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一例罕见的桡侧多指畸形(拇指四联指、桡侧腕骨重复及桡骨分叉)。

An unusual case of radial polydactyly, (tetraplication of the thumb, duplication of the radial carpal bones and bifurcation of the radius).

作者信息

Jalili Alireza, Najd Mazhar Farid

机构信息

1. Assistant Professor, Hand Surgery Department, Hormozgan University of Medical Sciences, Mohammadi Hospital, Bandar Abbas, Iran.

2. Assistant Professor, Hand Surgery Department, Iran University of Medical Sciences, Tehran, Iran.

出版信息

Med J Islam Repub Iran. 2014 Jul 26;28:81. eCollection 2014.

PMID:25664282
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4301241/
Abstract

Radial polydactyly, the most common digital duplication in Asian and white populations, has a wide range of manifestations. Its classification is useful for planning and assessing surgical treatment. Our patient had four thumbs, duplicated radial carpal bones, and a bifurcated radius. This presentation is not covered by any of the current classifications. To the best of our knowledge, this is the first case of such characteristics reported to date. Consequently, we propose some modifications in the nomenclature and classification of radial polydactyly.

摘要

桡侧多指畸形是亚洲和白种人群中最常见的手指重复畸形,具有广泛的表现形式。其分类对于手术治疗的规划和评估很有用。我们的患者有四个拇指、重复的桡腕骨和分叉的桡骨。目前的任何分类都未涵盖这种表现。据我们所知,这是迄今为止报道的首例具有此类特征的病例。因此,我们提议对桡侧多指畸形的命名和分类进行一些修改。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9430/4301241/3192097f2806/MJIRI-28-81-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9430/4301241/1ebe408d2eb9/MJIRI-28-81-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9430/4301241/2e8f37580963/MJIRI-28-81-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9430/4301241/e3eba51202d6/MJIRI-28-81-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9430/4301241/ee8b738082f2/MJIRI-28-81-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9430/4301241/8f787814817c/MJIRI-28-81-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9430/4301241/def0542f6b5c/MJIRI-28-81-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9430/4301241/3192097f2806/MJIRI-28-81-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9430/4301241/1ebe408d2eb9/MJIRI-28-81-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9430/4301241/2e8f37580963/MJIRI-28-81-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9430/4301241/e3eba51202d6/MJIRI-28-81-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9430/4301241/ee8b738082f2/MJIRI-28-81-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9430/4301241/8f787814817c/MJIRI-28-81-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9430/4301241/def0542f6b5c/MJIRI-28-81-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9430/4301241/3192097f2806/MJIRI-28-81-g007.jpg

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本文引用的文献

1
An unusual case of preaxial polydactyly of the hand (triplication of the thumbs).一例罕见的手部轴前多指畸形(拇指三联症)。
Med J Islam Repub Iran. 2013 May;27(2):91-4.
2
Update on embryology of the upper limb.上肢胚胎学的最新进展。
J Hand Surg Am. 2013 Sep;38(9):1835-44. doi: 10.1016/j.jhsa.2013.03.018. Epub 2013 May 17.
3
Preaxial polydactyly of the upper limb viewed as a spectrum of severity of embryonic events.上肢的轴前多指畸形被视为胚胎发育事件严重程度的一个连续谱。
Ann Plast Surg. 2013 Jul;71(1):118-24. doi: 10.1097/SAP.0b013e318248b67f.
4
Developmental biology and classification of congenital anomalies of the hand and upper extremity.手部及上肢先天性畸形的发育生物学与分类
J Hand Surg Am. 2010 Dec;35(12):2066-76. doi: 10.1016/j.jhsa.2010.09.031.
5
The distribution of the types of thumb polydactyly in a Middle Eastern population: a study of 228 hands.中东人群拇指多指畸形类型的分布:228例手部研究
J Hand Surg Eur Vol. 2010 Mar;35(3):182-7. doi: 10.1177/1753193409352417. Epub 2009 Dec 9.
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Congenital hand differences.先天性手部差异
J Hand Surg Am. 2009 Sep;34(7):1351-6. doi: 10.1016/j.jhsa.2009.06.014.
7
Congenital thumb deformities and associated syndromes.先天性拇指畸形及相关综合征。
J Craniofac Surg. 2009 Jul;20(4):1039-44. doi: 10.1097/SCS.0b013e3181abb1d8.
8
Congenital anomalies of the hand: an overview.手部先天性异常:概述
J Craniofac Surg. 2009 Jul;20(4):999-1004. doi: 10.1097/SCS.0b013e3181ae21f9.
9
Duplication.复制
Hand Clin. 2009 May;25(2):215-27. doi: 10.1016/j.hcl.2009.01.001.
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Congenital hand differences: embryology and classification.先天性手部畸形:胚胎学与分类
Hand Clin. 2009 May;25(2):151-6. doi: 10.1016/j.hcl.2009.02.002.