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February 1946

PROGRESS IN ORTHOPEDIC SURGERY FOR 1944 A Review Prepared by an Editorial Board of the American Academy of Orthopaedic Surgeons: XVI. Conditions Involving the Elbow, the Forearm, the Wrist and the Hand

Arch Surg. 1946;52(2):197-209. doi:10.1001/archsurg.1946.01230050201008

Elbow.  —An unusual case of radiohumeral synostosis is reported by Frankel.511 The patient died of nephritis at the age of 23, and a postmortem examination was obtained. The radius was firmly ankylosed to the humerus. The ulna was rudimentary. The arms were symmetrically short and atrophic.No similar deformity had occurred in the parents or in members of their families, who were healthy and prolific. There were 7 siblings, 4 with the same deformity. One sister died at 10 years, after a tonsillectomy. She probably had renal disease. A 19 year old brother had the identical deformity. He was apparently normal otherwise, but laboratory studies showed gross deficiency in renal function. A sister, aged 16, had the same deformity. She was 1 of twins, the other being a normal boy. There was no evidence of renal disease.In all the affected persons, there was absence or abnormality of one

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