Hand anomalies in Crouzon syndrome

Abstract

Objective: To review the hand radiographs of patients with Crouzon syndrome, to look for extracranial manifestations of the condition at this site.

Design: The hand radiographs of those with Crouzon syndrome attending the Craniofacial Service at Great Ormond Street between 1985 and 1996 were reviewed.

Results: Thirty-three patients underwent a total of 34 radiographs, one patient having had a serial study. This revealed a range of minor anomalies. Most striking was the presence of carpal fusions in four cases, a feature which has not previously been reported.

Conclusion: The hands of Crouzon syndrome may have anomalies including carpal fusions, and these results are evidence that the condition may produce subtle effects on the hands.