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Ulnar dimelia, also referred to simply as mirror hand, is a very rare congenital disorder characterized by the absence of the radial ray, duplication of the ulna, duplication of the carpal, metacarpal, and phalanx bones, and symmetric polydactyly. In some cases surgical amputation is performed to remove the duplicate carpals, metacarpals and phalanges. As of 2015, approximately 70 cases have been recorded in the medical literature.

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  • Dimelia cubital (es)
  • Ulnar dimelia (en)
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  • Dimelia cubital, también conocida simplemente como mano espejo, es un desorden congénito muy raro que se caracteriza por la ausencia de rayos radiales, la duplicación del cúbito, la duplicación de carpas, metacarpianos, falanges y polidactilia simétrica. En algunos casos se realiza una amputación quirúrgica para extirpar los carpos, metacarpianos y falanges duplicados. Aproximadamente 70 casos a partir de 2015 se han registrado en la literatura médica. (es)
  • Ulnar dimelia, also referred to simply as mirror hand, is a very rare congenital disorder characterized by the absence of the radial ray, duplication of the ulna, duplication of the carpal, metacarpal, and phalanx bones, and symmetric polydactyly. In some cases surgical amputation is performed to remove the duplicate carpals, metacarpals and phalanges. As of 2015, approximately 70 cases have been recorded in the medical literature. (en)
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  • Dimelia cubital, también conocida simplemente como mano espejo, es un desorden congénito muy raro que se caracteriza por la ausencia de rayos radiales, la duplicación del cúbito, la duplicación de carpas, metacarpianos, falanges y polidactilia simétrica. En algunos casos se realiza una amputación quirúrgica para extirpar los carpos, metacarpianos y falanges duplicados. Aproximadamente 70 casos a partir de 2015 se han registrado en la literatura médica. La deformidad ósea también puede acompañar anomalías nerviosas y arteriales en algunos casos debido a la duplicación del nervio cubital, la presencia de arcos arteriales anormales, la arteria cubital duplicada, el acortamiento del nervio radial y la ausencia de arteria radial. El diagnóstico de dimelia cubital se basa en pruebas de laboratorio de planos frontales y sagitales en individuos sospechosos de la afección. Existen dos tipos de dimelia cubital en revistas médicas: la dimelia cubital tipo 1 implica 1 hueso lunado y 1 trapezoidal, así como 1 dedo índice, mientras que la dimelia cubital tipo 2 tiene 2 huesos lunados y 2 trapezoidales, así como 2 dedos índice. La Sociedad Americana de Cirugía de la Mano y la Federación Internacional de Sociedades de Cirugía de la Mano clasificaron la dimelia cubital al 3er grupo de deformidades congénitas de la mano de acuerdo con las características propuestas en la clasificación de Swanson (1976). (es)
  • Ulnar dimelia, also referred to simply as mirror hand, is a very rare congenital disorder characterized by the absence of the radial ray, duplication of the ulna, duplication of the carpal, metacarpal, and phalanx bones, and symmetric polydactyly. In some cases surgical amputation is performed to remove the duplicate carpals, metacarpals and phalanges. As of 2015, approximately 70 cases have been recorded in the medical literature. Bone deformity may also accompany nervous and arterial anomalies in some cases due to the duplication of the ulnar nerve, the presence of abnormal arterial arches, the duplication of the ulnar artery, the shortening of the radial nerve, and the absence of the radial artery. The diagnosis of ulnar dimelia is based on laboratory tests of frontal and sagittal planes in individuals suspected of the condition. There are two types of ulnar dimelia noted in medical journals: Type 1 ulnar dimelia entails one lunate and one trapezoid bone as well as one index finger, while type 2 ulnar dimelia has two lunate and two trapezoid bones as well as two index fingers. The American Society for Surgery of the Hand and the International Federation of Societies for Surgery of the Hand classified ulnar dimelia in the third group of congenital hand deformities in accordance with the characteristics proposed in the Swanson classification (1976). (en)
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