Current topic: The principles of management of congenital anomalies of the upper limb

Watson, Stewart

doi:10.1136/adc.83.1.10

Cited by 26 publications

(30 citation statements)

References 13 publications

(5 reference statements)

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“…Some studies have considered prosthetic wearing patterns as a measure of outcome, usually describing the time of wearing as a measure of success 12,14,19,20,27,30,32,33,38,39 . However, subjects may use their prosthesis for specific tasks, wearing it only intermittently, yet be satisfied with the management 7,29,38 .…”

Section: Discussionmentioning

confidence: 99%

Prosthetic Management of Children with Unilateral Congenital Below-Elbow Deficiency

Davids

Wagner

Meyer

et al. 2006

The Journal of Bone & Joint Surgery

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This study supports the initial prosthetic fitting for a child with unilateral congenital below-elbow deficiency prior to the age of three years, the provision of intensive training under the direction of an occupational therapist when an active terminal device is applied, and utilization of a variety of prosthetic designs over the child's years of growth. Further analysis of outcomes for the prosthetic management of these children will require more precise definitions of outcome in multiple domains and the development and validation of specific outcome instruments.

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Section: Discussionmentioning

confidence: 99%

Prosthetic Management of Children with Unilateral Congenital Below-Elbow Deficiency

Davids

Wagner

Meyer

et al. 2006

The Journal of Bone & Joint Surgery

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“…Achieving optimal upper limb function is of priority in the treatment of children with congenital hand anomalies (5) . The thumb plays a key component in hand function.…”

Section: Anahtar Kelimeler: Başparmak Hipoplazisi El Fonksiyonu El mentioning

confidence: 99%

Restoration of function on bilateral absence of extensor pollicis longus and brevis: A case report

Oskay¹,

Ayhan²,

Fırat³

et al. 2013

J.GOZTEPETRH

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Thumb hypoplasia and radial dysplasia are two of the most common hand therapy requiring conditions among the congenital problems. However, any cases with congenital agenesis of bilateral thumb extensors, and their related rehabilitatitive therapy were not reported in the literature. The aim of this case report is to make the first contribution to the restoration of thumb extension function in a child with congenital absence of bilateral extensor pollicis longus (EPL) and extensor pollicis brevis (EPB) The case was a 5-year old girl and her family noticed that she had no thumb extension. Results of the tests performed to eliminate the other systemic problems were all in normal ranges. The patient underwent immobilization in a forearm cast with 20° wrist extension and full thumb extension and abduction for 6 weeks. During this period, early dynamic motion protocol was applied by a wire-rubber system splint. After removal of the splint, therapeutic ultrasound was applied and passive and active-assisted exercises gradually proceeded to resistive exercises through the 8 th week. By the 8 th week, occupational therapy with gradually increasing resistance was initiated while the patient was permitted to use both hands in daily activities after 4 th month. Assessments on the postoperative 6 th , 8 th and 12 th weeks revealed significant improvements in range of motion in the thumbs, grip and pinching strengths and hand functional level. Restoration of thumb extension with surgery and hand rehabilitation before school age provided optimal hand function and quality of life of this child.

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“…En effet, la condition primordiale de la réussite est l'adhésion totale des parents au programme de prothétisation, en sachant que celui-ci peut présenter de fortes contraintes en matière de disponibilité, surtout si les parents habitent loin du centre d'appareillage. [11][12][13][14] Dans le cas d'une absence complète et unilatérale de la main, nous sommes partisans d'un appareillage précoce, possible dés l'âge de huit mois [11]. La décision est prise après une information la plus complète possible des parents, initiée au cours de la consultation multidisciplinaire [1].…”

Section: Généralitésunclassified

Appareillage des malformations congénitales du membre supérieur

Corti

2008

Chirurgie de la Main

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Current topic: The principles of management of congenital anomalies of the upper limb

Cited by 26 publications

References 13 publications

Prosthetic Management of Children with Unilateral Congenital Below-Elbow Deficiency

Prosthetic Management of Children with Unilateral Congenital Below-Elbow Deficiency

Restoration of function on bilateral absence of extensor pollicis longus and brevis: A case report

Appareillage des malformations congénitales du membre supérieur

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