Case 2
7 y.o. boy with ulnar clubhand II type
(Swanson)-right.
Radial head dislocation.
Radial bowing.
Elbow movements - flexion 150 , extension -10 , rotation 70
Wrist movements - flexion 80 , extension 85 , ulnar deviation 40 , radial deviation 10.
Hand function - can grasp large and small objects , can write.
Hypoplasia of the humeral bone.
Aplasia of the V digit.
According to me the possibilities in treatment of this case are:
1.No treatment - the function is good.
2.Excision of the cartilage band - Flatt.
3.Excision of the band and the radial head.
4.Creating one bone forearm.
What is most reliable approach in this case?
Any suggestions?