Bauer Andrea S, Bednar Michael S, James Michelle A
Department of Orthopaedic Surgery, Shriners Hospital for Children Northern California, Sacramento, CA; and the Department of Orthopaedic Surgery and Rehabilitation, Stritch School of Medicine, Loyola University, Maywood, IL.
J Hand Surg Am. 2013 Nov;38(11):2293-302; quiz 2302. doi: 10.1016/j.jhsa.2013.03.024. Epub 2013 May 24.
Radial, ulnar, and central deficiencies represent a spectrum of abnormalities in the development of the upper limb. Radial longitudinal deficiency is often associated with abnormalities in other organ systems, such as cardiac and renal, and so requires a comprehensive medical evaluation. On the other hand, ulnar longitudinal deficiency tends to be associated only with other musculoskeletal abnormalities. In all of these conditions, there is a high incidence of ipsilateral thumb abnormalities. Given the importance of the thumb in overall hand function, abnormalities of the thumb often guide treatment for these conditions. Surgical treatment of the wrist and forearm in radial longitudinal deficiency is controversial, as will be outlined in this review.
桡骨、尺骨和中央部分缺损代表了上肢发育过程中的一系列异常情况。桡骨纵向缺损常与其他器官系统的异常相关，如心脏和肾脏，因此需要进行全面的医学评估。另一方面，尺骨纵向缺损往往仅与其他肌肉骨骼异常相关。在所有这些情况下，同侧拇指异常的发生率都很高。鉴于拇指在手部整体功能中的重要性，拇指异常常常指导这些病症的治疗。如本综述所述，桡骨纵向缺损时手腕和前臂的手术治疗存在争议。
