TY - CHAP M1 - Book, Section TI - Radial Aplasia A1 - Bianchi, Diana W. A1 - Crombleholme, Timothy M. A1 - D'Alton, Mary E. A1 - Malone, Fergal D. PY - 2015 T2 - Fetology: Diagnosis and Management of the Fetal Patient, 2e AB - Key PointsDefect occurs on the radial (formerly preaxial) side of the forearm. Findings may include absence or hypoplasia of the radius, absence or hypoplasia of the scaphoid and trapezium bones of the wrist, or abnormalities of the thumb and the first metacarpal.Radial deformities may be associated with hematologic abnormalities.Incidence is 1 in 30,000. Occurs bilaterally in 50% of cases.May be diagnosed as early as 14-15 weeks. Sonographically, a single forearm bone is seen with radial deviation of the hand.Differential diagnosis includes chromosome abnormalities, single-gene (dominant or recessive) disorders, teratogen exposure, and multiple congenital anomaly syndromes.Should exclude trisomy 18 by performing a karyotype.Delivery is recommended at a tertiary center to permit consultation with genetics, radiology, and orthopedics.Recurrence risk depends on underlying condition. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/20 UR - obgyn.mhmedical.com/content.aspx?aid=1106400695 ER -