But medics knew that as Joshua grew older, the Metopic Synostosis which was preventing his skull and brain growing properly could leave him with learning difficulties, crippling headaches and sight problems.
One salvage option is the "one-bone forearm" procedure, or radioulnar synostosis. (44-48) This is indicated for persistent longitudinal radioulnar instability despite attempted reconstruction.
Secondary effects related to healing or treatment of wing injuries, such as fibrosis, contracture, callus formation, synostosis, degenerative joint disease, and ankylosis also influence flexion and extension.
Posttraumatic synostosis of the proximal radioulnar joint (PRUJ) is recognized as a severe complication of radial head and neck fractures because it severely limits range of motion.
These known anomalies, including basilar impression, occipitocervical synostosis, odontoid anomalies, and Klippel-Feil syndrome, can present with neck pain, weakness, and upper extremity numbness.
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