Buck-Gramcko D, Behrens P
Abteilung für Handchirurgie und Plastische Chirurgie, Berufsgenossenschaftlichen Unfallkrankenhaus Hamburg.
Handchir Mikrochir Plast Chir. 1989 Jul;21(4):195-204.
The authors present a classification for polydactyly of the upper and lower limb based on a follow-up examination of 177 patients with 336 polydactylies. The malformations are described in longitudinal and transverse directions. In the transverse axis the affected rays are designated with Roman numbers from I to V. The longitudinal axis from distal to proximal is used to differentiate the rays into ten types according to their duplication assessed both anatomically and radiologically. Triphalangism, rudimentary forms, and trifid rays can also be described by this system, so they can be correlated. Evaluation of the patient group according to this classification shows that the marginal rays of hand and feet are most affected. In the longitudinal axis the metacarpo- metatarsal joint type predominates in the upper and lower limb. Using this classification it seems possible to relate different forms of polydactyly to each other and to compare therapeutic procedures and their results.
作者基于对177例患者的336处多指（趾）畸形进行的随访检查，提出了一种上肢和下肢多指（趾）畸形的分类方法。这些畸形从纵向和横向进行描述。在横轴上，受影响的射线用罗马数字I到V表示。从远端到近端的纵轴用于根据射线在解剖学和放射学上评估的重复情况将其分为十种类型。三节指骨畸形、雏形和分叉射线也可以用这个系统来描述，因此它们可以相互关联。根据这种分类对患者群体进行评估表明，手和脚的边缘射线受影响最大。在纵轴上，掌骨-跖骨关节类型在上肢和下肢中占主导地位。使用这种分类似乎可以将不同形式的多指（趾）畸形相互关联起来，并比较治疗方法及其结果。
