Atypical Cleft Hand: Surgical Technique for Grasping Improvement

被引:0
|
作者
Bisneto, Edgard de Novaes Franca [1 ,2 ]
Fernandes, Laura Filippini Lorimier [1 ]
de Paula, Emygdio Jose Leomil [1 ]
Mattar Junior, Rames [1 ]
机构
[1] Univ Sao Paulo, Hosp Clin, Inst Orthoped & Traumatol, Fac Med, Sao Paulo, Brazil
[2] 333 Cerqueira Cesar, Sao Paulo, SP, Brazil
关键词
hand deformities; congenital/diagnostic imaging; muscle; skeletal/abnormalities; skeletal/surgery; reconstructive surgical procedures; CLASSIFICATION; ANOMALIES;
D O I
10.1097/BTO.0000000000000646
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Introduction:We present 6 cases of children with atypical cleft hand and discuss a surgical technique. Clinically, participants presented with a lack of pulp-to-pulp pinch due to metacarpophalangeal ligament insufficiency and difficulty grasping large objects because of the narrowed first web.Materials and Methods:Second metacarpal resection and Z-plasty, creating a wide first web. The second extensor digitorum communis tendon was transferred to improve the thumb metacarpophalangeal joint stability.Conclusions:The surgical technique presented in this paper did improve function in oligodactyly or type-IIA atypical cleft hand.
引用
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页码:7 / 9
页数:3
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