Congenital Differences-Congenital Hand Differences

Congenital Hand Differences

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This article delves into recent developments in the understanding and treatment of congenital hand differences. The author explores six common congenital hand differences: polydactyly, syndactyly, camptodactyly, clinodactyly, trigger thumb, and cleft hand. These conditions present a challenge to surgeons, as they must consider both the functional and social aspects when providing treatment. Recent research has provided more data on the expected outcomes following intervention. The article discusses the treatment options for each condition and highlights recent advancements in surgical techniques. For example, in the case of ulnar polydactyly, surgery involves either suture ligation or simple excision. On the other hand, radial polydactyly requires more extensive reconstruction. Syndactyly, which is one of the most common congenital hand differences, can be treated with full-thickness skin grafts or graftless techniques. Camptodactyly, a flexion contracture of the proximal interphalangeal joint, can be managed with nonsurgical care or surgical intervention. Clinodactyly, characterized by radial deviation of the small finger, can be improved with osteotomy or physiolysis. Trigger thumb, a common abnormality in children, can be managed nonsurgically, but surgical release of the A1 pulley may be necessary in some cases. Finally, cleft hand, also known as central longitudinal deficiency, can be reconstructed through various techniques to improve both function and appearance. Overall, the article emphasizes the importance of understanding both the functional and aesthetic implications of congenital hand differences in order to provide the most appropriate treatment for each individual.

Keywords

congenital hand differences

polydactyly

syndactyly

camptodactyly

clinodactyly

trigger thumb

cleft hand

surgical techniques

treatment options

expected outcomes