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Clinical Diagnosis in Plastic Surgery

Abstract

Patient presents with the absence of a distal portion of the limb with an otherwise normal proximal portion.

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References

Transverse Deficiency

  1. Oda T, Pushman AG, Chung KC. Treatment of common congenital hand conditions. PRS. 2010;126(3):121e–33e.

    Google Scholar 

  2. Ogino T, Saitou Y. Congenital constriction band syndrome and transverse deficiency. J Hand Surg (Br). 1987;12:343–8.

    Article  CAS  Google Scholar 

Radial Clubhand

  1. Choi M, Sharma S, Louie O. Congenital hand abnormalities. In: Thorne CH, editor. Grabb & Smith’s plastic surgery. 6th ed. Philadelphia: Lippincott-Raven; 2007. p. 856–7.

    Google Scholar 

Ulnar Deficiency

  1. Johnson J, Omer Jr GE. Congenital ulnar deficiency. Natural history and therapeutic implications. Hand Clin. 1985;1(3):499–510.

    CAS  PubMed  Google Scholar 

  2. Netscher DT, Baumholtz MA. Treatment of congenital upper extremity problems. Plast Reconstr Surg. 2007;119(5):101e–29e.

    Google Scholar 

Cleft Hand

  1. Kay SP, McCombe D, Kozin SH. Deformities of the hand and fingers. In: Hotchkiss RN, Green DP, editors. Green’s operative hand surgery. Philadelphia: Elsevier Churchill Livingstone; 2011. p. 1303–69.

    Google Scholar 

  2. Netscher DT. Congenital hand problems. Terminology, etiology, and management. Clin Plast Surg. 1998;25(4):537–52.

    CAS  PubMed  Google Scholar 

Diagnosis: Syndactyly

  1. Dao KD, Shin AY, Billings A, Oberg KC, Wood VE. Surgical treatment of congenital syndactyly of the hand. J Am Acad Orthop Surg. 2004;12(1):39–48.

    PubMed  Google Scholar 

  2. Mishra A, McArthur P. Different approaches to syndactyly repair without skin graft. Plast Reconstr Surg. 2010;126(4):1411.

    Article  CAS  PubMed  Google Scholar 

  3. Netscher DT, Baumholtz MA. Treatment of congenital upper extremity problems. Plast Reconstr Surg. 2007;119(5):101e–29e.

    Google Scholar 

Duplicated Thumb

  1. Ganley TJ, Lubahn JD. Radial polydactyly: an outcome study. Ann Plast Surg. 1995;35(1):86–9.

    Article  CAS  PubMed  Google Scholar 

  2. Netscher DT, Baumholtz MA. Treatment of congenital upper extremity problems. Plast Reconstr Surg. 2007;119(5):101e–29e.

    Google Scholar 

  3. Zuidam JM, Selles RW, Ananta M, Runia J, Hovius SE. A classification system of radial polydactyly: inclusion of triphalangeal thumb and triplication. J Hand Surg Am. 2008;33(3):373–7.

    Article  PubMed  Google Scholar 

Macrodactyly

  1. Akinci M, Ay S, Ercetin O. Surgical treatment of macrodactyly in older children and adults. J Hand Surg Am. 2004;29(6):1010–9.

    Article  PubMed  Google Scholar 

  2. Ishida O, Ikuta Y. Long-term results of surgical treatment for macrodactyly of the hand. Plast Reconstr Surg. 1998;102(5):1586–90.

    Article  CAS  PubMed  Google Scholar 

Hypoplastic Thumb

  1. Bates SJ, Hansen SL, Jones NF. Reconstruction of congenital differences of the hand. Plast Reconstr Surg. 2009;124(1 Suppl):128e–43e.

    Google Scholar 

  2. Manske PR, McCaroll Jr HR. Index finger pollicization for a congenitally absent or nonfunctioning thumb. J Hand Surg Am. 1985;10(5):606–13.

    Article  CAS  PubMed  Google Scholar 

Brachydactyly

  1. Garcia Julve G, Martinez Villen G. The multiple monoblock toe-to-hand transfer in digital reconstruction. A report of ten cases. J Hand Surg Br. 2004;29(3):222–9.

    Article  CAS  PubMed  Google Scholar 

  2. Nguyen ML, Jones NF. Undergrowth: brachydactyly. Hand Clin. 2009;25(2):247–55.

    Article  PubMed  Google Scholar 

Clinodactyly

  1. Aucourt J, Budzik JF, Manouvrier-Hanu S, Mezel A, Cotten A, Boutry N. Congenital malformations of the hand and forearm in children: what radiologists should know. Semin Musculoskelet Radiol. 2012;16(2):146–58.

    Article  PubMed  Google Scholar 

  2. Yesilada AK, Sevim KZ, Sucu DO, Kilinc L. Congenital hand deformities – a clinical report of 191 patients. Acta Chir Plast. 2013;55(1):10–5.

    CAS  PubMed  Google Scholar 

Diagnosis: Camptodactyly

  1. Choi M, Sharma S, Louie O. Congenital hand abnormalities. In: Thorne CH, editor. Grabb & Smith’s plastic surgery. 6th ed. Philadelphia: Lippincott-Raven; 2007. p. 860.

    Google Scholar 

  2. McFarlane RM, Classen DA, Porte AM, Botz JS. The anatomy and treatment of camptodactyly of the small finger. J Hand Surg Am. 1992;17(1):35–44.

    Article  CAS  PubMed  Google Scholar 

Constriction Band Syndrome (CBS)

  1. Tiwari VK, Sarabahi S, Mulla Rani UK. Heterotopic implantation of amputated digits following constriction ring syndrome: a case series. J Plast Reconstr Aesthet Surg. 2013;66(12):1815–7.

    Article  CAS  PubMed  Google Scholar 

  2. Wiedrich TA. Congenital constriction band syndrome. Hand Clin. 1998;14(1):29–38.

    CAS  PubMed  Google Scholar 

Subungual Hematoma

  1. Seaberg DC, Angelos WJ, Paris PM. Treatment of subungual hematomas with nail trephination: a prospective study. Am J Emerg Med. 1991;9(3):209–10.

    Article  CAS  PubMed  Google Scholar 

  2. Wilhelmi BJ, Zook EG. Fingernail and fingertip injuries. In: Guyuron B, Eriksson E, Persing JA, editors. Plastic surgery: indications and practice. Philadelphia: WB Saunders; 2009. p. 992–1000.

    Google Scholar 

Radial Collateral Ligament (RCL) Injury

  1. Iba K, Wada T, Hiraiwa T, Kanaya K, Oki G, Yamashita T. Reconstruction of chronic thumb metacarpophalangeal joint radial collateral ligament injuries with a half-slip of the abductor pollicis brevis tendon. J Hand Surg Am. 2013;38(10):1945–50.

    Article  PubMed  Google Scholar 

  2. Taylor KF, Lanzi JT, Cage JM, Drake ML. Radial collateral ligament injuries of the thumb metacarpophalangeal joint: epidemiology in a military population. J Hand Surg Am. 2013;38(3):532–6.

    Article  PubMed  Google Scholar 

Ulnar Collateral Ligament (UCL) Injury

  1. Stener B. Skeletal injuries associated with rupture of the ulnar collateral ligament of the metacarpophalangeal joint of the thumb. A clinical and anatomical study. Acta Chir Scand. 1963;125:583–6.

    CAS  PubMed  Google Scholar 

Flexor Tendon Laceration

  1. Lalonde DH, Kozin S. Tendon disorders of the hand. Plast Reconstr Surg. 2011;128(1):1e–4.

    Article  CAS  PubMed  Google Scholar 

  2. Tang JB. Clinical outcomes associated with flexor tendon repair. Hand Clin. 2005;21(2):199–210.

    Article  PubMed  Google Scholar 

Extensor Tendon Injury

  1. Doyle JR. Extensor tendons – acute injuries. In: Green DP, Hotchkiss RN, Pederson WC, editors. Operative hand surgery. 4th ed. New York: Churchill Livingstone; 1999. p. 2. 1963.

    Google Scholar 

  2. Rockwell WB, Butler PN, Byrne BA. Extensor tendon: anatomy, injury, and reconstruction. Plast Reconstr Surg. 2000;106:1592.

    Article  CAS  PubMed  Google Scholar 

Jersey Finger

  1. Peterson JJ, Bancroft LW. Injuries of the fingers and thumb in the athlete. Clin Sports Med. 2006;25(3):527–42. 3.

    Article  PubMed  Google Scholar 

  2. Tuttle HG, Olvey SP, Stern PJ. Tendon avulsion injuries of the distal phalanx. Clin Orthop Relat Res. 2006;445:157–68.

    PubMed  Google Scholar 

Mallet Finger

  1. Eichstadt S, Chang J. Extensor injuries-acute and chronic. In: The American Society for Surgery of the Hand, editor. Textbook of hand and upper extremity surgery. Chicago: ASSH; 2013. p. 406–18.

    Google Scholar 

  2. Strauch RJ. Extensor tendon injury. In: Hotchkiss RN, Green DP, editors. Green’s operative hand surgery. Philadelphia: Elsevier Churchill Livingstone; 2011. p. 159–86.

    Chapter  Google Scholar 

Phalanx Fractures

  1. Trumble TE. Hand fractures. In: Trumble TE, editor. Principles of hand surgery and therapy. Philadelphia: WB Saunders; 2000. p. 49–55.

    Google Scholar 

Pediatric Hand Fracture

  1. Campbell Jr RM. Operative treatment of fractures and dislocations of the hand and wrist region in children. Orthop Clin North Am. 1990;21(2):217–43.

    PubMed  Google Scholar 

  2. Le TB, Hentz VR. Hand and wrist injuries in young athletes. Hand Clin. 2000;16(4):597–607.

    CAS  PubMed  Google Scholar 

PIP Dislocation

  1. Merrell G, Slade JF. Dislocation and ligament injuries in the digits. In: Wolfe SW, Hotchkiss RN, Pederson WC, et al., editors. Green’s operative hand surgery. 6th ed. Philadelphia: Churchill Livingstone; 2011. p. 291–332.

    Chapter  Google Scholar 

MCP Dislocation

  1. Merrell G, Slade JF. Dislocation and ligament injuries in the digits. In: Wolfe SW, Hotchkiss RN, Pederson WC, et al., editors. Green’s operative hand surgery. 6th ed. Philadelphia: Churchill Livingstone; 2011. p. 291–332.

    Chapter  Google Scholar 

Scaphoid Fracture

  1. Gellman H, Caputo RJ, Carter V, Aboulafia A, McKay M. Comparison of short and long thumb-spica casts for non-displaced fractures of the carpal scaphoid. J Bone Joint Surg Am. 1989;71(3):354–7.

    CAS  PubMed  Google Scholar 

  2. Weber ER, Chao EY. An experimental approach to the mechanism of scaphoid waist fractures. J Hand Surg Am. 1978;3(2):142–8.

    Article  CAS  PubMed  Google Scholar 

Perilunate Dislocation

  1. Mayfield JK, Johnson RP, Kilcoyne RK. Carpal dislocations: pathomechanics and progressive perilunar instability. J Hand Surg Am. 1980;5(3):226–41.

    Article  CAS  PubMed  Google Scholar 

  2. Yaghoubian R, Goebel F, Musgrave DS, Sotereanos DG. Diagnosis and management of acute fracture-dislocation of the carpus. Orthop Clin North Am. 2001;32(2):295–305. 2.

    Article  CAS  PubMed  Google Scholar 

SLAC Wrist

  1. Krakauer JD, Bishop AT, Cooney WP. Surgical treatment of scapholunate advanced collapse. J Hand Surg Am. 1994;19(5):751–9.

    Article  CAS  PubMed  Google Scholar 

  2. Watson HK, Ballet FL. The SLAC wrist: scapholunate advanced collapse pattern of degenerative arthritis. J Hand Surg Am. 1984;9(3):358–65.

    Article  CAS  PubMed  Google Scholar 

Paronychia

  1. Jebson PJ. Infections of the fingertip. Paronychias and felons. Hand Clin. 1998;14(4):547–55. 4.

    CAS  PubMed  Google Scholar 

  2. Zook EG. Understanding the perionychium. J Hand Ther. 2000;13(4):269–75.

    Article  CAS  PubMed  Google Scholar 

Felon

  1. Jebson PJ. Infections of the fingertip. Paronychias and felons. Hand Clin. 1998;14(4):547–55. 4.

    CAS  PubMed  Google Scholar 

  2. Neviaser RJ. Acute infections. In: Green DP, Hotchkiss RN, Pederson WC, editors. Operative hand surgery, vol. 2. 4th ed. New York: Churchill Livingstone, Inc; 1999. p. 1033–47.

    Google Scholar 

Flexor Tenosynovitis

  1. Juliano PT, Eglseder WA. Limited open sheath irrigation in the treatment of pyogenic flexor tenosynovitis. Orthop Res. 1991;20:1065–9.

    CAS  Google Scholar 

  2. Schall SB, Va-Rose T, Holtom P, et al. Tissue pressures in pyogenic flexor tenosynovitis of the finger. J Bone Joint Surg. 1996;78B:793–5.

    Google Scholar 

Ganglion Cyst

  1. Nahra ME, Bucchieri JS. Ganglion cysts and other tumor related conditions of the hand and wrist. Hand Clin. 2004;20:249–60.

    Article  PubMed  Google Scholar 

Glomus Tumor

  1. Hazani R, Houle JM, Kasdan ML, Wilhelmi BJ. Glomus tumors of the hand. Eplasty. 2008;8, e48.

    PubMed Central  PubMed  Google Scholar 

  2. Tomak Y, Akcay I, Dabak N, Eroglu L. Subungual glomus tumours of the hand: diagnosis and treatment of 14 cases. Scand J Plast Reconstr Surg Hand Surg. 2003;37(2):121–4.

    Article  PubMed  Google Scholar 

Mucous Cyst

  1. Rizzo M, Beckenbaugh RD. Treatment of mucous cysts of the fingers: review of 134 cases with minimum 2-year follow-up evaluation. J Hand Surg Am. 2003;28(3):519–24.

    Article  PubMed  Google Scholar 

Enchondroma

  1. Bauer RD, Lewis MM, Posner MA. Treatment of enchondromas of the hand with allograft bone. J Hand Surg Am. 1988;13(6):908–16.

    Article  CAS  PubMed  Google Scholar 

  2. Bickels J, Wittig JC, Kollender Y, et al. Enchondromas of the hand: treatment with curettage and cemented internal fixation. J Hand Surg Am. 2002;27(5):870–5.

    Article  PubMed  Google Scholar 

  3. Floyd 3rd WE, Troum S. Benign cartilaginous lesions of the upper extremity. Hand Clin. 1995;11(2):119–32.

    PubMed  Google Scholar 

Carpal Tunnel Syndrome (CTS)

  1. Keith MW, Masear V, Amadio PC, et al. Treatment of carpal tunnel syndrome. J Am Acad Orthop Surg. 2009;17(6):397–405.

    PubMed  Google Scholar 

  2. Shores JT, Lee WP. An evidence-based approach to carpal tunnel syndrome. Plast Reconstr Surg. 2010;126(6):2196–204.

    Article  CAS  PubMed  Google Scholar 

Dupuytren’s Contracture

  1. Hurst LC, Badalamente M. Associated diseases. In: McFarlane RM, McGrouther DA, Flint MH, editor. Dupuytren’s disease: biology and treatment, vol. 5, The hand and upper limb series. Edinburgh: Churchill Livingstone; 1990. p. 253–60.

    Google Scholar 

  2. McFarlane RM. Various views and techniques: extensive fasciectomy. In: McFarlane RM, McGrouther DA, Flint MH, editor. Dupuytren’s disease: biology and treatment, vol. 5, The hand and upper limb series. Edinburgh: Churchill Livingstone; 1990. p. 360–4.

    Google Scholar 

Basal Joint Arthritis

  1. Glickel SZ. Clinical assessment of the thumb trapeziometacarpal joint. Hand Clin. 2001;17(2):185–95.

    CAS  PubMed  Google Scholar 

  2. Manske PR. Commentary: excision of the trapezium. J Hand Surg Am. 2004;29(6):1078–9.

    Article  PubMed  Google Scholar 

  3. Tomaino MM, Pellegrini Jr VD, Burton RI. Arthroplasty of the basal joint of the thumb. Long-term follow-up after ligament reconstruction with tendon interposition. J Bone Joint Surg Am. 1995;77(3):346–55.

    CAS  PubMed  Google Scholar 

Rheumatoid Arthritis (RA)

  1. Arnett FC, Edworthy SM, Bloch DA, et al. The American Rheumatism Association 1987 revised criteria for the classification of rheumatoid arthritis. Arthritis Rheum. 1988;31(3):315–24.

    Article  CAS  PubMed  Google Scholar 

  2. O’Brien ET. Surgical principles and planning for the rheumatoid hand and wrist. Clin Plast Surg. 1996;23(3):407–20.

    PubMed  Google Scholar 

Trigger Finger

  1. Trumble TE, editor. Hand surgery update 3: hand, elbow, and shoulder. Rosemont: American Society for Surgery of the Hand; 2003. p. 3–28.

    Google Scholar 

Diagnosis: Boutonniere Deformity

  1. Lalonde DH, Kozin S. Tendon disorders of the hand. Plast Reconstr Surg. 2011;128(1):1e–14e.

    Google Scholar 

  2. O’Brien ET. Surgical principles and planning for the rheumatoid hand and wrist. Clin Plast Surg. 1996;23(3):407–20.

    PubMed  Google Scholar 

Hypothenar Hammer Syndrome

  1. Dethmers RSM, Houpt P. Surgical management of hypothenar and thenar hammer syndromes: a retrospective study of 31 instances in 28 patients. J Hand Surg (Br). 2005;30:419–23.

    Article  CAS  Google Scholar 

Scleroderma

  1. Bogoch ER, Gross DK. Surgery of the hand in patients with systemic sclerosis: outcomes and considerations. J Rheumatol. 2005;32:642–8.

    PubMed  Google Scholar 

  2. Gahhos F, Ariyan S, Frazier WH, et al. Management of sclerodermal finger ulcers. J Hand Surg (Am). 1984;9:320–7.

    Article  CAS  Google Scholar 

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Author information

Authors and Affiliations

  1. Division of Plastic and Reconstructive Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA

    Ron Hazani MD

  2. Division of Plastic and Reconstructive Surgery, Craniofacial Plastic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA

    Alan Yan MD & Michael J. Yaremchuk MD

  3. Division of Plastic Surgery, Department of Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA

    Jesse Jupiter MD

  4. Division of Plastic Surgery, Department of Surgery, Children’s Hospital of Boston, Harvard Medical School, Boston, MA, USA

    Amir Taghinia MD

  5. Division of Plastic Surgery, Department of Surgery, Children’s Brigham and Women’s Hospital, Harvard Medical School, Boston, MA, USA

    Simon Talbot MD

  6. Department of Plastic Surgery, Department of Surgery, King Faisal Specialist Hospital, Riyadh, Saudi Arabia

    Fuad Hashem MD

  7. Division of Plastic Surgery, Department of Surgery, Kleinert-Kutz Hand Surgery, Louisville, KY, USA

    Camela A. Pokhrel MD

  8. Division of Plastic Surgery, Department of Surgery, Private Practice, Tucson, AZ, USA

    Arun J. Rao MD

  9. Division of Plastic Surgery, Department of Surgery, Medical University of South Carolina, Charleston, SC, USA

    Angel E. Rivera-Barrios MD

Authors
  1. Ron Hazani MD
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  2. Alan Yan MD
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  3. Michael J. Yaremchuk MD
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  4. Amir Taghinia MD
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  5. Jesse Jupiter MD
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  6. Simon Talbot MD
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  7. Fuad Hashem MD
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  8. Camela A. Pokhrel MD
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  9. Arun J. Rao MD
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  10. Angel E. Rivera-Barrios MD
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Corresponding author

Correspondence to Ron Hazani MD .

Editor information

Editors and Affiliations

  1. Division of Plastic and Reconstructive Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA

    Ron Hazani

  2. Division of Plastic Surgery, Department of Surgery, King Faisal Specialist Hospital and Research Center, Alfaisal University, Riyadh, Saudi Arabia

    Mohamed Amir Mrad

  3. Division of Plastic & Reconstructive Sur Craniofacial Plastic Surgery, Craniofacial Plastic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA

    David Tauber

  4. Division of Plastic and Reconstructive Surgery, Craniofacial Plastic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA

    Jason Ulm

  5. Division of Plastic and Reconstructive Surgery, Craniofacial Plastic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA

    Alan Yan

  6. Division of Plastic and Reconstructive Surgery, Craniofacial Plastic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA

    Michael J. Yaremchuk

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Hazani, R. et al. (2016). Hand. In: Hazani, R., Mrad, M., Tauber, D., Ulm, J., Yan, A., Yaremchuk, M. (eds) Clinical Diagnosis in Plastic Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-17094-7_2

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