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| 題 名 | A Rare Type Bilateral Polydactyly Reconstruction by Pollicization--A Case Report=一個罕見型態雙側多指症以拇指整復術重建--病例報告 |
|---|---|
| 作 者 | 謝宇豪; 張世幸; 黃文成; 董光義; | 書刊名 | 臺灣整形外科醫學會雜誌 |
| 卷 期 | 24:3 2015.09[民104.09] |
| 頁 次 | 頁281-288 |
| 分類號 | 416.615 |
| 關鍵詞 | 多指症; 拇指成形術; Polydactyly; Mirror hand; Ulna dimelia; Triphalangeal thumb; Pollicization; |
| 語 文 | 英文(English) |
| 中文摘要 | 背景:先天性多指症合併三個指節是一個非常罕見的疾病。目的及目標:我們提出一個雙側非典型多指症的病例,接受拇指成形術後的結果及追蹤。病例報告:一名15歲的雙側非典型多指症的患者。X光顯示正常的尺骨及橈骨以及雙側多指症且沒有拇指。在她五歲時接受右手的拇指成形術,病患於術後兩個月失去追蹤。在2014年,病患回診並且再次接受左手的拇指成形術。結果:病患右手術後過程順利,可輕鬆的使用右手大拇指應付正常的生活。左手術後目前可以做簡單的動作,並且持續復健及門診追蹤中。結論:對於這個病人來說,要下一個正確的診斷是相當的困難的。這個病人符合部分的多指症中的三指節分類,但是卻沒有一個分類是完全符合他的症狀。而考慮到鏡像多指症的部分,她則沒有尺骨和腕骨的鏡像呈現,而且大多數的鏡像多指症通常不會只有六隻指頭。總結來說,這個病人為一個十分罕見的先天性疾病,我們可以藉由拇指成形術改善病人的多指症狀以得到良好術後結果。 |
| 英文摘要 | Background: Radial polydactyly is a congenital anomaly with a wide range of manifestations. A classification based on osseous anatomy, such as Wassel's classification1, is most suited for planning surgical treatment. However, this classification does not have the capacity to categorize all different types of radial polydactyly when combined with triphalangeal components. Aim and Objectives: We report a case of rare type bilateral polydactyly with pollicization correction and the 10 year postoperative follow-up results. Materials and Methods: A 15-year-old female patient was born with six fingers on both hands. Radiographs showed all six fingers had triphalanx with normalcy on ulnar and radius bone. Pollicization correction was performed on the right and left hands at the age of 5 and 15 years, respectively. Results: Range of the motion of the right hand was intact without limitations and exhibited full grasp and pinch function at the 10 year postoperative follow-up. The left hand exhibited fair pinch and grasp function at the 1 year postoperative follow-up. Conclusion: It is difficult to diagnose the type of radial polydactyly of this patient. The differential diagnosis included triphalangeal thumb, versus mirror hand (ulnar dimelia) anomaly of the upper limb. In this case, the patient showed good range motion of the right hand. We will continue to follow the function of the left hand. |
本系統中英文摘要資訊取自各篇刊載內容。