Swanson A B
J Hand Surg Am. 1976 Jul;1(1):8-22. doi: 10.1016/s0363-5023(76)80021-4.
The classification for congenital limb malformations adopted by the American Society for Surgery of the Hand, the International Federation of Societies for Surgery of the Hand, and the International Society of Prosthetics and Orthotics is presented. This method groups similar patterns of deficiencies according to the parts that have been primarily affected by certain embryological failures, whether the insult involves a total part (skeletal and soft tissue) or only the dermomyofascial structures. The main categories of this classification are (I) failure of formation of parts. (II) failure of differentiation (separation) of parts, (III) duplication, (IV) overgrowth, (V) undergrowth, (VI) congenital constriction band syndrome, and (VII) generalized skeletal abnormalities. The rationale and method of use of the classification are discussed. This method has been tested and used in a variety of centers and has been found to be properly conceived and practical.
本文介绍了美国手外科学会、国际手外科学会联合会以及国际假肢与矫形器学会所采用的先天性肢体畸形分类方法。该方法根据某些胚胎发育失败主要影响的部位，将相似的缺陷模式进行分组，无论损伤涉及整个部位（骨骼和软组织）还是仅涉及皮肤肌肉筋膜结构。该分类的主要类别包括：（I）部分形成失败；（II）部分分化（分离）失败；（III）重复；（IV）过度生长；（V）生长不足；（VI）先天性束带综合征；（VII）全身性骨骼异常。文中还讨论了该分类的基本原理和使用方法。此方法已在多个中心进行测试和应用，结果表明其构思合理且实用。
