Congenital Deformities Of The Hand And Upper Limb

This book introduces readers to all clinical aspects of congenital anomalies of the hand and upper limb, and offers extensive information on their surgical management, including plastic surgery, pediatric surgery, hand surgery, orthopedic surgery, and general surgery. Drawing on extensive research of related cases, articles and relevant books, and over a thousand pictures of hand deformities, the book addresses the morphology, structure, and defects of hand deformities, while also providing methods for hand examination and hand function assessment. The authors are professors and experts in plastic surgery, hand surgery, and orthopedics from China and the USA, who spent over two years composing and compiling this book.

Now in a revised and updated second edition, this book encompasses the current knowledge of genetic and molecular causes of, and surgical and non-surgical treatment for, congenital deformities of the hand. Divided into five sections, this comprehensive text presents the many variations of congenital anomaly encountered in the clinical setting. Part I discusses general considerations for congenital deformity, including embryology and classification, incidence and prevalence, genetics, anesthesia, prosthetics and rehabilitation principles, hand therapy and even psychological considerations for children living with these conditions. The second and third sections present deformities based on failures of formation and/or differentiation of the axis and hand plate respectively: radial and ulnar longitudinal deficiencies, symbrachydactyly, syndactyly (including Apert Syndrome), clinodactyly and captodactyly, and synostosis and coalitions are described in detail, among others. Duplication deformities, such as radial and ulnar polydactyly, are covered in part IV. The final section discussed overgrowth (macrodactyly), amniotic band syndrome, arthrogryposis, Madelung deformity, epidermolysis bullosa and additional generalized skeletal anomalies. All chapters are generously referenced and illustrated with radiography and full-color photographs. Bringing together the latest clinical evidence and surgical interventions, this second edition of Congenital Anomalies of the Upper Extremity will continue to be an excellent resource for orthopedic, hand and plastic surgeons treating young patients with these challenging deformities of the hand.

Physicians often have only partial knowledge of common congenital hand and upper extremity anomalies and their associated syndromes. Surgeons typically find these syndromes to be abstruse and congenital hand conditions can represent an enigma even to pediatric geneticists. This book is designed to serve as a practical, up-to-date reference that will enable practitioners and students in a variety of disciplines to easily recognize the most common congenital upper extremity anomalies and syndromes. In total, 37 congenital upper extremity anomalies and 127 syndromes are discussed. Salient and common presenting features are described in detail and illustrated with the aid of high-quality digital color photographs whenever possible. In addition, relevant background information is included on such aspects as prevalence, etiology, pathogenesis and findings elsewhere in the body.

In the past 10-15 years marked progress has been made in the surgical treatment of congenital anomalies of the hand. More and more, the reluctance to operate on these deformities has been abandoned. One reason for this - at least in the German-speaking countries - was the thalidomide catastrophe (1959-1962), which involved the birth of many children with deformed upper limbs. These previously rare severe abnormalities resulted in many problems and required new ways of thinking in terms of their treatment by all persons concerned with their care. At the same time hand surgery was beginning to come of age and the combination of these two events increased the interest in the field of hand anomalies, particularly by orthopaedic surgeons who had always been involved in it. The idea and preparation for this book go back to 1964. Since that time nearly all operations on anomalous hands were systematically charted by us. They were photographically recorded from skin incision to wound closure. Regular follow-up examinations were performed. This atlas represents our experience gained in over a thousand operations. The book has been written by practitioners. We hope that a hand surgeon looking for additional advice will find answers in regard to therapy and surgical suggestions. This intent influenced the book's compilation and structure: - Only those operations that have given us good long-term results will be discussed.

Pediatric Hand and Upper Limb Surgery guides you to the present indications for intervention and care in upper limb pediatric disorders. The fifty chapters are subdivided into: Congenital, Neuromuscular, Trauma, Sports, Soft tissue and Microvascular, and Tumor. Each section stands alone but together provides a comprehensive and detailed description of all elements of evaluation and treatment of infants, children, and adolescents with maladies of the hand and upper limb. Each chapter has a case presentation, series of clinical questions, and fundamentals on etiology and epidemiology, clinical evaluation, and surgical indications. In addition, each chapter details postoperative care, anticipated results, complications, case outcome, and includes a summary. There are technical tip highlights, unique situations and deeper insight into the conditions described in each subsection. The text is complemented with over 1,000 images and illustrations to assist in visualizing the specific surgical challenges you may face.

Written by an international group of experts, this text is a completely comprehensive and detailed account of all aspects of congenital malformations in the hand and upper limb, including evaluation and the latest methods of management. Special attention is paid to currently prevalent topics, such as venous free flaps, tissue expansion, and skin cover in burns of the hand. Contains over 1,180 superb illustrations and photographs that clarify important information.