Location

Foot

Diagnosis

Short 4th metacarpal

Discussion

Radiograph of the hand reveals an abnormally short 4th metacarpal, as compared to the other metacarpal bones. Although this sign usually is associated with Turner’s syndrome, the short 4th metacarpal sign carries a short differential diagnosis and is therefore not pathognomonic.

Reference

An evaluation of the metacarpal sign (short fourth metacarpal). Pediatrics 1970 Sep;46(3):468-71.

Figures

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Attachments:


handturner.jpg (image/jpeg)