of three congenital cases from North America. Two present bony fusions and one a functional fusion with radial overgrowth. In each case, CRUS significantly limits both supination and pronation. Despite differences among the cases, several morphological accommodations are shared as a result of fixation in the neutral (semi-pronated) position. These changes include the ventral migration of the IO crests of the ulnae and enlargement of the dorsal tubercles of the radius. Understanding the pattern of accommodations made in the face of compromised function ultimately increases our understanding of the patterns of growth in normal functional regimes. Copyright © 2000 John Wiley & Sons, Ltd

Brachioradialis · Deformity · Elbow · Forearm · Interosseous membrane · Ossification · Radial head · Synostosis · Ulna · Wrist · Congenital limb and hand anomalies · Medicine · Neurogenetic and Muscular Disorders Research · Williams Syndrome Research · Anatomy · Surgery

  • Care in Late Antiquity

    Open Access•Rubén Sáez, María Edén Fernández Suárez et al.•Journal of Archaeological Science…•2024

  • Bilateral congenital radioulnar synostosis in an Early Horizon subadult burial from the site of Atalla, Peru

    Open Access•Daniela Wolin, Michelle Elizabeth Young et al.•International Journal of…•2020

  • Rare congenital anomaly among population of the Migration Period (based on excavations in the Eastern Aral region)

    Open Access•Maria Mednikova•Vestnik arheologii, antropologii…•2020

  • A Case of Congenital Radioulnar Synostosis from Prehispanic Peru

    Open Access•Anne R Titelbaum, John W Verano•International Journal of…•2015

  • A rare case of congenital humeroradioulnar synostosis from medieval Pawłów Trzebnicki, Poland

    Open Access•Victoria Swenson, A E Spinek et al.•International Journal of…•2020

  • History of Health at Cayo Santiago—An Investigation of Environmental and Genetic Influences on the Skeletal Remains of the Introduced Rhesus Macaque ( Macaca mulatta ) Colony

    Open Access•George Francis, Q Wang•American Journal of Primatology•2025

Unique citing works6
Citations per year0,55
Citation span2015 - 2025 (11)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 3

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