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An Algorithm for Management of Radial Longitudinal Deficiency.
J Hand Surg Asian Pac Vol
December 2024
Department of Hand Surgery, Kasturba Medical College Manipal, Manipal Academy Of Higher Education, Manipal, Karnataka, India.
Article Synopsis
- - The management of radial longitudinal deficiency (RLD) lacks specific guidelines, resulting in varied treatment approaches that complicate the determination of effective interventions for individual patients.
- - Approximately 40% of RLD cases are associated with syndromes like Holt-Oram, TAR, and VACTERL, making it essential for hand surgeons to recognize these conditions and their implications for treatment.
- - Surgical procedures like centralisation and radialisation are fundamental for treatment, but current methods do not fully restore normal wrist function; emerging techniques focus on improving biomechanics and considering proximal limb changes in management.
Congenital Upper-Limb Differences: A 6-Year Literature Review.
J Bone Joint Surg Am
October 2023
Department of Orthopedic Surgery, University of Minnesota, Minneapolis, Minnesota.
➤ 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.
View Article and Find Full Text PDFOutcomes of radialization with ulnar cuff osteotomy for radial longitudinal deficiency: a medium-term follow-up study.
J Hand Surg Eur Vol
December 2023
Department of Hand Surgery, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India.
Addressing the deforming stresses arising from soft tissue and continued skeletal development is crucial to obtain long-term correction of forearm carpal alignment in Radial longitudinal deficiency. The aim of the present study was to report the medium-term follow-up results of radialization with ulnar cuff osteotomy in children. A total of 17 patients (21 involved limbs) with a mean follow-up of 66 months (range 50 to 96) were reviewed.
View Article and Find Full Text PDFThe unsolved problem of radial longitudinal dysplasia: how can we reliably prevent recurrence, preserve growth and optimize function?
J Hand Surg Eur Vol
March 2023
Kath. Kinderkrankenhaus Willemstift GmbH, Hamburg, Germany.
Congenital radial longitudinal dysplasia remains an 'unsolved problem' in hand surgery. The challenges presented by the skeletal deficiency of the distal radius and soft tissue dysplasia of the severe radial longitudinal deficiency have been addressed by a number of techniques that aim to stabilize the position of the hand relative to the forearm and optimize forearm growth and hand function. Analysis of hand function and position in these children is difficult because of the abnormal 'wrist' mechanics, and the published results of the techniques used to date often lack a standardized approach and importantly the perception of function from the patient's perspective.
View Article and Find Full Text PDFOutcomes of soft tissue distraction prior to radialization of the hand in children with severe radial longitudinal deficiency.
J Hand Surg Eur Vol
December 2022
Department of Pediatric Orthopaedics and Foot and Ankle Surgery, Orthopaedic Hospital Speising, Vienna, Austria.
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