Johnson J, Omer G E
Hand Clin. 1985 Aug;1(3):499-510.
We have reviewed the natural history of congenital ulnar deficiency in 15 limbs in our series and in 185 limbs in the literature. The natural history suggests that there is little progression of deformity. Specific variables for prognosis have not been determined. There are no data that discuss relative ulnar length or relative forearm shortening of the involved extremity. We compared function in our 15 limbs with standards of function in the general population. Based on our findings, treatment must be individualized to maximize function and should be conservative regarding ulnar deviation of the wrist, radial head dislocation, and preservation of forearm pronation and supination. Standard reconstruction of hand anomalies is most rewarding for functional results.
我们回顾了本系列中15例肢体以及文献中185例肢体的先天性尺骨缺如自然病史。自然病史表明畸形进展甚微。尚未确定预后的具体变量。没有数据讨论患侧肢体的相对尺骨长度或相对前臂缩短情况。我们将15例肢体的功能与一般人群的功能标准进行了比较。根据我们的研究结果，治疗必须个体化以最大限度地提高功能，并且在手腕尺偏、桡骨头脱位以及保留前臂旋前和旋后功能方面应采取保守治疗。手部畸形的标准重建在功能结果方面最有成效。
