Cheng J C, Chow S K, Leung P C
Department of Orthopaedic and Traumatic Surgery, Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, New Territory.
J Hand Surg Am. 1987 Nov;12(6):1055-60. doi: 10.1016/s0363-5023(87)80111-9.
There were 578 patients with more than 728 congenital anomalies of the upper limb seen in our center over a 10-year period. All anomalies were classified with the system recommended by the International Federation of Societies for Surgery of the Hand (IFSSH). Our results differ from other reported series with group III duplication anomalies being most common (35.9%) followed by group II (31.3%); group I (12.2%); group VII (9.3%), group VI (6.5%), group V (4.3%), and group IV (0.5%). Variations among different ethnic groups are significant although some apparent differences can also result from different patient referral patterns and method of classification. The classification adopted by the IFSSH was found to be practical in the majority of cases. However, difficulties were encountered in the classification of multiple anomalies; group VII cases and the complex spectrum of atypical cleft hand, brachysyndactyly, and transverse arrests. In addition, many common anomalies had not been included in the classification.
在10年期间，我们中心共诊治了578例患者，他们存在超过728处上肢先天性畸形。所有畸形均按照国际手外科学会联合会（IFSSH）推荐的系统进行分类。我们的结果与其他报道的系列不同，其中III组重复畸形最为常见（35.9%），其次是II组（31.3%）；I组（12.2%）；VII组（9.3%），VI组（6.5%），V组（4.3%），以及IV组（0.5%）。不同种族之间的差异显著，尽管一些明显的差异也可能源于不同的患者转诊模式和分类方法。发现IFSSH采用的分类在大多数情况下是实用的。然而，在多种畸形的分类中遇到了困难；VII组病例以及非典型裂手、短指并指和横向发育停止的复杂谱系。此外，许多常见畸形未被纳入该分类。
