拇指多指畸形的评估与处理
Evaluation and Management of Preaxial Polydactyly.
作者信息
Rogers Benjamin H, Schmieg Sandra L, Pehnke Meagan E, Shah Apurva S
机构信息
Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Sidney Kimmel Medical Collage at Thomas Jefferson University, Philadelphia, PA, USA.
出版信息
Curr Rev Musculoskelet Med. 2020 Aug;13(4):545-551. doi: 10.1007/s12178-020-09644-w.
Abstract
PURPOSE OF REVIEW
To provide a current review of the embryology, classification, evaluation, surgical management, and clinical outcomes related to preaxial polydactyly.
RECENT FINDINGS
Recent studies include a proposed embryologic link between preaxial polydactyly and other congenital abnormalities, an evaluation of long-term postsurgical outcomes, and an examination of important predictors for postsurgical outcomes. Preaxial polydactyly, while relatively uncommon, is a complex congenital hand abnormality that requires careful preoperative classification and proper surgical intervention timing to yield optimal outcomes.
摘要
综述目的
对与轴前多指畸形相关的胚胎学、分类、评估、手术治疗及临床结果进行最新综述。
最新发现
近期研究包括提出轴前多指畸形与其他先天性异常之间的胚胎学联系、对手术长期结果的评估以及对手术结果重要预测因素的研究。轴前多指畸形虽相对少见，但却是一种复杂的先天性手部异常，需要仔细的术前分类和恰当的手术干预时机以获得最佳结果。
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本文引用的文献
1
Long-Term Clinical and Radiographic Follow-Up of Preaxial Polydactyly Reconstruction.
J Hand Surg Am. 2019 Mar;44(3):244.e1-244.e6. doi: 10.1016/j.jhsa.2018.05.030. Epub 2018 Jul 7.
2
Clinical Genetics of Polydactyly: An Updated Review.
Front Genet. 2018 Nov 6;9:447. doi: 10.3389/fgene.2018.00447. eCollection 2018.
3
A Modified Bilhaut-Cloquet Procedure for Zigzag Thumb Polydactyly Types III and IV.
Plast Reconstr Surg Glob Open. 2017 Dec 28;5(12):e1589. doi: 10.1097/GOX.0000000000001589. eCollection 2017 Dec.
4
Experimental evidence that preaxial polydactyly and forearm radial deficiencies may share a common developmental origin.
J Hand Surg Eur Vol. 2019 Jan;44(1):43-50. doi: 10.1177/1753193418762959. Epub 2018 Mar 27.
5
Documenting Combined Congenital Upper Limb Anomalies Using the Oberg, Manske, and Tonkin Classification: Implications for Epidemiological Research and Outcome Comparisons.
J Hand Surg Am. 2018 Sep;43(9):869.e1-869.e11. doi: 10.1016/j.jhsa.2018.02.003. Epub 2018 Mar 21.
6
Polydactyly of the Hand.
J Am Acad Orthop Surg. 2018 Feb 1;26(3):75-82. doi: 10.5435/JAAOS-D-16-00139.
7
On-top and side-to-side plasties for thumb polydactyly.
Int J Surg Case Rep. 2017;39:88-92. doi: 10.1016/j.ijscr.2017.07.060. Epub 2017 Aug 8.
8
"On-Top Plasty" for Radial Polydactyly Reconstruction.
J Hand Surg Am. 2017 Sep;42(9):753.e1-753.e6. doi: 10.1016/j.jhsa.2017.05.029. Epub 2017 Jun 29.
9
Analysis of surgical results and of residual postoperative deformities in preaxial polydactyly of the hand.
J Plast Reconstr Aesthet Surg. 2017 Oct;70(10):1420-1432. doi: 10.1016/j.bjps.2017.05.031. Epub 2017 May 22.
10
The Prevalence of Congenital Hand and Upper Extremity Anomalies Based Upon the New York Congenital Malformations Registry.
J Pediatr Orthop. 2017 Mar;37(2):144-148. doi: 10.1097/BPO.0000000000000748.
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