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Current Concepts in Radial Club Hand
- Source :
- The Open Orthopaedics Journal
- Publication Year :
- 2017
- Publisher :
- Bentham Open, 2017.
-
Abstract
- 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. radialization after distraction to emphasize the fact that the head of the ulna is positioned under the radial carpal bones and is no longer placed in a slot in the center of the carpus, microvascular epiphysis transfer, gradual correction using Ilizarov method, for Bayne Type III or Type IV. We should pay attention to the recurrence of radial deformity or circulatory impairment with the tension. Lunate excision or ulnar shortening can be selected for tension-free correction. Radialization can be indicated for avoiding the recurrence of radial flexion. However, we should pay attention of the radial protrusion of the ulnar head. For avoiding the recurrence of radial deformity or circulatory impairment, gradual correction using Ilizarov external fixation can be indicated, especially in the cases with severe radial deviation or with short forearm. In the mild cases, Bayne Type I or Type II, radius lengthening is accompanied by a soft-tissue distraction or release at the ulnar carpal joint with keeping wrist and forearm motion without producing growth plate damage.
- Subjects :
- musculoskeletal diseases
Wrist
Thumb
Article
Radialization
03 medical and health sciences
0302 clinical medicine
Radial club hand
Forearm
medicine
Deformity
030212 general & internal medicine
Simulation
Orthodontics
030222 orthopedics
business.industry
Ulna
Short forearm
Centralization
body regions
Carpal bones
medicine.anatomical_structure
Radius lengthening
medicine.symptom
business
Subjects
Details
- Language :
- English
- ISSN :
- 18743250
- Volume :
- 11
- Database :
- OpenAIRE
- Journal :
- The Open Orthopaedics Journal
- Accession number :
- edsair.doi.dedup.....19367b4bdf239823b50912e03c59349f