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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.

DOI:10.1136/bcr-2014-208682
PMID:25670786
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4330452/
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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1
Single-stage management of a neglected radial club hand deformity in an adult.成人陈旧性桡侧先天性手畸形的一期治疗
BMJ Case Rep. 2015 Feb 10;2015:bcr2014208682. doi: 10.1136/bcr-2014-208682.
2
Distraction lengthening of the ulna in radial club hand using the Ilizarov technique.
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Long-term follow-up of surgical correction of Madelung's deformity with conservation of the distal radioulnar joint in teenagers.青少年马德隆畸形手术矫正并保留远侧桡尺关节的长期随访
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[Lengthening osteotomy of radius and ulna in malalignment of the elbow or wrist joint].[桡骨和尺骨延长截骨术治疗肘关节或腕关节畸形]
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本文引用的文献

1
Treatment of posttraumatic radial club hand with distraction lengthening.
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Comparison of surgical treatment and nonoperative management for radial longitudinal deficiency.桡骨纵列发育不全的手术治疗与非手术治疗比较
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Congenital longitudinal deficiency.先天性纵向缺损。
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Upper-extremity phocomelia reexamined: a longitudinal dysplasia.上肢短肢畸形再审视:一种纵向发育异常
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Treatment of traumatic radial clubhand deformity with bone loss using the Ilizarov apparatus.
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Aplasia and hypoplasa of the radius: studies on 64 cases and on epiphyseal transplantation in rabbits with the imitated defect.桡骨发育不全与发育不良:64例研究及兔模拟缺损骨骺移植研究
Acta Orthop Scand Suppl. 1959;39:1-155.
7
Distraction and microvascular epiphysis transfer for radial club hand.桡侧多指畸形的牵张与微血管骨骺转移术
J Hand Surg Br. 1998 Aug;23(4):445-52. doi: 10.1016/s0266-7681(98)80120-4.
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Index finger pollicization for congenital aplasia or hypoplasia of the thumb.用于先天性拇指发育不全或发育不良的示指拇化术。
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