Table 1.: Common causes of radial deficiencies.

Syndrome Inheritance Associated Conditions Diagnosis
Thrombocytopaenia absent radius Complex Autosomal Recessive [13, 14] Absent radius with normal thumb Thrombocytopaenia and anaemia (improves in first year of life) Absent radii, thumbs present and platelet count < 50x109/L
Fanconi’s Anaemia Autosomal Recessive Pancytopaenia between 5-10y of age Early diagnosis cal be made using chromosomal breakage studies (diepoxybutane or mitomycin C)
VACTERL Sporadic V À Verbebral
A À Anal atresia
C À Cardiac anomalies
TE ÀTracheosophageal fistula
R À Renal agenesis
L À Limb anomalies
Clinical Exclusion of overlapping syndromes [15]
Holt-Oram Autosomal dominant Cardiac conduction or structural anomalies Generalised upper limb anomalies Clinical (TBX5 genotyping (Ch12)*)

* Up to 74% sensitivity reported [9].