Pajardi G, Parolo C, Proserpio G, Ponti V, Rossi P, Cargnelutti C
Pediatr Med Chir. 2013 Nov-Dec;35(6):269-71. doi: 10.4081/pmc.2013.22.
To analyse the classifications and the conservative protocols used by hand surgery operative's units and published in the last 15 years. To draw a comparison between those classifications and protocols and the ones used in our unit.
The published conservative treatments have been analysed and then our protocol has been described through the analysis of three cases currently treated in our division.
It has been highlighted that camptodactyly classifications are not homogeneous. Moreover, in conservative treatment, different typology and posology of splints have been adopted. Our unit uses the Foucher's classification to define the type of splint that it is necessary.
Despite the authors choose different types of splint, they agree that in the most cases of camptodactily the initial approach is conservative. In our unit static and dynamic splints are made directly on the patient's hand and they are monitored with goniometrical measurements, obtaining great results.
分析过去15年手外科手术科室所采用并发表的分类方法及保守治疗方案。并将这些分类方法和治疗方案与我们科室所使用的进行比较。
对已发表的保守治疗方法进行分析，然后通过分析我们科室目前正在治疗的3个病例来描述我们的治疗方案。
已强调先天性屈曲挛缩分类并不统一。此外，在保守治疗中，采用了不同类型和剂量的夹板。我们科室使用福谢分类法来确定所需夹板的类型。
尽管作者选择了不同类型的夹板，但他们一致认为，在大多数先天性屈曲挛缩病例中，初始治疗方法是保守的。在我们科室，静态和动态夹板是直接在患者手上制作的，并通过角度测量进行监测，取得了很好的效果。
