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Old 03-17-2012
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Question Knuckle Knuckle Dimple Dimple sign?

Guys what were those "kunckle knuckle dimple dimple" and "knuckle knuckle dimple knuckle" signs .. as described by goljan?
It totally got out of my head and i don't have my goljan RR with me right now .. any1 who remembrs plz reply
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Old 03-17-2012
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knuckle knuckle dimple dimple is pseudohypoparathyroidism.. i forgot the other one
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Old 03-17-2012
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Can you explain it more?
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Old 03-17-2012
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In pseudohypoparathyroidism, you have short fourth and fifth metacarpal bones and therefore when the patient make a fist, the knuckles will have dimples at the fourth and fifth positions, therefore they call it "knuckle, knuckle, dimple, dimple".

In Turner syndrome and in Albright syndrome, it's usually only the fourth metacarpal is short and therefore they call it knuckle, knuckle, dimple, knuckle as you can see here

Knuckle Knuckle Dimple Dimple sign?-knuckle-dimple.jpg
click image to enlarge
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Old 03-17-2012
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upp... beat me to it - guess that's why they call you RocketMD!
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Old 03-17-2012
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Default 4th

Quote:
Originally Posted by RocketMD View Post
In pseudohypoparathyroidism, you have short fourth and fifth metacarpal bones and therefore when the patient make a fist, the knuckles will have dimples at the fourth and fifth positions, therefore they call it "knuckle, knuckle, dimple, dimple".

In Turner syndrome and in Albright syndrome, it's usually only the fourth metacarpal is short and therefore they call it knuckle, knuckle, dimple, knuckle as you can see here

Attachment 2400
click image to enlarge
hey in this picture is the 4th 1 a knuckle or a dimple? lol i cant tell!
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Old 03-17-2012
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k k dimple knuckle will be turners
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Old 06-30-2012
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Quote:
Originally Posted by RocketMD View Post
In pseudohypoparathyroidism, you have short fourth and fifth metacarpal bones and therefore when the patient make a fist, the knuckles will have dimples at the fourth and fifth positions, therefore they call it "knuckle, knuckle, dimple, dimple".

In Turner syndrome and in Albright syndrome, it's usually only the fourth metacarpal is short and therefore they call it knuckle, knuckle, dimple, knuckle as you can see here

Attachment 2400
click image to enlarge
Just a clarification; I thought Albright syndrome manifests as pseudohypoparathyroidism because from your explanation you separated them.

http://en.wikipedia.org/wiki/Albrigh...osteodystrophy

Last edited by rapiddo; 06-30-2012 at 09:22 AM.
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