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Re: articleFrom: DuBose, Terry (DuboseTerryJ@uams.edu)Mon May 16 16:50:15 2005
Unfortunately, I have not found the article yet... below is what I have found, but none seem like what you are describing. Terry J. DuBose, M.S., RDMS, FSDMS, FAIUM Associate Professor & Director Diagnostic Medical Sonography Program University of Arkansas for Medical Sciences, CHRP 4301 West Markham St. Mail Slot #563 Little Rock, Arkansas, 72205 USA 501-686-6510 DuBoseTerryJ@UAMS.edu http://www.io.com/~dubose/ http://www.uams.edu/chrp/dms/default.asp http://www.obgyn.net/us/panel/panel.htm ---------------------------------------------------------------
--------------------------------------------------------------- -----Original Message----- --------------------------------------------------------------- From: ultrasound@obgyn.net [mailto:ultrasound@obgyn.net] On Behalf Of Prof. Yaron Zalel Sent: Monday, May 16, 2005 4:13 PM To: Multiple recipients of list ULTRASOUND Subject: Re: article Hi! Thanks for your efforts. However, this is not the requested article. I'm talking about a recent article (5-6 months ago) relating to the appearance of one hand close to the face of the fetus and it's connection to left/right handdeness (I think it was published in the BJOG). Thanks again Yaron Citation <1> Unique Identifier 11857627 Authors Hang Lam Y. Hoi Yin Tang M. Title Sonographic visualization of fetal fingers and toes at 10 weeks of gestation. Source Prenatal Diagnosis. 22(2):159-60, 2002 Feb. Local Messages Part @ UAMS (Click Library Holdings) Citation <2> Unique Identifier 8551546 Authors Reiss RE. Foy PM. Mendiratta V. Kelly M. Gabbe SG. Institution Department of Obstetrics and Gynecology, Ohio State University, Columbus 43210, USA. Title Ease and accuracy of evaluation of fetal hands during obstetrical ultrasonography: a prospective study. Source Journal of Ultrasound in Medicine. 14(11):813-20; quiz 821-2, 1995 Nov. Local Messages Part @ UAMS (Click Library Holdings) Abstract Hand malformations characterize many congenital syndromes, including mendelian disorders, skeletal dysplasias, and karyotype abnormalities. Although identification of a hand anomaly alters obstetrical management, evaluation of the fetal hands is not included in current ultrasonographic guidelines. We prospectively studied the utility of allotting up to 5 min to examine fetal hands during obstetrical ultrasonography. Both hands were visualized in 87% of patients (188 of 215). Eight hand abnormalities were present at delivery. Six had been identified antenatally, four during the study with ultrasonography. There were no false positives. Four fetuses with hand malformations were aneuploid. Fetal hands should be examined during a comprehensive obstetrical sonographic evaluation, especially when risk factors for aneuploidy are present. Citation <3> Unique Identifier 7850587 Authors Goldstein I. Gomez K. Copel JA. Institution Department of Obstetrics and Gynecology, Yale University School of Medicine, New Haven, Connecticut 06520-8063. Title Fifth digit measurement in normal pregnancies: a potential sonographic sign of Down's syndrome. Source Ultrasound in Obstetrics & Gynecology. 5(1):34-7, 1995 Jan. Local Messages Part @ UAMS (Click Library Holdings) Abstract The objective of the study was to obtain measurements of the fetal fifth finger, as a basis for further studies and for future comparison with fetuses with Down's syndrome. The study group included 173 karyotypically normal fetuses at 15-23 weeks' gestation. Routine biometric measurements were obtained on all, including biparietal diameter (BPD), femoral length (FL) and humeral length (HL), and the length of the fetal fifth finger. Linear growth of the fifth finger was observed across the range of gestational ages (GA), and a linear correlation was shown to exist between the length of the fifth finger and gestational age (y = -7.804 + 0.9079 x GA; r = 0.923; p < 0.0001), biparietal diameter (y = -3.7010 + 0.3043 x BPD; r = 0.913; p < 0.0001), femoral length (y = -0.0983 + 0.3406 x FL; r = 0.926; p < 0.0001), and humeral length (y = -1.3453 + 0.3982 x HL; r = 0.929; p < 0.0001). These results provide normative data of the length of the fetal fifth finger across a range of gestational ages. These data may provide an additional screening parameter for the prenatal detection of Down's syndrome. Citation <4> Unique Identifier 1533021 Authors Carlson DE. Platt LD. Medearis AL. Institution Department of Obstetrics and Gynecology, Cedars Sinai Medical Center, University of California, Los Angeles. Title The ultrasound triad of fetal hydramnios, abnormal hand posturing, and any other anomaly predicts autosomal trisomy. Source Obstetrics & Gynecology. 79(5 ( Pt 1)):731-4, 1992 May. Local Messages All @ UAMS Abstract Our definition of hydramnios is an amniotic fluid index of 24 cm or greater. We evaluated by ultrasound examination 49 consecutive patients who met this definition of hydramnios. Of these, 22 (44.9%) had anomalies visible by ultrasound. The combination of hydramnios, abnormal hand posturing, and any other anomaly created a constellation of sonographic findings enabling us to predict six specific autosomal trisomies (27.27%): three trisomy 18, two trisomy 21, and one trisomy 13. The 27 fetuses with "idiopathic hydramnios" (no identifiable anomaly or abnormal hand posturing) had normal karyotypes. We recommend that any patient with confirmed hydramnios have a detailed ultrasound examination by an experienced sonographer, with special attention paid to the heart, face, and hands. If no abnormality is seen and the hands are normally postured, expectant management may be appropriate. If the late second- or third-trimester fetus displays abnormal hand posturing with any other abnormality, rapid karyotyping by funipuncture or placental biopsy should be recommended to facilitate appropriate management.
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