RefDoc
Haut

Faire une nouvelle recherche
Make a new search
Lancer la recherche


Titre du document / Document title

Ulnar polydactyly. Discussion

Auteur(s) / Author(s)

RAYAN Ghazi M. (1) ; FREY Bret (1) ; UPTON Joseph (Commentateur) ;

Affiliation(s) du ou des auteurs / Author(s) Affiliation(s)

(1) University of Oklahoma and Baptist Medical Center, ETATS-UNIS

Résumé / Abstract

A retrospective review of 148 patients with ulnar polydactyly was conducted to analyze the types, patterns of involvement, associated anomalies, treatments, and outcomes of this malformation. The hands only were involved in 123 patients, both hands and feet in 20 patients, and five patients had mixed radial and ulnar polydactyly. Ulnar polydactyly was more prevalent among males. Among African Americans, the condition was often bilateral. When unilateral, ulnar polydactyly occurred more often on the left side. The racial distribution was 103 African Americans (70 percent), 37 Caucasians (25 percent), four Native Americans, three Latin Americans, and one Asian, Five types were encountered: type I cutaneous nubbin, type II pedunculated digit, type III articulating digit with fifth metacarpal, type IV fully developed digit with sixth metacarpal, and type V polysyndactyly. The distribution of types in order of frequency was type II, III, V, I, and IV. Types I and II ulnar polydactyly combined were more prevalent (82 percent) than types III, IV, and V (18 percent). Types I and II were more common among African Americans. Types III, IV, and V ulnar polydactyly occurred more frequently among Caucasians, but these were slightly less prevalent than types I and II in this racial group. Five patients were syndromic; four were Caucasians, and one Asian. Most cases of ulnar polydactyly of the hand were treated by ligation (71 percent) in the nursery, whereas polydactyly of the foot was more often referred to a specialist to be treated by surgical ablation (92 percent). Treatment complications occurred more frequently in the hands than in the feet. The complication rate after ligation of ulnar polydactyly of the hand was 23.5 percent. The two main complications were tender or unacceptable nubbins and infections.

Revue / Journal Title

Plastic and reconstructive surgery    ISSN  0032-1052 

Source / Source

2001, vol. 107, no6, pp. 1449-1457 (29 ref.)

Langue / Language

Anglais

Editeur / Publisher

Lippincott Williams & Wilkins, Hagerstown, MD, ETATS-UNIS  (1963) (Revue)

Mots-clés anglais / English Keywords

Polydactyly

;

Ulna

;

Type

;

Clinical form

;

Concomitant disease

;

Plasty

;

Application method

;

Classification

;

Terminology

;

Retrospective

;

Diagnosis

;

Treatment

;

Prognosis

;

Child

;

Upper limb

;

Human

;

Diseases of the osteoarticular system

;

Dysostosis

;

Disease of the hand

;

Congenital disease

;

Malformation

;

Surgery

;

Mots-clés français / French Keywords

Polydactylie

;

Cubitus

;

Type

;

Forme clinique

;

Association morbide

;

Plastie

;

Modalité traitement

;

Classification

;

Terminologie

;

Rétrospective

;

Diagnostic

;

Traitement

;

Pronostic

;

Enfant

;

Membre supérieur

;

Homme

;

Système ostéoarticulaire pathologie

;

Dysostose

;

Main pathologie

;

Maladie congénitale

;

Malformation

;

Chirurgie

;

Mots-clés espagnols / Spanish Keywords

Polidactilia

;

Cúbito

;

Tipo

;

Forma clínica

;

Asociación morbosa

;

Plastia

;

Modalidad tratamiento

;

Clasificación

;

Terminología

;

Retrospectiva

;

Diagnóstico

;

Tratamiento

;

Pronóstico

;

Niño

;

Miembro superior

;

Hombre

;

Sistema osteoarticular patología

;

Disostosis

;

Mano patología

;

Enfermedad congénita

;

Malformación

;

Cirugía

;

Localisation / Location

INIST-CNRS, Cote INIST : 11075, 35400009885261.0150

Nº notice refdoc (ud4) : 972868



Faire une nouvelle recherche
Make a new search
Lancer la recherche
Bas