Wd. Donovan et al., CONGENITAL FUSION OF THE 4TH AND 5TH METACARPALS ASSOCIATED WITH PRIMARY GONADAL FAILURE, Skeletal radiology, 25(3), 1996, pp. 269-271
Congenital fusion of the fourth and fifth metacarpals is de scribed in
a male infant and his maternal grandfather. Primary gonadal failure,
which is present in the infant, has not been noted in previously repor
ted cases. The pedigree in this family is compatible with X-linked rec
essive or autosomal dominant inheritance with incomplete penetrance.