Duteille F, Beneteau C, Camut M-V, Perrot P
Service de chirurgie plastique et reconstructrice, centre des brûlés, Hôtel-Dieu, CHU de Nantes, 44093 Nantes cedex 01, France; Inserm U957, laboratoire de physiopathologie de la résorption osseuse, université de Nantes, 44035 Nantes, France.
Service de pédiatrie, hôpital Mère-et-Enfant, CHU de Nantes, 44093 Nantes cedex 01, France.
Ann Chir Plast Esthet. 2016 Oct;61(5):429-438. doi: 10.1016/j.anplas.2016.07.006. Epub 2016 Aug 18.
Congenital deformities of the hand and upper limb include a significant number of clinical situations. Their expression is, as in all congenital diseases, variable. Therefore, we can almost consider that each clinical situation is a bit unique. The difficulty, as any congenital disease, is the fact that the clinical cases are extremely diverse and difficult to classify. So what to do and surgical strategies are often matter of "School". This is even more true that the evaluation of results is very difficult due to low series (poor statistical value) and functional assessment to be partly due to the growth of the child. It is impossible in a few pages to describe all malformations of the hand and upper limb, summarize the indications and evaluate the results. Also, this chapter is not exhaustive and we will focus primarily on the most frequent pathologies.
手部和上肢的先天性畸形包括大量临床情况。与所有先天性疾病一样，其表现具有变异性。因此，我们几乎可以认为每种临床情况都有一定的独特性。与任何先天性疾病一样，难点在于临床病例极其多样且难以分类。所以该怎么做以及手术策略往往因“学派”而异。更确切地说，由于病例数少（统计价值低）以及功能评估部分取决于儿童的生长发育，结果评估非常困难。在短短几页内不可能描述手部和上肢的所有畸形、总结适应证并评估结果。此外，本章并不详尽，我们将主要关注最常见的病理情况。
