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短指并指畸形

Symbrachydactyly.

作者信息

Goodell Parker B, Bauer Andrea S, Sierra Francisco J A, James Michelle A

机构信息

UC Davis School of Medicine, Sacramento, USA.

Shriners Hospital for Children Northern California, Sacramento, USA.

出版信息

Hand (N Y). 2016 Sep;11(3):262-270. doi: 10.1177/1558944715614857. Epub 2016 Sep 1.

Abstract

Symbrachydactyly is a unilateral congenital hand malformation characterized by failure of formation of fingers and the presence of rudimentary digit nubbins. The management is variable and are investigated in this review. A detailed review of the literature was compiled into succinct clinically relevant categories. Etiology, classification, non-surgical management, surgical intervention, and patient oriented outcomes are discussed. All interventions should prioritize realistic, evidence-supported appearance and functional gains. Studies of the baseline function and quality of life of children with symbrachydactyly would allow surgeons to better understand functional changes associated with various interventions and would help surgeons and parents to make the best treatment decisions.

摘要

短指畸形是一种单侧先天性手部畸形,其特征为手指形成障碍以及存在残留的指结节。治疗方法多样,本综述对其进行了研究。对文献进行了详细综述,并归纳为简洁的临床相关类别。讨论了病因、分类、非手术治疗、手术干预以及以患者为导向的结果。所有干预措施都应优先考虑获得符合实际、有证据支持的外观改善和功能提升。对短指畸形患儿的基线功能和生活质量进行研究,将有助于外科医生更好地了解与各种干预措施相关的功能变化,并有助于外科医生和家长做出最佳治疗决策。

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