Congenital hand disorders:
Gespeichert in:
| Format: | Buch |
|---|---|
| Sprache: | English |
| Veröffentlicht: |
Philadelphia [u.a.]
Saunders
1998
|
| Schriftenreihe: | Hand clinics
14,1 |
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | VII, 153 S. zahlr. Ill. |
Internformat
MARC
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| 245 | 1 | 0 | |a Congenital hand disorders |c Alexander D. Mih, guest ed. |
| 264 | 1 | |a Philadelphia [u.a.] |b Saunders |c 1998 | |
| 300 | |a VII, 153 S. |b zahlr. Ill. | ||
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| 650 | 2 | |a Anomalies morphologiques congénitales de la main - Chirurgie | |
| 650 | 7 | |a Handen |2 gtt | |
| 650 | 4 | |a Genetic disorders | |
| 650 | 4 | |a Hand Deformities, Congenital |x surgery | |
| 650 | 4 | |a Hand |x Abnormalities | |
| 650 | 4 | |a Hand |x Surgery | |
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Datensatz im Suchindex
| _version_ | 1804126487215865856 |
|---|---|
| adam_text | CONGENITAL HAND DISORDERS
CONTENTS
Preface jx
Alexander D. Mih
Nonvascularized Toe Proximal Phalanx Transfers in the Treatment
of Aphalangia 1
Michelle A. James and Robert C. Durkin
The indications for nonvascularized toe phalanx transfers arc limited.
Radiolucency in the region of the transferred physis does not necessarily
indicate a functional growth plate. Older age is not a contraindication to
toe phalanx transfers. The results of this procedure can be improved
and information from experimental physeal transplantation may help the
surgeon to improve technique.
Thumb Duplication 17
Mark S. Cohen
Thumb duplication is a complex congenital anomaly. Treatment requires
a detailed understanding of the pathophysiology as well as an appreciation
of all the components involved. The goals of surgery are to restore the
normal anatomic relationships of the residual thumb. Successful recon¬
struction requires evaluation and correction of the bony axis; articular
congruity; size and angulation; intrinsic and extrinsic musculotendinous
abnormalities; and ligament, skin, and soft tissue elements. The recon¬
structed thumb may not match the normal thumb because of the hypopla
sia that is inherently associated with the condition. With careful preopera
tive planning and attention to detail, however, a satisfactory cosmetic and
functional result can be achieved.
Congenital Constriction Band Syndrome 29
Thomas A. Wiedrich
Constriction band syndrome is a fairly common congenital hand disorder.
Proposed etiologies for the formation of the anomalies are reviewed in
this article and demographics for the syndrome are presented. Varied
clinical presentations are addressed and potential treatment options are
reviewed.
HAND CLINICS VOLUME 14 • NUMBER 1 • FEBRUARY 1998 V
Congenital Radial Head Dislocations 39
Kavi Sachar and Alexander D. Mih
Congenital radial head dislocation is the most common congenital elbow
abnormality. Patients generally remain asymptomatic until adolescence
and, at that time, may benefit from radial head resection. Open reduction
and ligament reconstruction may offer advantages over late radial head
resection if performed before the age of 2 years. Further long term studies
are needed to determine if open reduction and ligament reconstruction
are helpful.
Finger Polydactyly 49
Thomas J. Graham and Andrew M. Ress
Polydactyly is one of the most common congenital differences. Duplica¬
tions of the index finger, central rays, and small digit each have unique
characteristics and associations. Complex anomalies such as the mirror
hand and pentadactyly represent specialized forms of polydactyly. The
goal of reconstructing a functional hand is met by appreciating the ana¬
tomic variations and systemic implications, then employing the challeng¬
ing technical and intellectual concepts described.
Ulnar Ray Deficiency 65
Christopher C. Schmidt and Steven K. Neufeld
Longitudinal deficiencies of the ulna are very rare deformities. Despite the
cosmetic appearance, patients usually have very functional extremities.
The limb function has been adversely related to ipsilateral hand deformi¬
ties and radiohumeral synostosis. Surgical treatment should be aimed at
correcting such deformities. It is prudent to wait and observe patients
before definitive wrist or forearm treatment is recommended.
Congenital Clasped Thumb 77
Alexander D. Mih
Congenital clasped thumb is a disorder characterized by flexion posture
of the thumb secondary to extensor side underdevelopment, flexor side
tightness, or both. Mild cases may be treated by splintage whereas more
advanced cases require tendon transfer or a combination of tendon transfer
and flexor side releases. Clasped thumb can be seen in conjunction with
syndromes such as arthrogryposis and, in these cases, recognition of the
abnormal anatomic structures is required to effect satisfactory reconstruc¬
tion.
Radial Longitudinal Deficiency: A Review and Update 85
Gary M. Lourie and Robert E. tins
Treatment of patients with radial longitudinal deficiency remains challeng¬
ing for the hand surgeon. A thorough knowledge of the anomalous anat¬
omy and the varied presentation is vital to effect a sound treatment plan.
This article includes a review of the pertinent historical background, a
discussion of current recommendations, and a detailed critical review of
recent contributions to the field.
Diagnosis and Treatment of Congenital Thumb Hypoplasia 101
Kevin D. Plancher and Randeep S. Kahlon
The hypoplastic thumb has a variety of presentations, which have been
generalized into a formal classification system that has treatment implica¬
tions. In most cases, the spectrum of hypoplasia has predictable deficits in
Vi CONTENTS
terms of tendon and bone absence. The ultimate goal is always the
same—to enhance usage of the radial digit. In this article, a straightfor¬
ward, reliable, and reproducible surgical technique is discussed and illus¬
trated. Pitfalls, indications, and treatment regimes also are discussed to
help the physician successfully treat the child with a hypoplastic thumb.
Spastic Hemiplegia of the Upper Extremity in Children 119
Peter M. Waters and Ann Van Heest
Care of upper extremity problems in hemiplegic children requires careful
evaluation and planning. This article focuses on the evaluation and treat¬
ment of spastic hemiplegia attributable to cerebral palsy. All treatments
must take into consideration the level of static and dynamic motor defor¬
mity; levels of discriminatory sensibility, intelligence, and motivation; and
overall level of function. The treatments discussed are designed to improve
the child s musculoskeletal condition but do not cure the underlying dis¬
ease.
Microvascular Surgery in the Reconstruction of Congenital
Hand Anomalies 135
Martin I. Boyer and Alexander D. Mih
Several congenital upper extremity anomalies may be treated using micro
surgical techniques. Long term studies have shown the usefulness of mi¬
crovascular toe transfer in the treatment of adactyly with the incorporation
of the transferred digit into grasp and pinch function. The use of free
fibular transfer for long bone deformities of the forearm has been shown
to provide bony union as well as growth. Factors that must be considered
include patient age, vessel availability, and lack of other possible recon¬
structive options.
Complications of Duplicate Thumb Reconstruction 143
Alexander D. Mih
Thumb duplication is a common anomaly treated by most hand surgeons.
Successful reconstruction of this disorder requires the surgeon to address
abnormalities of collateral ligaments, tendon, and bone. With growth,
secondary problems may occur, including bony overgrowth, tendon imbal¬
ance, and joint stiffness. Surgeons must be aware of these potential compli¬
cations when the performance of initial surgery and long term follow up
of the child are necessary.
Index 151
Subscription Information Inside back cover
CONTENTS Vli
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| series | Hand clinics |
| series2 | Hand clinics |
| spelling | Congenital hand disorders Alexander D. Mih, guest ed. Philadelphia [u.a.] Saunders 1998 VII, 153 S. zahlr. Ill. txt rdacontent n rdamedia nc rdacarrier Hand clinics 14,1 Aangeboren afwijkingen gtt Anomalies morphologiques congénitales de la main - Chirurgie Handen gtt Genetic disorders Hand Deformities, Congenital surgery Hand Abnormalities Hand Surgery Anomalie Medizin (DE-588)4068733-8 gnd rswk-swf Hand (DE-588)4023207-4 gnd rswk-swf (DE-588)4143413-4 Aufsatzsammlung gnd-content Hand (DE-588)4023207-4 s Anomalie Medizin (DE-588)4068733-8 s DE-604 Mih, Alexander D. Sonstige oth Hand clinics 14,1 (DE-604)BV000019309 14,1 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=008041663&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Congenital hand disorders Hand clinics Aangeboren afwijkingen gtt Anomalies morphologiques congénitales de la main - Chirurgie Handen gtt Genetic disorders Hand Deformities, Congenital surgery Hand Abnormalities Hand Surgery Anomalie Medizin (DE-588)4068733-8 gnd Hand (DE-588)4023207-4 gnd |
| subject_GND | (DE-588)4068733-8 (DE-588)4023207-4 (DE-588)4143413-4 |
| title | Congenital hand disorders |
| title_auth | Congenital hand disorders |
| title_exact_search | Congenital hand disorders |
| title_full | Congenital hand disorders Alexander D. Mih, guest ed. |
| title_fullStr | Congenital hand disorders Alexander D. Mih, guest ed. |
| title_full_unstemmed | Congenital hand disorders Alexander D. Mih, guest ed. |
| title_short | Congenital hand disorders |
| title_sort | congenital hand disorders |
| topic | Aangeboren afwijkingen gtt Anomalies morphologiques congénitales de la main - Chirurgie Handen gtt Genetic disorders Hand Deformities, Congenital surgery Hand Abnormalities Hand Surgery Anomalie Medizin (DE-588)4068733-8 gnd Hand (DE-588)4023207-4 gnd |
| topic_facet | Aangeboren afwijkingen Anomalies morphologiques congénitales de la main - Chirurgie Handen Genetic disorders Hand Deformities, Congenital surgery Hand Abnormalities Hand Surgery Anomalie Medizin Hand Aufsatzsammlung |
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