Skip to main content
. 2022 Apr 16;12:6388. doi: 10.1038/s41598-022-10292-y

Figure 7.

Figure 7

Two females, 4210 and 13,824, from the RSNA study with 10 and 9 accepted tubular bones. Ray 2 is missing in the first image, which causes the Bone Health Index analysis to fail (indicated by the code 3). The radial epiphysis is abnormally thickened and there is pronounced positive ulnar variance. The first digit is likely to be a pollicised index finger following surgery for thumb aplasia or severe hypoplasia; a likely case of radial longitudinal reduction defect. The second image shows brachydactyly in the middle phalanges. Finger 1 has two epiphyses in the metacarpal, and either a thick epiphysis in the distal phalanx or an extra short phalanx; the thumb is somewhat ‘finger-like’. The second and fifth digits similarly appear biphalangeal with large epiphyses of the distal phalanges. Digits 3 and 4 show middle phalangeal hypoplasia. Appearances suggest an underlying genetic disorder of hand-development requiring further evaluation.