Pindaria Kuldeep Prakashchandra, Malik Ipanshu, Dua Kartik, Sojitra Vasu, Solanki Praveen, Chaliawala Yash
Department of Orthopaedic Surgery, Faculty of Medicine and Health Sciences, SGT University, Gurugram, Haryana, India.
J Orthop Case Rep. 2023 Apr;13(4):49-52. doi: 10.13107/jocr.2023.v13.i04.3612.
Authors report a rare case report about split hand and foot malformation (SHFM) also sometimes referred to as ectrodactyly.
The patient with hand and foot malformations presented to casualty. A 60-year-old male was brought with alleged history of road traffic accident with tenderness and deformity in left thigh. On further physical examination, a malformation was present in bilateral feet and right hand. Plain radiographs were taken after emergency primary management which revealed a fracture of shaft of femur of the left side and absence of 2nd and 3rd phalanges in bilateral feet and lobster claw like malformation in the right hand. The patient was further investigated and operated with femur interlocking nail and later discharged under stable condition. Screening for other congenital defects was done.
Patients with SHFM should undergo screening for other congenital anomalies. Electrocardiogram, 2D ECHO, chest radiograph, and ultrasonography abdomen should be done. Genetic analysis ideally should be done to identify mutations involved. Surgical intervention is only required when patient demands improved function of limb.
作者报告了一例罕见的手足裂畸形（SHFM）病例，该畸形有时也被称为缺指（趾）畸形。
一名患有手足畸形的患者前来急诊。一名60岁男性因据称的道路交通事故被送来，左大腿有压痛和畸形。进一步体格检查发现双侧足部和右手存在畸形。在进行紧急初步处理后拍摄了X线平片，结果显示左侧股骨干骨折，双侧足部第二和第三趾骨缺如，右手呈龙虾爪样畸形。对患者进行了进一步检查，并采用股骨交锁髓内钉进行手术，随后在病情稳定后出院。对其他先天性缺陷进行了筛查。
SHFM患者应接受其他先天性异常的筛查。应进行心电图、二维超声心动图、胸部X线片和腹部超声检查。理想情况下应进行基因分析以确定相关突变。仅在患者要求改善肢体功能时才需要进行手术干预。
