• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

上肢完全性裂缺：一种非常罕见的畸形。

Complete cleft of the upper limb: A very rare anomaly.

作者信息

Bhatt Yogesh C, Bakshi Harpreet S, Vyas Kinnari A, Ambat Girish S, Laad Hitesh, Panse Nikhil S

机构信息

Department of Plastic Surgery, SSG Hospital and Medical College, Vadodara, Gujarat-390 001, India.

出版信息

Indian J Plast Surg. 2008 Jul;41(2):195-9. doi: 10.4103/0970-0358.44842.

DOI:10.4103/0970-0358.44842
PMID:19753263
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2740503/
Abstract

BACKGROUND

We describe here a very rare congenital deformity that involves the splitting of the right upper limb with the superior limb articulating with the shoulder joint, and the inferior limb laterally attached to the chest wall.

MATERIAL AND METHODS

The child with this rare split limb was treated by transferring the inferior limb on an islanded pedicle to the superior one while creating the hand.

RESULTS

A unified limb was reconstructed while creating the hand without any compromise on the existing function and vascularity. The patient is on regular follow-up and further staged procedures have been planned to provide a better functional and aesthetic limb.

CONCLUSION

The congenital deformity described here has not been mentioned in world literature so far and its embryological basis is a matter of discussion. Opinions regarding further management of this anomaly are invited from experts in the field.

摘要

背景

我们在此描述一种极为罕见的先天性畸形，即右上肢分裂，上肢近端与肩关节相连，下肢则横向附着于胸壁。

材料与方法

对患有这种罕见肢体分裂的患儿进行治疗，在制作手部的同时，将带蒂岛状的下肢转移至上肢近端。

结果

在制作手部的同时重建了一个完整的肢体，且未对现有功能和血管造成任何损害。患者正在接受定期随访，并且已计划进行进一步的分期手术，以提供功能和美观更佳的肢体。

结论

目前世界文献中尚未提及此处所描述的先天性畸形，其胚胎学基础仍有待探讨。我们邀请该领域的专家就这种异常情况的进一步治疗发表意见。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6648/2740503/84f525600588/IJPS-41-195-g016.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6648/2740503/ed64e4758277/IJPS-41-195-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6648/2740503/166b6f980a4e/IJPS-41-195-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6648/2740503/b87357c941e4/IJPS-41-195-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6648/2740503/4353b489b866/IJPS-41-195-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6648/2740503/81becd26adfb/IJPS-41-195-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6648/2740503/5a523bc06548/IJPS-41-195-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6648/2740503/05a87f7026c9/IJPS-41-195-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6648/2740503/3485dc40bfde/IJPS-41-195-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6648/2740503/ea4e7702479a/IJPS-41-195-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6648/2740503/dd09bbc6b5da/IJPS-41-195-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6648/2740503/4d819af12ff6/IJPS-41-195-g011.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6648/2740503/14ac0dd3663d/IJPS-41-195-g012.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6648/2740503/5ce001047256/IJPS-41-195-g013.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6648/2740503/f0a7ba1208e8/IJPS-41-195-g014.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6648/2740503/e4e0eac10fba/IJPS-41-195-g015.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6648/2740503/84f525600588/IJPS-41-195-g016.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6648/2740503/ed64e4758277/IJPS-41-195-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6648/2740503/166b6f980a4e/IJPS-41-195-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6648/2740503/b87357c941e4/IJPS-41-195-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6648/2740503/4353b489b866/IJPS-41-195-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6648/2740503/81becd26adfb/IJPS-41-195-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6648/2740503/5a523bc06548/IJPS-41-195-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6648/2740503/05a87f7026c9/IJPS-41-195-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6648/2740503/3485dc40bfde/IJPS-41-195-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6648/2740503/ea4e7702479a/IJPS-41-195-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6648/2740503/dd09bbc6b5da/IJPS-41-195-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6648/2740503/4d819af12ff6/IJPS-41-195-g011.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6648/2740503/14ac0dd3663d/IJPS-41-195-g012.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6648/2740503/5ce001047256/IJPS-41-195-g013.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6648/2740503/f0a7ba1208e8/IJPS-41-195-g014.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6648/2740503/e4e0eac10fba/IJPS-41-195-g015.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6648/2740503/84f525600588/IJPS-41-195-g016.jpg

相似文献

1
Complete cleft of the upper limb: A very rare anomaly.上肢完全性裂缺：一种非常罕见的畸形。
Indian J Plast Surg. 2008 Jul;41(2):195-9. doi: 10.4103/0970-0358.44842.
2
Upper Limb Dimelia.上肢重复畸形
J Hand Surg Am. 2017 Jul;42(7):575.e1-575.e5. doi: 10.1016/j.jhsa.2017.02.005. Epub 2017 Mar 17.
3
[Congenital pseudarthrosis of the clavicle: 25 childhood cases].[先天性锁骨假关节：25例儿童病例]
Rev Chir Orthop Reparatrice Appar Mot. 2000 Oct;86(6):575-80.
4
Superior Pedicle Reduction Mammoplasty Supported with Inferior Pedicle Chest Wall-Based Flap: Refinements to the Technique.下蒂胸廓瓣支持的上蒂乳房缩小成形术：技术改进
Aesthetic Plast Surg. 2015 Feb;39(1):69-77. doi: 10.1007/s00266-014-0421-4. Epub 2014 Dec 6.
5
Effect of upper limb deformities on gross motor and upper limb functions in children with spastic cerebral palsy.上肢畸形对痉挛型脑瘫患儿粗大运动和上肢功能的影响。
Res Dev Disabil. 2011 Nov-Dec;32(6):2389-97. doi: 10.1016/j.ridd.2011.07.021. Epub 2011 Aug 6.
6
Scientific basis of the OCRA method for risk assessment of biomechanical overload of upper limb, as preferred method in ISO standards on biomechanical risk factors.OCRA 方法评估上肢生物力学过载风险的科学基础，作为 ISO 生物力学风险因素标准中的首选方法。
Scand J Work Environ Health. 2018 Jul 1;44(4):436-438. doi: 10.5271/sjweh.3746.
7
Epidemiology of congenital upper limb anomalies in a midwest United States population: an assessment using the Oberg, Manske, and Tonkin classification.美国中西部人群先天性上肢畸形的流行病学：使用奥伯格、曼斯克和汤金分类法进行的评估
J Hand Surg Am. 2015 Jan;40(1):127-32.e1-2. doi: 10.1016/j.jhsa.2014.10.038.
8
Polymelia (thoracomelia), an extremely rare appearance of congenital anomalic limb in a Nepalese child and its embryological basis.多肢畸形（胸段多肢），一名尼泊尔儿童先天性肢体异常的极其罕见表现及其胚胎学基础。
Anat Cell Biol. 2023 Dec 31;56(4):584-587. doi: 10.5115/acb.23.179. Epub 2023 Sep 27.
9
Hand and upper limb anomalies in Poland syndrome: a new proposal of classification.波兰综合征中的手部及上肢畸形：一种新的分类方案
J Pediatr Orthop. 2012 Oct-Nov;32(7):727-31. doi: 10.1097/BPO.0b013e318269c898.
10
Sternal cleft, a rare congenital anomaly. Report of the first Tunisian case.胸骨裂，一种罕见的先天性畸形。首例突尼斯病例报告。
Tunis Med. 2008 Dec;86(12):1082-5.

本文引用的文献

1
Ulnar dimelia.尺侧重复畸形
J Bone Joint Surg Br. 1960 Aug;42-B:549-55. doi: 10.1302/0301-620X.42B3.549.
2
Morphological patterns in limb deficiencies and duplications.肢体缺损与重复的形态学模式。
Am J Anat. 1951 Sep;89(2):135-93. doi: 10.1002/aja.1000890202.
3
Mirror hand anomaly; a case presentation.镜像手畸形；病例报告。
Plast Reconstr Surg Transplant Bull. 1958 Jan;21(1):80-3. doi: 10.1097/00006534-195801000-00008.
4
Symbrachydactyly instead of atypical cleft hand.短指并指畸形而非典型裂手畸形。
Plast Reconstr Surg. 1993 Jan;91(1):196. doi: 10.1097/00006534-199301000-00045.
5
Mirror hand treated by true pollicization.
J Hand Surg Br. 1986 Oct;11(3):320-36. doi: 10.1016/0266-7681(86)90152-x.
6
Soft-tissue anatomy of mirror hand.
J Hand Surg Br. 1986 Oct;11(3):307-19. doi: 10.1016/0266-7681(86)90151-8.
7
Cleft hand without absence of a finger.
Handchir Mikrochir Plast Chir. 1988 Jul;20(4):184-8.
8
Teratogenic relationship between polydactyly, syndactyly and cleft hand.
J Hand Surg Br. 1990 May;15(2):201-9. doi: 10.1016/0266-7681_90_90125-n.