Department of Plastic Surgery, Vivalia - Cliniques du Sud-Luxembourg, Arlon, Belgium.
Clin Dysmorphol. 2022 Jul 1;31(3):109-112. doi: 10.1097/MCD.0000000000000420. Epub 2022 Mar 7.
Laurin-Sandrow syndrome also known as tetramelic mirror-image polydactyly is a rare congenital disorder characterized classically by polysyndactyly of the hands, mirror feet and nose anomalies (hypoplasia of the nasal alae and short columella) often associated with ulnar and/or fibular duplication. As a pathologic entity, it is heterogeneous, the patients displaying a variety of symptoms. This review aims to analyze the different aspects of the condition, such as clinical findings and methods of treatment to summarize the principal features of Laurin-Sandrow syndrome.
The review is based on searches on PubMed, Web of Science and Researchgate of the following terms: "Laurin-Sandrow syndrome", "mirror hands", "mirror feet", "tetramelic mirror-image polydactyly", "fibular dimelia" and "ulnar dimelia". Clinical cases, reviews and original articles were included.
As a consequence of our findings, we suggest a modification of the Al-Qattan classification system for Mirror Hand-Multiple Hand Spectrum.
Even though it has an extremely low incidence, a thorough understanding of the syndrome enables the surgeon to choose the appropriate treatment with the ultimate goal to improve the patient's life quality.
Laurin-Sandrow 综合征,亦称四肢镜像多指畸形,是一种罕见的先天性疾病,其特征为手部多指畸形、镜像足和鼻部异常(鼻翼发育不全和短鼻中隔),常伴有尺骨和/或腓骨重复。作为一种病理实体,其表现具有异质性,患者具有多种症状。本综述旨在分析该病症的不同方面,如临床发现和治疗方法,以总结 Laurin-Sandrow 综合征的主要特征。
本综述基于在 PubMed、Web of Science 和 Researchgate 上对以下术语的搜索:“Laurin-Sandrow 综合征”、“镜像手”、“镜像足”、“四肢镜像多指畸形”、“腓骨重复”和“尺骨重复”。纳入了临床病例、综述和原始文章。
根据我们的发现,我们建议对镜像手-多指畸形谱的 Al-Qattan 分类系统进行修改。
尽管发病率极低,但对该综合征的深入了解使外科医生能够选择合适的治疗方法,最终目的是提高患者的生活质量。