Mills Janith K, Butler Lesley, Mills Elisa M, Oishi Scott N
At the time this article was written, Janith K. Mills practiced at the Charles Seay, Jr., Hand Center at Texas Scottish Rite Hospital for Children in Dallas. She now practices at the Comprehensive Epilepsy Center at Children's Medical Center in Dallas. Lesley Butler was the research coordinator for the Charles Seay, Jr., Hand Center at Texas Scottish Rite Hospital for Children and Elisa M. Mills was a research intern at Texas Scottish Rite Hospital for Children when this article was written. Scott N. Oishi is director of the Charles E. Seay, Jr., Hand Center at Texas Scottish Rite Hospital for Children and a professor in the departments of orthopedic surgery and plastic surgery at the University of Texas Southwestern Medical Center. The authors have disclosed no potential conflicts of interest, financial or otherwise.
JAAPA. 2019 Apr;32(4):32-37. doi: 10.1097/01.JAA.0000553383.75260.0c.
Although congenital hand anomalies associated with finger nubbins may be produced by amniotic band disruption sequence (ABDS), symbrachydactyly should be considered in the differential diagnosis. ABDS usually affects more than one limb but symbrachydactyly largely is limited to one upper extremity, and has five distinct clinical presentations: short-fingered, atypical cleft, monodactylous, peromelic, and a forearm proximal transverse deficiency. This article discusses the diagnosis of symbrachydactyly compared with ABDS and outlines plans for managing patients with symbrachydactyly.
尽管与手指残端相关的先天性手部异常可能由羊膜带破裂序列（ABDS）引起，但在鉴别诊断中应考虑并指畸形。ABDS通常会影响多个肢体，但并指畸形大多局限于一个上肢，并且有五种不同的临床表现：短指型、非典型裂手型、单指型、四肢短小型和前臂近端横向缺损型。本文讨论了并指畸形与ABDS的鉴别诊断，并概述了并指畸形患者的治疗方案。
