Caring for Children With Congenital Upper Extremity Differences

Lightdale-Miric, Nina; Tuberty, Sarah; Nelson, Danielle

doi:10.1016/j.jhsa.2021.07.001

Cited by 7 publications

(8 citation statements)

References 42 publications

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“…Essas fraturas justafisárias são análogas às fraturas do pugilista adulto, apresentando um bom potencial de consolidação. 3 A maioria das fraturas do quinto colo metacárpico com angulação < 40° pode ser tratada de forma conservadora, com tala de calha ulnar, imobilização do punho e das articulações MF e IFP em posição funcional durante 3 semanas, seguidas de amplitude de movimento suave. No entanto, as fraturas com angulação aumentada, as pseudogarras e as deformidades rotacionais são reduzidas pela manobra descrita por Jahss, podendo ser estabilizadas por várias técnicas.…”

Section: Discussionunclassified

Fratura irredutível do colo do metacarpo devido a interposição dos tendões extensores

Krishna¹,

Kumbar

Kura

et al. 2021

Rev Bras Ortop (Sao Paulo)

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ResumoUm jovem do sexo masculino com 15 anos de idade apresentou múltiplas fraturas da mão direita, incluindo fratura do colo do quinto metacarpo com grande angulação. As múltiplas tentativas de redução fechada falharam, sendo então realizada a redução aberta. Foi encontrado durante a cirurgia o tendão extensor interposto dentro da fratura, impedindo desta forma a redução fechada. O tendão foi liberado do sítio da fratura, de modo que foi obtida a redução adequada e a fratura foi estabilizada com fios de Kirschner. A fratura foi bem consolidada, com um bom retorno do movimento e da força. A interposição do tendão extensor é um cenário raro associado a fraturas do colo metacárpico, devendo se suspeitar dela quando houver perda completa de contato entre as extremidades da fratura e as várias tentativas de redução fechada falharem.

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Section: Discussionunclassified

Fratura irredutível do colo do metacarpo devido a interposição dos tendões extensores

Krishna¹,

Kumbar

Kura

et al. 2021

Rev Bras Ortop (Sao Paulo)

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“…Most of the children in a study of structured interviews reported stress related to their hand difference 46 , particularly from unsolicited questions from their peers 47 . These studies also showed that children can identify positive aspects of their difference and can be taught positive coping mechanisms with peers [46][47][48] . The ability to participate in activities such as sports and playing a musical instrument also help reduce the stigma of a hand difference.…”

Section: Multiple Hereditary Exostosis (Mhementioning

confidence: 92%

“…To support parents with children who have a hand difference, the American Society for Surgery of the Hand recently published The Hand Book: An Informational Guide for Parents of Children With Hand Differences , authored by a pediatric hand surgeon and an occupational therapist with a hand difference 48 . The Pediatric Hand Study Group, a collaboration of pediatric hand surgeons and other clinicians who care for children with hand differences, has resources on their website for children and parents 49 .…”

Section: Team Approach and Clinical Scenariosmentioning

confidence: 99%

Team Approach: The Care of Children with Hand and Upper Limb Differences

2023

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» Pediatric hand and upper limb differences include a wide range of conditions that may be genetic, part of a syndrome, or arise from birth trauma or an unknown cause.» Because of the variety of conditions and complexity of care requiring professionals from multiple disciplines, the Pediatric Hand Team is similar in purpose to the coordinated multidisciplinary care provided by Craniofacial Panels for children with craniofacial anomalies. Pediatric hand surgeons are trained to lead and coordinate the care of children with these differences, and the Pediatric Hand Team includes occupational and/or certified hand therapists, child life specialists, geneticists and genetic counselors, prosthetists and orthotists, pediatric physical medicine and rehabilitation physicians, pediatric orthopaedic surgeons, pediatric anesthesiologists, and social workers and psychologists. The Team must also have access to pediatric imaging, including ultrasound and magnetic resonance imaging.» Treatment of hand differences may include observation, splinting/bracing, therapy, reconstructive surgery, or a combination of these, and indications vary with development, age, associated conditions, and child and family preference. Children who have challenges coping with the stigma of their difference may benefit from programs such as Hand Camp and the Lucky Fin Project.» Multiple online and print resources are available to support the Pediatric Hand Team and the child's family and other caregivers.» A well-coordinated team-based approach meets the physical and psychosocial needs of the child with hand and upper limb differences from birth to adulthood.

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“…However, continued research has revealed unique and surprising patient responses to CULD such as better peer relationships 82 , independent adaptability through coping mechanisms 83 , and similar levels of self-esteem and mental wellbeing when compared with their peers 72,84 . In consensus with previous literature 85,86 1 , grade A indicates good evidence (Level-I studies with consistent findings) for or against recommending intervention; grade B, fair evidence (Level-II or III studies with consistent findings) for or against recommending intervention; grade C, poor-quality evidence (Level-IV or V studies with consistent findings) for or against recommending intervention; and grade I, insufficient or conflicting evidence not allowing a recommendation for or against intervention.…”

Section: Psychosocial Challengesmentioning

confidence: 99%

Section: Psychosocial Challengesmentioning

confidence: 99%

Congenital Upper-Limb Differences

Shah,

Bohn,

Van Heest

et al. 2023

Journal of Bone and Joint Surgery

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➤ 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.➤ Recent emphasis on psychosocial aspects of care has demonstrated that children with congenital upper-limb differences demonstrate good peer relationships and marked adaptability.

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Caring for Children With Congenital Upper Extremity Differences

Cited by 7 publications

References 42 publications

Fratura irredutível do colo do metacarpo devido a interposição dos tendões extensores

Fratura irredutível do colo do metacarpo devido a interposição dos tendões extensores

Team Approach: The Care of Children with Hand and Upper Limb Differences

Congenital Upper-Limb Differences

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