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短指并指畸形

Symbrachydactyly.

作者信息

Balakrishnan Govindasamy, Vijayaragavan S, Somesh Balakrishnan

机构信息

The Tamilnadu Dr. MGR Medical University, Chennai, India.

Department of Plastic, Hand and Microsurgery, Right Hospitals, Kilpauk, Chennai, India.

出版信息

Indian J Plast Surg. 2021 Nov 1;55(1):7-17. doi: 10.1055/s-0041-1734579. eCollection 2022 Feb.

DOI:10.1055/s-0041-1734579
PMID:35444739
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9015830/
Abstract

Symbrachydactyly is a rare congenital hand malformation in which a child is born with abnormally short digits that may be webbed, misshaped, or missing, and it is usually a unilateral condition. There is no standardized treatment algorithm for the management of symbrachydactyly. The function of the hand is often not adequate and requires early surgical intervention to restore useful prehension and appearance. This CME article presents a brief review of the embryology, history, classification and clinical presentation, and author's experience of treating 19 children with symbrachydactyly over 10 years. Creation of thumb web, lengthening of thumb, and creating an opposition post results in prehension of hand with an improved quality of life.

摘要

短指并指畸形是一种罕见的先天性手部畸形，患儿出生时手指异常短小，可能有蹼、形状异常或缺失，通常为单侧发病。目前对于短指并指畸形的治疗尚无标准化的治疗方案。手部功能往往不足，需要早期手术干预以恢复有效的抓握功能和外观。这篇继续医学教育文章简要回顾了其胚胎学发展、历史、分类和临床表现，以及作者在10年间治疗19例短指并指畸形患儿的经验。创建拇指蹼、延长拇指并形成对掌位可实现手部抓握功能，提高生活质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e2b/9015830/37cf63da50b0/10-1055-s-0041-1734579-i2131177-11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e2b/9015830/0c3b5b8f0400/10-1055-s-0041-1734579-i2131177-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e2b/9015830/1a93a11b065f/10-1055-s-0041-1734579-i2131177-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e2b/9015830/ffe0ada83ff2/10-1055-s-0041-1734579-i2131177-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e2b/9015830/98cacefd3da5/10-1055-s-0041-1734579-i2131177-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e2b/9015830/6632d78faea7/10-1055-s-0041-1734579-i2131177-5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e2b/9015830/0678ced49926/10-1055-s-0041-1734579-i2131177-6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e2b/9015830/97961f7aa52d/10-1055-s-0041-1734579-i2131177-7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e2b/9015830/54b89c0aa8ef/10-1055-s-0041-1734579-i2131177-8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e2b/9015830/feff12158c9f/10-1055-s-0041-1734579-i2131177-9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e2b/9015830/8483d58b2278/10-1055-s-0041-1734579-i2131177-10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e2b/9015830/37cf63da50b0/10-1055-s-0041-1734579-i2131177-11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e2b/9015830/0c3b5b8f0400/10-1055-s-0041-1734579-i2131177-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e2b/9015830/1a93a11b065f/10-1055-s-0041-1734579-i2131177-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e2b/9015830/ffe0ada83ff2/10-1055-s-0041-1734579-i2131177-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e2b/9015830/98cacefd3da5/10-1055-s-0041-1734579-i2131177-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e2b/9015830/6632d78faea7/10-1055-s-0041-1734579-i2131177-5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e2b/9015830/0678ced49926/10-1055-s-0041-1734579-i2131177-6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e2b/9015830/97961f7aa52d/10-1055-s-0041-1734579-i2131177-7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e2b/9015830/54b89c0aa8ef/10-1055-s-0041-1734579-i2131177-8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e2b/9015830/feff12158c9f/10-1055-s-0041-1734579-i2131177-9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e2b/9015830/8483d58b2278/10-1055-s-0041-1734579-i2131177-10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e2b/9015830/37cf63da50b0/10-1055-s-0041-1734579-i2131177-11.jpg

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[Distraction Osteogenesis is an Effective Method to Lengthen Digits in Congenital Malformations].[牵张成骨术是治疗先天性畸形中手指延长的有效方法]
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