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Revista Mexicana de Ortopedia Pediátrica

ISSN 2007-087X (Print)
Órgano Oficial de la Sociedad Mexicana de Ortopedia Pediátrica
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2019, Number 1-3

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Rev Mex Ortop Ped 2019; 21 (1-3)

Radial zamba hand at Shriners Hospital-Mexico and literature review

Fortis OIO, Hernández ÁMÁ, Ardón Dubón JJ, González CE, Avalos AG
Full text How to cite this article

Language: Spanish
References: 12
Page: 12-17
PDF size: 146.72 Kb.


Key words:

Club hand, incidence, longitudinal dysplasia.

ABSTRACT

Radial club hand is characterized by radial deviation of the hand, as a result of hypoplasia or absence of the radius. A descriptive, retrospective, cross-sectional and observational study of active patients diagnosed with radial club hand at the Shriners-Mexico Hospital was carried out. We studied 71 patients and 92 limbs, the prevalence was 0.08%, 64.7% were men and 35.3% women. We observed 22 patients with involvement of the right thoracic extremity, 28 left and 21 bilateral. It was found that 42.25% of the patients had an associated syndrome. The most common type of radial longitudinal dysplasia was type 1. Fifty eight limbs did not have a thumb. The State of Mexico is the most affected and 91.6% had a guardian with maximum high school education.


REFERENCES

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  2. Manske PR, Oberg KC. Classification and developmental biology of congenital anomalies of the hand and upper extremity. J Bone Joint Surg Am. 2009; 91 Suppl 4: 3-18.

  3. de Graaff E, Kozin SH. Genetics of radial deficiencies. J Bone Joint Surg Am. 2009; 91 Suppl 4: 81-86.

  4. Bae DS, Canizares MF, Miller PE, Roberts S, Vuillermin C, Wall LB et al. Intraobserver and interobserver reliability of the Oberg-Manske-Tonkin (OMT) classification: establishing a registry on congenital upper limb differences. J Pediatr Orthop. 2018; 38(1): 69-74.

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  6. Colen DL, Lin IC, Levin LS, Chang B. Radial longitudinal deficiency: recent developments, controversies, and an evidence-based guide to treatment. J Hand Surg Am. 2017; 42 (7): 546-563.

  7. Takagi T, Seki A, Takayama S, Watanabe M. Current concepts in radial club hand. Open Orthop J. 2017; 11: 369-377.

  8. Herring JA. Disorders of the upper extremity. In: Herring JA, ed. Tachdjian’s pediatric orthopaedics. 4th ed. Philadelphia: Elsevier; 2008. pp. 483-636.

  9. Goldfarb CA, Wall L, Manske PR. Radial longitudinal deficiency: the incidence of associated medical and musculoskeletal conditions. J Hand Surg Am. 2006; 31(7): 1176-1182.

  10. Koskimies E, Lindfors N, Gissler M, Peltonen J, Nietosvaara Y. Congenital upper limb deficiencies and associated malformations in Finland: a population-based study. J Hand Surg Am. 2011; 36(6): 1058-1065.

  11. James MA, McCarroll HR, Manske PR. The spectrum of radial longitudinal deficiency: a modified classification. J Hand Surg Am. 1999; 24(6): 1145-1155.

  12. Vidal-Ruiz CA, Pérez-Salazar Marina D, Calzada Vázquez-Vela C, Castañeda-Leeder P. Anomalías congénitas más comunes de la mano. Rev Mex Ortop Ped. 2012; 1: 5-11.




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Rev Mex Ortop Ped. 2019;21