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High palate,abnormal bones, small wrist with pain - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Bones, Muscles and Joints
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1358 Questions
User :   I have a question about some kind of possible syndrome I may have. I notice I have a few characteristics that aren't "normal". Curved pinky, a slightly high palate, bad breath (if that is related to anything), my wrist bones grow into each other slightly which doctors told me was an abnormality (it showed up on an x-ray by accident basically). Is there any doctors out there that are familiar with the many kinds of syndromes and abnormalities or genetic disorders that can help me?
Doctor :   hi
User :   hi
Doctor :   Dr. XXXXXXXX here. let me read what you have typed
User :   ok
User :   by wrist bones i mean radius and ulna
Doctor :   what did the x-ray show?
Doctor :   bony abnormalities are known to be associated with few genetic disorders, which can be made out with karyotyping and genetic counseling
User :   the outside forarm bone grows up into the inside forearm bone if you know what I mean? but it doesn't really hinder the function but it is odd... it was like the bone was a little shorter so it didn't attach correctly like the outside forarm bone is supposed to
Doctor :   please provide your age, gender, location, height, weight, details of past medical illness if any.
User :   27 male I have lived in XXXXXXXX for most of that time... 190 pounds
User :   no significant medical illnesses
Doctor :   ok
Doctor :   has this affected both your wrists or only one side?
User :   when i squeeze my wrist sort of hard it does present some pain that is the only symptom of the abnormality
Doctor :   is there any other joint malformation like this one? i mean to ask for elbow, ankle knees?
Doctor :   some amount of the bone expansion can occur due to lack of calcium in the growing age.
User :   well i was in a car wreck and shattered the other wrist which was not related to any sort of disorder but it will not be known if it was the same... however i have small wrist as a result of this and both wrist were small so i assume they were both the same
Doctor :   an MRI will help to identify what other tissues are involved and
Doctor :   proper treatment can be put into place
Doctor :   i would recommend an orthopedician opinion for you along with further tests
Doctor :   to get to teh exact diagnosis for your problem
User :   well i had an mri on my back and shoulder recently because i suffered a spondylilosthesis from lifting too much weights when i was working out... nothing came up in those areas
Doctor :   for the wrists
User :   never had mri on wrist though
Doctor :   do you have the x-ray with you of the wrist? if yes can you send copy of it to YYYY@YYYY ?
User :   no unfortunately I don't I could draw a picture and send it to you
User :   it would give u a good idea of what I am talking about
Doctor :   ok
User :   so do i just draw it and send it to that email?
Doctor :   yes you can send it, i will see if it can make any sense, though the x-ray copy would have been better
User :   ok hold on... hopefully i can draw this quickly
User :   i have spent hours trying to find other examples of this condition on the internet but haven't found any... hold on
Doctor :   have you sent it?
User :   about to one more minute
Doctor :   ok
User :   ok I am trying to draw this but it just isn't looking right on my mac computer it doesnt have a draw function basically
User :   which bone in the forearm is closer to the thumb?
Doctor :   it is the radius bone
User :   ok the ulna is growing against the radius and so almost doesn't even attach to the wrist bones but instead it is up into the radius somewhat... and the radius has grown to compensate for this and has a larger surface area contacting the wrist bones than a normal radius would
User :   it is strange...
User :   that is why i said the ulna is shorter than normal
Doctor :   have you seen normal x-ray of wrist?
User :   yes
User :   on internet
Doctor :   usually ulna bone is a bit shorter than radius and radius does cover most of the wrist bones in the wrist joint
Doctor :   if yours does feel abnormal to you, get an opinion from your orthopedician
Doctor :   he will be able to suggest you further investigations if needed to figure out the exact cause for it
User :   ok on the x ray each bone is clearly independently touching the wrist though correct... but in mine the ulna has grown into (but not connected by bone tissue) the radius just about half an inch before the end of the radius
User :   so my wrist are small and hurt when squeezed firmly
Doctor :   ok
User :   my wrist only has a diameter of about 6 to 6.5 inches
User :   i can easily wrap my hand around it
User :   well it is rather odd and the orthopedic doctor said it was common and another wrist doctor just also said it was just a abnormality probably congenial
Doctor :   small wrists should be a problem if functions are not affected, but the pain on squeezing needs further evaluation
User :   i was wondering if it was somehow related to my curved pinky and if it was somehow related to a syndrome or genetic disorder ?
Doctor :   small wrist are common as said by your previous doctor
User :   high palate...
User :   oh
Doctor :   but the descriptionthat you gave with high palate and abnormal bones
Doctor :   needs furthet investigations to
Doctor :   see if they are really congenital/genetic
User :   well it was only slightly high
User :   can i get a genetic test to rule out things
User :   where should i start?
User :   orthopedic doctor?
Doctor :   to start with orthopedic doctor to examined your wrist
Doctor :   and get further tests
Doctor :   and then a genetic counselor after karyotyping test
Doctor :   have you followed what I have said/
Doctor :   is there anything else I can help you with?
Doctor :   Please fill the feedback form say done when done
Doctor :   Thanks for consulting me. Bye for now. Please chat with our doctors 24/7 for medical queries. Please refer your friends to our service.
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