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复杂手部多指畸形:一例报告及文献综述

Complex Hand Polydactyly: A Case Report and Literature Review.

作者信息

Alzarmah Israa, Bhat Tanveer A, Nawwab Eyad

机构信息

Plastic, Reconstructive and Aesthetic Surgery, Royal College of Surgeons in Ireland, Dublin, IRL.

Department of Plastic and Reconstructive Surgery, King Saud Medical City, Riyadh, SAU.

出版信息

Cureus. 2021 Dec 31;13(12):e20856. doi: 10.7759/cureus.20856. eCollection 2021 Dec.

DOI:10.7759/cureus.20856
PMID:35111490
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8794378/
Abstract

Polydactyly is a common congenital malformation in which extra digits are present in at least one extremity. It has various presentations, and it can be an isolated anomaly or part of other diseases. Most isolated polydactyly cases are sporadic and unilateral, but there is an increased incidence in some populations. Polydactyly is multifactorial and can occur in different forms. Its main line of treatment is surgery to improve cosmesis and functioning. In this report, we present a rare case of bilateral complex hand polydactyly in a one-year-seven-months old girl of African descent. She is otherwise healthy with no family history of malformations. The pattern is not consistent with any syndromic disease. She subsequently underwent surgical resection of the extra digits.

摘要

多指畸形是一种常见的先天性畸形,其中至少一个肢体存在额外的手指。它有多种表现形式,可以是孤立的异常,也可以是其他疾病的一部分。大多数孤立性多指畸形病例是散发性和单侧性的,但在某些人群中的发病率有所增加。多指畸形是多因素的,可以以不同形式出现。其主要治疗方法是手术,以改善美观和功能。在本报告中,我们介绍了一名1岁7个月大的非洲裔女孩双侧复杂性手部多指畸形的罕见病例。她在其他方面健康,没有畸形家族史。这种模式与任何综合征性疾病均不一致。她随后接受了额外手指的手术切除。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbe9/8794378/72cb9b5cddcc/cureus-0013-00000020856-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbe9/8794378/7afdc01b2433/cureus-0013-00000020856-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbe9/8794378/351cd6870c0a/cureus-0013-00000020856-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbe9/8794378/6b502dcda701/cureus-0013-00000020856-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbe9/8794378/80178ec4001d/cureus-0013-00000020856-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbe9/8794378/edd252ccede8/cureus-0013-00000020856-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbe9/8794378/be935f25e502/cureus-0013-00000020856-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbe9/8794378/64d4afd1f362/cureus-0013-00000020856-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbe9/8794378/72cb9b5cddcc/cureus-0013-00000020856-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbe9/8794378/7afdc01b2433/cureus-0013-00000020856-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbe9/8794378/351cd6870c0a/cureus-0013-00000020856-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbe9/8794378/6b502dcda701/cureus-0013-00000020856-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbe9/8794378/80178ec4001d/cureus-0013-00000020856-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbe9/8794378/edd252ccede8/cureus-0013-00000020856-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbe9/8794378/be935f25e502/cureus-0013-00000020856-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbe9/8794378/64d4afd1f362/cureus-0013-00000020856-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbe9/8794378/72cb9b5cddcc/cureus-0013-00000020856-i08.jpg

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本文引用的文献

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A Case of Nonsyndromic Unilateral Cleft Hand with Central Polydactyly, Syndactyly, and Thumb Hypoplasia: Support for a Common Etiology.一例非综合征性单侧裂手伴中央多指、并指及拇指发育不全:对共同病因的支持
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Occurrence of central polydactyly, syndactyly, and cleft hand in a single family: report of five hands in three cases.一个家族中出现中央多指、并指和裂手畸形:3例5只手的报告
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