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成人陈旧性桡侧先天性手畸形的一期治疗

Single-stage management of a neglected radial club hand deformity in an adult.

作者信息

Vaishya Raju, Agarwal Amit Kumar, Vijay Vipul, Mancha David Ghorau

机构信息

Department of Orthopaedic & Joint Replacement Surgery, Indraprastha Apollo Hospitals, New Delhi, India.

出版信息

BMJ Case Rep. 2015 Feb 10;2015:bcr2014208682. doi: 10.1136/bcr-2014-208682.

Abstract

Radial club hand is an intercalary congenital deformity involving the forearm, wrist and hand. A congenital absence of radius (partial or complete) and ulnar bowing are classical radiographic abnormalities seen in this condition. This deformity is usually treated surgically in infants and young children but the management of this problem in an adult is complex and challenging. We present a neglected case of an adult with severe and rigid deformity that was successfully treated by one-stage correction involving ulnar osteotomy and wrist arthrodesis, simultaneously.

摘要

桡侧多指畸形是一种累及前臂、腕部和手部的间插型先天性畸形。先天性桡骨缺如(部分或完全缺如)和尺骨弓形弯曲是这种疾病典型的影像学异常表现。这种畸形通常在婴幼儿期进行手术治疗,但成人患者的治疗复杂且具有挑战性。我们报告一例被忽视的成年患者,其患有严重且僵硬的畸形,通过一期矫正手术成功治疗,该手术同时进行了尺骨截骨术和腕关节融合术。

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本文引用的文献

1
Treatment of posttraumatic radial club hand with distraction lengthening.
Ann Plast Surg. 2013 Nov;71(5):489-92. doi: 10.1097/SAP.0b013e3182a79596.
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Congenital longitudinal deficiency.先天性纵向缺损。
J Hand Surg Am. 2009 Nov;34(9):1739-47. doi: 10.1016/j.jhsa.2009.09.002.
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Treatment of traumatic radial clubhand deformity with bone loss using the Ilizarov apparatus.
Clin Orthop Relat Res. 2004 Jul(424):143-8. doi: 10.1097/01.blo.0000128284.13331.c5.

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