Disorders of Formation of Upper Limbs

  • Bin Wang
  • Wei WangEmail author
  • Ping Yao
  • Xu Gong
  • Laijin Lu
  • Bo Chen
  • Jianmin Yao
  • Longchun Zhang
  • Feng Ni
  • Fei Tian
Part of the Plastic and Reconstructive Surgery book series (PRS)


The upper limb disorder during the embryonic period will result in transverse or longitudinal deformities of upper limbs. The manifestation of the transverse one is lipomeria or adactylism, and the manifestation of the longitudinal deformities is cleft limb or cleft foot. Partial segmental or longitudinal dysplasia of limbs will produce various deformities of limb (finger) shortness, and the manifestations can become various and complicated.


  1. 1.
    Gonzalez CH, Marques-Dias MJ, Kim CA, et al. Congenital abnormalities in Brazilian children associated with misoprostol misuse in first trimester of pregnancy. Lancet. 1998;351:1624–7.CrossRefPubMedGoogle Scholar
  2. 2.
    Crandall RC, Tomhave W. Pediatric unilateral below-elbow amputees: retrospective analysis of 34 patients given multiple prosthetic options. J Pediatr Orthop. 2002;22:380–3.PubMedGoogle Scholar
  3. 3.
    Alekberov C, Karatosum V, Baran O, Gunal I. Lengthening of congenital below-elbow amputation stumps by the Ilizarov technique. J Bone Joint Surg Br. 2000;82:239–41.CrossRefPubMedGoogle Scholar
  4. 4.
    李刚,秦泗河.牵拉成骨技术的基础研究进展与带给骨科的启示.中华外科杂志. 2005;43:540–3.Google Scholar
  5. 5.
    Kallen B, Rahmani TMZ, Winberg J. Infants with congenital limb reduction registered in the Swedish register of congenital malformations. Teratology. 1984;29:73–85.CrossRefPubMedGoogle Scholar
  6. 6.
    Brent RL, Holmes LB. Clinical and basic science lessons from the thalidomide tragedy: what have we learned about the causes of limb defects? Teratology. 1988;38:241–51.CrossRefPubMedGoogle Scholar
  7. 7.
    Tytherleigh-Strong G, Hooper G. The classification of phocomelia. J Hand Surg. 2003;28B:216–8.Google Scholar
  8. 8.
    Frantz CH, O’Rahilly R. Congenital skeletal limb deficiencies. J Bone Joint Surg. 1961;43A:1202.CrossRefGoogle Scholar
  9. 9.
    Eulenberg M. Casuistische mittelheilungen aus dem gembeite der orthopadie. Arch Klin Chir. 1863;4:301–11.Google Scholar
  10. 10.
    Sprengel OK. Die angeborene verschiebung des schulterblattes nach oben. Berlin: Archiv Fur Klinische Chirurgie. 1891;42:545–9.Google Scholar
  11. 11.
    Khairouni A, Bensahel H, Csukonyi Z, et al. Congenital high scapula. J Pediatr Orthop Part B. 2002;11:85–8.Google Scholar
  12. 12.
    Cavendish ME. Congenital elevation of the scapula. J Bone Joint Surg Br. 1972;54:395–408.PubMedGoogle Scholar
  13. 13.
    Rigault P, Pouliquen JC, Guyonvarch G, Zujovic J. Surelevation congenitale de l’omoplate chez l’enfant. Rev Chir Orthop. 1976;62:5–26.PubMedGoogle Scholar
  14. 14.
    刘涛,王广宇.孙立泉.螺旋CT三维重建成像在先天性高肩胛症手术方式选择中的作用.中国矫形外科杂志. 2007;15:52–4.Google Scholar
  15. 15.
    Woodward JW. Congenital elevation of the scapula. J Bone Joint Surg Am. 1961;43:219–28.CrossRefGoogle Scholar
  16. 16.
    Green WT. The surgical correction of congenital elevation of the scapula (Sprengel’s deformity). (In: Proceedings of the American Orthopedic Association). J Bone Joint Surg Am. 1957;39:1439.Google Scholar
  17. 17.
    Dendane AM, Amrani A, El Medhi T, et al. Congenital elevation of the scapula. Tunis Med. 2004;82:1032–7.PubMedGoogle Scholar
  18. 18.
    Bellemam M, Lamoureux J. Results of surgical treatment of Sprengel deformity by a modified Given’s procedure. J Pediatr Orthop B. 1999;8:194–6.CrossRefGoogle Scholar
  19. 19.
    Meals DC. Partial resection of the scapula and release of the long head of triceps for the management of Sprengel’s deformity. J Pediatr Orthop. 2001;21:242–5.Google Scholar
  20. 20.
    Masquijo JJ, Bassini O, Paganini F, et al. Congenital elevation of the scapula surgical treatment with Mears technique. J Pediatr Orthop. 2009;29:269–73.CrossRefPubMedGoogle Scholar
  21. 21.
    Zhang ZM, Zhang J, Lu ML, et al. Partial scapulectomy for congenital elevation of the scapula. Clinical Orthopaedics & Related Research. 2007;457(457):171–5.Google Scholar
  22. 22.
    王红强,吉士俊,张敬乙,等.先天性高肩胛症手术治疗的疗效分析.中医正骨. 2004;16:35.Google Scholar
  23. 23.
    Wei W. Plastic Surgery Science. Hangzhou: Zhejiang Science and Technology Press, 1999.Google Scholar
  24. 24.
    Kato K. Congenital absence of the radius. With review of literature and report of three cases. J Bone Joint Surg. 1924;22:589–626.Google Scholar
  25. 25.
    Lamb DW. Radio club hand. A continuing study of sixty-eight patients with one hundred and seventeen club hands. J Bone Joint Surg. 1977;59A(1):1–13.CrossRefGoogle Scholar
  26. 26.
    James MA, McCarroll HR Jr, et al. The spectrum of radial longitudinal deficiency: a modified classification. J Hand Surg. 1999;24A:1145–55.CrossRefGoogle Scholar
  27. 27.
    Charles A, Steven JK, Loray AD, et al. Functional outcome after centralization for radius dysplasia. J Hand Surg. 2002;27A:118–24.Google Scholar
  28. 28.
    Hulsbergen-Kruger S, Preisser P, Partecke BD. Ilizarov distraction-lengthening in congenital anomalies of the upper limb. J Hand Surg [Am]. 1992;17(6):1064–72.CrossRefGoogle Scholar
  29. 29.
    Buck-Gramcko D. Radialization as a new treatment for radial club hand. Handchir Mikrochir Plast Chir. 1982;14(3):186–90.Google Scholar
  30. 30.
    Ozen RS, Baysal BE, Devlin B, Farr JE, Gorry M, Ehrlich GD, et al. Fine mapping of the split-hand/split-foot locus (SHFM3) at 10q24: evidence for anticipation and segregation distortion. Am J Hum Genet. 1999;64:1646–54.CrossRefPubMedPubMedCentralGoogle Scholar
  31. 31.
    Barsky A. Cleft hand: classification, incidence and treatment. J Bone Joint Surg. 1964;46A:1707–20.CrossRefGoogle Scholar
  32. 32.
    Buck-Gramcko D. Pollicization of the index finger: method and results in aplasia and hypoplasia of the thumb. J Bone Joint Surg [Am]. 1971;53:1605–17.CrossRefGoogle Scholar
  33. 33.
    Manske P, Halikis M. Surgical classification of the central deficiency according to the thumb web. J Hand Surg [Am]. 1995;20:687–97.CrossRefGoogle Scholar
  34. 34.
    Cole P, Kaufman Y, Hollier L. Bifid nose with cleft hand deformity: syndromic association or undescribed anomaly? J Craniofac Surg. 2008;19:1594–6.CrossRefPubMedGoogle Scholar
  35. 35.
    Flatt AE. Cleft hand and central defects. In: Flatt AE, editor. The care of congenital hand anomalies. St Louis, MO: Quality Medical Publishing; 1994. p. 337.Google Scholar
  36. 36.
    Maisels DO. Theory of pathogenesis of lobster claw deformities. Hand. 1970;2:79.CrossRefPubMedGoogle Scholar
  37. 37.
    Moller M, García-Cruz D, Rivera H, Sánchez-Corona J, Cantú JM. Pure monosomy and trisomy 2q24.2—q3105 due to an inv ins(7;2)(q21.2;q3105q24.2) segregating in four generations. Hum Genet. 1984;68:77–86.CrossRefPubMedGoogle Scholar
  38. 38.
    Snow J, Littler J. Surgical treatment of cleft hand. In: Transactions of the Fourth International Congress of Plastic Surgery (Rome). Amsterdam, the Netherlands: Excerpta Medica; 1967. p. 888–93.Google Scholar
  39. 39.
    Havenhill TG, Manske PR, Patel A, Goldfarb CA. Type 0 ulnar longitudinal deficiency. J Hand Surg Am. 2005;30(6):1288–93.CrossRefPubMedGoogle Scholar
  40. 40.
    Mo JH, Manske PR. Surgical treatment of type 0 radial longitudinal deficiency. J Hand Surg Am. 2004;29(6):1002–9.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Nature Singapore Pte Ltd. and Zhejiang Science and Technology Publishing House 2017

Authors and Affiliations

  • Bin Wang
    • 1
  • Wei Wang
    • 1
    Email author
  • Ping Yao
    • 2
  • Xu Gong
    • 3
  • Laijin Lu
    • 3
  • Bo Chen
    • 4
  • Jianmin Yao
    • 2
  • Longchun Zhang
    • 2
  • Feng Ni
    • 6
  • Fei Tian
    • 5
  1. 1.Department of Plastic and Reconstructive SurgeryShanghai Ninth People Hospital, Shanghai Jiao Tong University School of MedicineShanghaiChina
  2. 2.Hangzhou Plastic Surgery HospitalHangzhouChina
  3. 3.Jilin University First HospitalChangchunChina
  4. 4.Plastic Surgery Hospital of Chinese Academy of Medical Sciences and Peking Union Medical CollegeBeijingChina
  5. 5.Shanghai Ninth People Hospital, Shanghai Jiaotong University School of MedicineShanghaiChina
  6. 6.Hangzhou city First People’s HospitalHangzhouChina

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