Abstract

Ulnar dimelia (mirror hand with double ulna) is a rare congenital anomaly in which both forearm bones develop as a normal ulna and polydactyly is present in the hand, the thumb and radius bone being absent. Elbow and forearm problems remain after removal of excess digits and reconstruction of a radial finger to serve as a thumb to allow prehensile movement in all cases reported in the literature. No reports of elbow reconstruction have been identified, although reports of hand and thumb reconstruction have been published. We present our experience of improved activities of daily living (ADLs) after elbow reconstruction for a patient with ulnar dimelia. The elbow reconstruction led to better forearm range of motion but no significant improvement in elbow flexion.

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