Acquired Radial Club Hand: An Algorithm to Manage Radial Deficiency

نویسندگان

چکیده

Introduction Loss of radius either due to trauma or infection results in a deformity resembling congenital radial club hand. This difficulty perform hand functions and cosmetic appearance is called acquired There are few case reports for the treatment this severe deformity, but there no proper guidelines management disease. From our experience, we decided provide Objectives To evaluate outcome injuries develop algorithm. Patients methods It series study 11 patients with was conducted at tertiary care hospital Pakistan, from year 2016 2022. Basic principles were followed. For different options opted according type following The graded on functional activity, pain, bony union. Results Out patients, 36.36% showed excellent results, 27.27% good fair 9.09% poor results. all avascularized bone graft distraction lengthening, without Darrach procedure. Of whom lengthening performed, one patient while other achieved similar after procedure ulnar shortening. In formation by radioulnar synostosis, variable. Two outcomes two had outcomes. centralization mixed good, fair, each. After three months follow-up, 87% Conclusion With recommend an algorithm

برای دانلود باید عضویت طلایی داشته باشید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Recurrence rate of radial deviation following the centralization surgery of radial club hand

Background: Congenital radial club hand (RCH), as a rare congenital deformity of the upper extremity, is characterized by a wide spectrum of malformations including radial deviation. Centralization surgery is the standard treatment for severe cases that have been associated with a high rate of recurrence. This study reports the long-term results and recurrence rate of radial deviation following...

متن کامل

Current Concepts in Radial Club Hand

Radial club hand is a complex congenital abnormality of the radial or pre-axial border of the upper extremity. It has a wide range of phenotypes from hypoplasia of the thumb to complete absence of the radius and the first ray. Centralization with tendon transfer is a popular method for maintaining the correct position of radial club hand. On the other hand, various corrections were devised, e.g...

متن کامل

Congenital isolated right radial club hand

Congenital radial club hand (RCH) is an uncommon congenital anomaly characterized by various degrees of deficiency along the preaxial or radial side of the extremity. We present one such case of Type 4 congenital isolated RCH who presented to a tertiary care center in the Middle East.

متن کامل

Strategic two-stage approach to radial club hand.

In patients with radial club hand (RCH), there is absence of the radius and severe hypoplasia of the thumb, so both wrist stabilization and thumb reconstruction are essential. When wrist stabilization is performed, recurrence of angulation is a problem. When thumb reconstruction is done, preservation of at least one major dorsal vein is important to prevent necrosis of the reconstructed thumb. ...

متن کامل

Callus distraction for the treatment of acquired radial club-hand deformity after osteomyelitis.

We report our experience of the use of callus distraction with a monolateral fixator for the treatment of acquired radial club-hand deformity after osteomyelitis. Between 1994 and 2004, 13 patients with a mean age of eight years (4 to 15) were treated by callus distraction with a monolateral fixator after a preliminary period of at least four weeks in a corrective short-arm cast. All patients a...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

ژورنال

عنوان ژورنال: Cureus

سال: 2023

ISSN: ['2168-8184']

DOI: https://doi.org/10.7759/cureus.43154