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Diagnosa defek kongenital dari ekstremitas atas menggunakan radiografi konventional: laporan kasus berseri radial club hand

Abstract

Radial club hand (RCH), known as congenital longitudinal radial deficiency, is a rare congenital anomaly with one every 30000 to 100000 live births ratio. Clinically deformity is usually first noticed at birth and can be diagnosed upon physical examination and confirmed through conventional radiographs. We report five cases of RCH among 2 years in Sanglah Hospital, a 19 months old male with RCH type IV and a 4 months old male with RCH type III, and both of them have accompanied anorectal malformation congenital anomaly. One case of RCH type III associated with another bone defect in 3 years old male as well as 9 years old female with bilateral RCH type IV. And the last case is 2 months old male with RCH type IV which loss to follow up for further examination and evaluation of other congenital anomalies.

 

Radial club hand (RCH) dikenal juga sebagai congenital longitudinal radial deficiency, merupakan kelainan kongenital yang jarang ditemui, dengan angka kejadian sekitar 1:30.000 hingga 1:100.000 kelahiran hidup. Deformitas lengan bawah biasanya dapat terlihat sejak lahir, namun untuk menegakkan diagnosis tersebut diperlukan pemeriksaan fisik serta radiografi konvensional. Kami melaporkan 5 kasus RCH yang ditemukan dalam kurun waktu 2 tahun di Rumah Sakit Umum Pusat Sanglah Denpasar. Kasus pertama dan kedua terdiri dari anak lelaki, masing-masing berusia 19 bulan dengan RCH tipe IV dan berusia 4 bulan dengan RCH tipe III, yang keduanya disertai kelainan malformasi anorectal. Kasus ketiga dan keempat adalah anak lelaki usia 3 tahun dengan RCH tipe III dan anak perempuan usia 9 tahun dengan RCH tipe IV bilateral, keduanya disertai kelainan tulang lainnya. Kasus terakhir adalah bayi lelaki berusia 2 bulan dengan RCH tipe IV, yang tidak datang kembali untuk mendapat evaluasi lebih lanjut perihal kelainan bawaan lainnya.

References

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How to Cite

Pujianto, F. W., Martadiani, E. D., & Anandasari, P. P. Y. (2020). Diagnosa defek kongenital dari ekstremitas atas menggunakan radiografi konventional: laporan kasus berseri radial club hand. Medicina, 51(2). https://doi.org/10.15562/medicina.v51i2.787

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Feni Wati Pujianto
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Elysanti Dwi Martadiani
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Pande Putu Yuli Anandasari
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