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Low Development

  • Jinghong Xu
  • Bo Chen
  • Xu Gong
  • Liang MaEmail author
  • Dongping Li
  • Shengjun Sun
  • Jianmin Yao
  • Wei Wang
  • Yijia Yu
  • Qingping Xie
  • Laijin Lu
Chapter
Part of the Plastic and Reconstructive Surgery book series (PRS)

Abstract

Brachydactylia is a type of autosomal dominant inheritance deformity with the main manifestation of short and deformed phalanges induced by phalangeal and metacarpal dysplasia (Fig. 8.1). Because it was induced by the low development of hands and fingers, it is also called hand and finger dysplasia. It is commonly believed that brachydactylia is mainly associated with genetic factors and environmental factors, and the drug-induced brachydactylia cannot be overlooked. The hand and finger dysplasia can occur independently or appear in many syndromes, such as Apert syndrome and Poland syndrome [1]. This deformity can be manifested as the partial absence of single finger or as the absence of one or more fingers. It can also be accompanied by metacarpal absence, resulting in cleft hand; in severe cases, the whole hand can be absent. In addition to macromelia, nearly all congenital upper limb deformities can be accompanied by hand and finger dysplasia to varying extents. The phalangeal growth plate injuries induced by trauma, infection, etc. often induce brachydactylia. Thumb dysplasia also falls into the category of hand and finger dysplasia. Based on the specificity of the treatment, it is described as a special subject.

References

  1. 1.
    Temtamy SA, Aglan MS. Brachydactyly. Orphanet J Rare Dis. 2008;3:15.CrossRefPubMedPubMedCentralGoogle Scholar
  2. 2.
    Blauth W, Gekeler J. Morphology and classification of symbrachydactylia. Handchirurgie. 1971;3(4):123–8.PubMedGoogle Scholar
  3. 3.
    Blauth W, Gekeler J. Symbrachydactylias. Handchirurgie. 1973;5(3):121–74.PubMedGoogle Scholar
  4. 4.
    Wolfe SW, Hotchkiss RN, Pederson WC, et al. Green’s operative hand surgery. 6th ed. New York: Churchill Livingstone; 2011.Google Scholar
  5. 5.
    Miyawaki T, Masuzawa G, Hirakawa M, et al. Bone-lengthening for symbrachydactyly of the hand with the technique of callus distraction. J Bone Joint Surg Am. 2002;84(6):986–91.CrossRefPubMedGoogle Scholar
  6. 6.
    Arslan H. Metacarpal lengthening by distraction osteogenesis in childhood brachydactyly. Acta Orthop Belg. 2001;67(3):242–7.PubMedGoogle Scholar
  7. 7.
    Wang W. Plastic surgery science. Hangzhou: Zhejiang Science and Technology Press; 1999.Google Scholar
  8. 8.
    Hong G, Wang W. Congenital hand deformities. Beijing: People’s Medical Publishing House; 2004.Google Scholar
  9. 9.
    Vasileva P, Radev R. Poland syndrome-clinical study. Akush Ginekol (Sofiia). 2007;46(2):6–19.Google Scholar
  10. 10.
    Zhang Y, Guo F, Pei G. A retrospective study on the treatment of complicated short syndactylous finger. Natl Med Front China. 2008;3(12):3–4.Google Scholar
  11. 11.
    Song X, Qu Y, Wang K. Transposition upward of web space flap for correction of congenital brachysyndactyly. J Plast Reconstr Surg. 2005;2(1):32–7.Google Scholar
  12. 12.
    Yao JM, Song JL, Sun H, et al. Repair of incomplete simple syndactyly by a web flap on a subcutaneous tissue pedicle. Plast Reconstr Surg. 1997;99(7):2079–81.CrossRefPubMedGoogle Scholar
  13. 13.
    Xu JH, Hong XY, Yao JM, et al. Along-term follow-up and improvement of the repair of incomplete syndactyly by web flap on a subcutaneous tissue pedicle. Plast Reconstr Surg. 2009;124(1):176–7.CrossRefGoogle Scholar
  14. 14.
    Elliot D, Khandwala AR, Kulkarni M. Deformities of the flexor digitorum superficialis muscle. J Hand Surg Br. 1999;24(5):570–4.CrossRefPubMedGoogle Scholar
  15. 15.
    Nicholas S, Eric M, Christopher L. Anomalous flexor digitorum superficialis muscle belly presenting as a mass within the palm. Can J Plast Surg. 2007;15(1):44–6.CrossRefGoogle Scholar
  16. 16.
    Lutes WB, Tamurian R. Bilateral congenital absence of the flexor pollicis longus. Orthopedics. 2007;30(4):318–9.PubMedGoogle Scholar
  17. 17.
    Linburg RM, Comstock BE. Anomalous tendon slips from the flexor pollicis longus to the flexor digitorum profundus. J Hand Surg Am. 1979;4(1):79–83.CrossRefPubMedGoogle Scholar
  18. 18.
    Thomas C, Mathivanan T. Congenital absence of flexor pollicis longus without hypoplasia of the thenar muscles. J Hand Surg Br. 1999;24(3):385–6.CrossRefPubMedGoogle Scholar
  19. 19.
    Rubin G, Wolovelsky A, Rinott M, et al. Anomalous course of the extensor pollicis longus: clinical relevance. Ann Plast Surg. 2011;67(5):489–92.CrossRefPubMedGoogle Scholar
  20. 20.
    Harley BJ, Carter PR, Ezaki M. Volar surgical correction of Madelung’s deformity. Tech Hand Up Extrem Surg. 2002;6(1):30–5.CrossRefPubMedGoogle Scholar
  21. 21.
    McCarroll HR Jr, James MA. Very distal radial osteotomy for Madelung’s deformity. Tech Hand Up Extrem Surg. 2010;14(2):85–93.CrossRefPubMedGoogle Scholar
  22. 22.
    Gupta A, Kay SPJ, Scheker LR. The growing hand—diagnosis and management of the upper extremity in children. London: Mosby; 2000.Google Scholar
  23. 23.
    Gu Y, Wang P, Shi D. Hand surgery. Shanghai: Fudan University Press; 1999. p. 808–10.Google Scholar
  24. 24.
    Wang S. Hand surgery. 2nd ed. Beijing: People’s Medical Publishing House; 1999. p. 750–1.Google Scholar
  25. 25.
    Yu S, Cai J. Wrist joint surgery. Beijing: People’s Medical Publishing House; 2002. p. 470–2.Google Scholar
  26. 26.
    宋知非. 马德隆氏畸形. 手外科杂志. 1986;2:39–40.Google Scholar
  27. 27.
    Schmidt-Rohlfing B, Schwöbel B, Pauschert R, Niethard FU. Madelung deformity: clinical features, therapy and results. J Pediatr Orthop B. 2001;10(4):344–8.PubMedGoogle Scholar
  28. 28.
    蒋清涛. 马德隆氏畸形3例报告. 手外科杂志. 1922;3:139–40.Google Scholar
  29. 29.
    dos Reis FB, Katchburian MV, Faloppa F, Albertoni WM, Laredo Filho J Jr. Osteotomy of the radius and ulna for the Madelung deformity. J Bone Joint Surg Br. 1998;80(5):817–24.CrossRefPubMedGoogle Scholar
  30. 30.
    Guero SJ. Algorithm for treatment of apert hand. Tech Hand Up Extrem Surg. 2005;9(3):126–33.CrossRefPubMedGoogle Scholar
  31. 31.
    Chang J, Danton TK, Ladd AL, Hentz VR. Reconstruction of the hand in Apert syndrome: a simplified approach. Plast Reconstr Surg. 2002;109(2):465–70.CrossRefPubMedGoogle Scholar
  32. 32.
    Oishi SN, Ezaki M. Reconstruction of the thumb in Apert syndrome. Tech Hand Up Extrem Surg. 2010;14(2):100–3.CrossRefPubMedGoogle Scholar
  33. 33.
    Ireland DC, Takayama N, Flatt AE. Poland’s syndrome. J Bone Joint Surg Am. 1976;58(1):52–8.Google Scholar
  34. 34.
    Al-Qattan MM. Classification of hand anomalies in Poland’s syndrome. Br J Plast Surg. 2001;54(2):132–6.CrossRefPubMedGoogle Scholar

Copyright information

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

Authors and Affiliations

  • Jinghong Xu
    • 1
  • Bo Chen
    • 2
  • Xu Gong
    • 3
  • Liang Ma
    • 4
    Email author
  • Dongping Li
    • 5
  • Shengjun Sun
    • 6
  • Jianmin Yao
    • 4
  • Wei Wang
    • 7
  • Yijia Yu
    • 1
  • Qingping Xie
    • 8
  • Laijin Lu
    • 3
  1. 1.The First Affiliated Hospital, Zhejiang UniversityHangzhouChina
  2. 2.Plastic Surgery Hospital of Chinese Academy of Medical Sciences and Peking Union Medical CollegeBeijingChina
  3. 3.Jilin University First HospitalChangchunChina
  4. 4.Hangzhou Plastic Surgery HospitalHangzhouChina
  5. 5.Yiwu Chouzhou HospitalYiwuChina
  6. 6.Taizhou Bo’ai HospitalTaizhouChina
  7. 7.Department of Plastic and Reconstructive SurgeryShanghai Ninth People Hospital, Shanghai Jiao Tong University School of Medicine, ShanghaiShanghaiChina
  8. 8.Zhejiang Provincial People’s HospitalHangzhouChina

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