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Klaritsch P. Transverse limb deficiency of the upper extremities. ULTRASCHALL IN DER MEDIZIN (STUTTGART, GERMANY : 1980) 2024; 45:220-231. [PMID: 38834063 DOI: 10.1055/a-2285-8251] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2024]
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Sletten IN, Jokihaara J, Klungsøyr K. Prevalence, infant outcomes and gestational risk factors for transverse reduction deficiencies at or above the wrist: a population-based study. J Hand Surg Eur Vol 2024:17531934241249913. [PMID: 38780050 DOI: 10.1177/17531934241249913] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 05/25/2024]
Abstract
We identified individuals born in Norway between 1970 and 2019 with transverse reduction deficiency at or above the wrist (TRDAW) from the Medical Birth Registry of Norway and from the CULA (congenital upper limb anomaly) North Oslo Registry. Infant outcomes and parental factors were compared for 202 individuals with TRDAW to 2,741,013 living individuals without TRDAW born during the same period. We found an overall TRDAW prevalence of 0.74/10,000. Infants with TRDAW had a higher risk for being small for gestational age, an Apgar score <7 and transfer to neonatal intensive care units after delivery. Nine of the infants with TRDAW had associated anomalies, most commonly in the lower limb, and at a higher proportion than the reference population. Other than twin pregnancies, we are unable to identify with certainty any other risk factors for TRDAW.Level of evidence: I.
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Affiliation(s)
| | - Jarkko Jokihaara
- Department of Hand Surgery, Tampere University Hospital, Tampere, Finland
- Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland
| | - Kari Klungsøyr
- Division of Mental and Physical Health, Norwegian Institute of Public Health, Bergen, Norway
- Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway
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Mohapatra DP, Tripathy S, Mishra B. Grading Congenital Anomalies of the Hand for Defining Outcomes and Improved Patient Communication: A Practical Approach. Indian J Plast Surg 2024; 57:159-161. [PMID: 38774725 PMCID: PMC11105815 DOI: 10.1055/s-0044-1781444] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/24/2024] Open
Affiliation(s)
- Devi Prasad Mohapatra
- Department of Plastic Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Pondicherry, India
| | - Satyaswarup Tripathy
- Department of Plastic Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh, India
| | - Biswajit Mishra
- Department of Plastic, Reconstructive, and Aesthetic Surgery, AMRI Hospitals, Bhubaneswar, Odisha, India
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Shah A, Bohn DC, Van Heest AE, Hu CH. Congenital Upper-Limb Differences: A 6-Year Literature Review. J Bone Joint Surg Am 2023; 105:1537-1549. [PMID: 37624908 DOI: 10.2106/jbjs.22.01323] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 08/27/2023]
Abstract
➤ The Oberg-Manske-Tonkin (OMT) classification of congenital hand and upper-limb anomalies continues to be refined as our understanding of the genetic and embryonic etiology of limb anomalies improves.➤ We have conducted an evaluation of graft and graftless techniques for syndactyly reconstruction; strengths and drawbacks exist for each technique.➤ Treatment for radial longitudinal deficiency remains controversial; however, radialization has shown promise in early follow-up for severe deformities.➤ Recent emphasis on psychosocial aspects of care has demonstrated that children with congenital upper-limb differences demonstrate good peer relationships and marked adaptability.
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Affiliation(s)
- Ayush Shah
- Department of Orthopedic Surgery, University of Minnesota, Minneapolis, Minnesota
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Twayana AR, Sunuwar N, Deo S, Rayamajhi S, Sherpa NTT, Anjum F. Congenital Upper Limb Deficiency with Oligodactyly: A Case Report. JNMA J Nepal Med Assoc 2022; 60:743-746. [PMID: 36705217 PMCID: PMC9446493 DOI: 10.31729/jnma.7585] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2022] [Accepted: 07/28/2022] [Indexed: 02/01/2023] Open
Abstract
Congenital upper limb deficiency care and management have undergone drastic changes over the past 50 years. Given the low incidence of this defect nationwide, this case report adds to the existing database to analyze the etiological investigations, descriptive epidemiology, and trend detection. We present a case of a 2-month-old male child with congenital upper limb deficiency and explore the possible etiologies and difficulties during early diagnosis of such rare disorders in a low and middle-income countrries and present implications at the primary health care level to improve the prognosis. Poor nutrition during pregnancy due to an unplanned pregnancy is a possible cause. The prognosis is unfavourable due to sociocultural barriers. To address these limitations, it is pertinent to address disability-adequate knowledge among communities, promote early diagnosis, and timely rehabilitation using a multidisciplinary approach. Further, we provide a framework to optimize care. Keywords congenital limb deficiency; prevalence; upper limb defect.
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Affiliation(s)
- Anu Radha Twayana
- Department of Medicine, Bhaktapur Hospital, Dudhpati-1, Bhaktapur, Nepal,Correspondence: Dr Anu Radha Twayana, Department of Medicine, Dudhpati-1, Bhaktapur Hospital, Bhaktapur, Nepal. , Phone: +977-9849989965
| | - Neela Sunuwar
- B. P. Koirala Institute of Health Sciences, Dharan, Sunsari, Nepal
| | - Sulav Deo
- Department of Medicine, Suraksha Hospital, Biratnagar-7, Morang, Nepal
| | - Sushil Rayamajhi
- Department of Medicine, Swacon International Hospital, Battisputali, Kathmandu, Nepal
| | | | - Firoz Anjum
- Department of Paediatrics, Patan Academy of Health Sciences, Lagankhel, Lalitpur, Nepal
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McCombe D, Coombs C, Tolerton S. Keeping up to date with classification of congenital upper limb differences: the Australian perspective. J Hand Surg Eur Vol 2020; 45:1111-1112. [PMID: 33092453 DOI: 10.1177/1753193420964398] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Affiliation(s)
- David McCombe
- Australian Hand Difference Register, Murdoch Children's Research Institute, Melbourne, Australia.,Plastic and Maxillofacial Surgery Department, Royal Children's Hospital, Melbourne, Australia.,University of Melbourne Department of Paediatrics, Royal Children's Hospital, Melbourne, Australia
| | - Chris Coombs
- Australian Hand Difference Register, Murdoch Children's Research Institute, Melbourne, Australia.,Plastic and Maxillofacial Surgery Department, Royal Children's Hospital, Melbourne, Australia.,University of Melbourne Department of Paediatrics, Royal Children's Hospital, Melbourne, Australia
| | - Sarah Tolerton
- Australian Hand Difference Register, Murdoch Children's Research Institute, Melbourne, Australia.,The Sydney Children's Hospitals Network, The Children's Hospital at Westmead and Sydney Children's Hospital Randwick, Sydney, Australia
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Hülsemann W, Mann M, van Nieuwenhoven C, Sletten IN, Winge M. The European perspective on the Oberg-Manske-Tonkin classification: challenges for implementation, databases and registries. J Hand Surg Eur Vol 2020; 45:1112-1113. [PMID: 33106095 DOI: 10.1177/1753193420965364] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Affiliation(s)
| | - Max Mann
- Catholic Children's Hospital Wilhelmstift, Hamburg, Germany
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Al-Qattan MM. A Review of the Genetics and Pathogenesis of Syndactyly in Humans and Experimental Animals: A 3-Step Pathway of Pathogenesis. BIOMED RESEARCH INTERNATIONAL 2019; 2019:9652649. [PMID: 31637260 PMCID: PMC6766129 DOI: 10.1155/2019/9652649] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/07/2019] [Revised: 08/23/2019] [Accepted: 09/01/2019] [Indexed: 12/30/2022]
Abstract
Embryology of normal web space creation and the genetics of syndactyly in humans and experimental animals are well described in the literature. In this review, the author offers a 3-step pathway of pathogenesis for syndactyly. The first step is initiated either by the overactivation of the WNT canonical pathway or the suppression of the Bone Morphogenetic Protein (BMP) canonical pathway. This leads to an overexpression of Fibroblast Growth Factor 8 (FGF8). The final step is the suppression of retinoic acid in the interdigital mesenchyme leading to suppression of both apoptosis and extracellular matrix (ECM) degradation, resulting in syndactyly.
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Affiliation(s)
- Mohammad M Al-Qattan
- Professor of Hand Surgery, King Saud University, Riyadh, Saudi Arabia
- King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia
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