Arab Hazem, Almousa Maher, Salemah Mahmoud, Alsaffaf Yousef, Alabdullah Abdulla
University of Hama, Faculty of Medicine.
Department of Orthopedic Surgery, The Medical Center of Hama, Hama, Syria.
Ann Med Surg (Lond). 2024 Apr 4;86(5):3175-3179. doi: 10.1097/MS9.0000000000002015. eCollection 2024 May.
Mirror hand is an extremely rare congenital abnormality characterized by polydactyly and duplication of the ulna, with the absence of the radius and thumb. Atypical presentations of mirror hand were described, including the presence of the radius in a few cases; here the authors report one of the atypical cases of mirror hand that underwent successful management.
A 2-year-old and 7-month-old female child presented with 7 well-developed digits, with an absent thumb; the X-ray imaging of the forearm showed a well-formed ulna and radius with proximal fusion. The patient has good shoulder movement, minor limitations in supination and pronation, and elbow flexion restriction. The patient underwent multiple surgical interventions for pollicization. Follow-up revealed a significant improvement of hand function and appearance.
In the literature review, mirror hand is a rare congenital malformation and has many varieties. The management of this deformity is a challenge and differs from case to case; here the authors described a novel variant of this deformity and its successful management.
Mirror hand is a rare congenital abnormality and has a wide spectrum of variants. The management challenge, but with early pollicization with appropriate functional considerations, the outcome is promising.
镜手是一种极其罕见的先天性畸形，其特征为多指畸形和尺骨重复，桡骨和拇指缺如。文献中描述了镜手的非典型表现，包括少数病例中存在桡骨；本文作者报告了一例成功治疗的镜手非典型病例。
一名2岁7个月大的女童有7个发育良好的手指，拇指缺如；前臂X线成像显示尺骨和桡骨形态良好，近端融合。患者肩部活动良好，旋前和旋后有轻微受限，肘关节屈曲受限。患者接受了多次拇指再造手术。随访显示手部功能和外观有显著改善。
在文献回顾中，镜手是一种罕见的先天性畸形，有多种类型。这种畸形的治疗具有挑战性，因病例而异；本文作者描述了这种畸形的一种新变体及其成功治疗方法。
镜手是一种罕见的先天性畸形，有多种变体。治疗具有挑战性，但早期进行拇指再造并适当考虑功能因素，预后良好。
