School of Medicine, University of Edinburgh, Chancellor's Building, Edinburgh, UK.
Plastic Surgery Department, Royal Hospital for Children and Young People, Edinburgh.
J Hand Surg Eur Vol. 2023 Dec;48(11):1159-1167. doi: 10.1177/17531934231160400. Epub 2023 Mar 16.
In this study, we studied historical case notes to examine nomenclature of congenital upper limb anomalies and explore the changes in terminologies over time. Original diagnoses were reclassified according to previously published classifications and the most recent Oberg, Manske and Tonkin system. Two hundred and thirty-eight case notes were obtained from the period 1961-1991. Hand plate malformations where the diagnosis was obvious or traumatic defects, were excluded. Eighty-six cases (106 extremities) were finally included where an ambiguous diagnosis, such as 'congenital absence' was initially given. None of the re-classifications matched the original diagnoses except for cleft hand and radial dysplasia ( = 31). Eighteen phocomelia-type limbs were re-classifiable when seen as a continuum of longitudinal deficiency, but not as an intercalary deficit. This study provided further insights into the evolving nature of nomenclature in congenital upper limb anomalies, especially for the condition of phocomelia. IV.
在这项研究中，我们研究了历史病例记录，以检查先天性上肢畸形的命名法，并探讨随着时间的推移术语的变化。根据先前发表的分类法和最新的 Oberg、Manske 和 Tonkin 系统，对原始诊断进行了重新分类。从 1961 年至 1991 年获得了 238 份病历。排除了手部板畸形（诊断明显或创伤性缺陷）。最终包括 86 例（106 个肢体），最初的诊断是模棱两可的，如“先天性缺失”。除了裂隙手和桡侧发育不良（=31）外，没有一种重新分类与原始诊断相匹配。当将 18 个海豹肢畸形肢体视为纵向缺陷的连续体时，可以重新分类，但不作为间插性缺陷。这项研究进一步深入了解了先天性上肢畸形命名法的演变性质，特别是对于海豹肢畸形的情况。IV.
