Clinical Report: Functional Outcomes of Bilateral Congenital Shortening of the Fourth Metacarpal
Overview
This case study presents a 67-year-old competitive softball player with bilateral congenital shortening of the fourth metacarpal, revealing no functional limitations.
Background
Congenital shortening of the fourth metacarpal, classified as brachydactyly type E, is a rare anatomical variant that may occur alone or with syndromic conditions. Understanding its implications is crucial, particularly in athletes, as it may influence hand function and performance. Prior reports have primarily focused on radiographic findings.
Data Highlights
No formal grip dynamometry or validated functional scores were available in this case study.
Key Findings
The patient had bilateral congenital shortening of the fourth metacarpals confirmed by radiographic imaging.
She reported no history of hand dysfunction despite her competitive athletic background.
Radiographic stability of the metacarpals was observed over more than a decade.
Conservative management led to a full, pain-free range of motion in both hands.
This case is the first to document functional outcomes in a high-level athlete with this condition.
Clinical Implications
Recognition of congenital shortening of the fourth metacarpal is important to avoid misdiagnosis as a traumatic injury.
Conclusion
This case highlights the compatibility of bilateral congenital shortening of the fourth metacarpal with high-level athletic participation.
