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題名 | 應用"Radialization"治療橈畸形手的臨床經驗 |
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作者姓名(中文) | 劉國威; | 書刊名 | 中華民國外科醫學會雜誌 |
卷期 | 26:4 民82.07-08 |
頁次 | 頁1902-1909 |
分類號 | 416.615 |
關鍵詞 | 橈畸形手; Radial club hand; Radialization; |
語文 | 中文(Chinese) |
中文摘要 | 橈畸形手是種少見的先天性手部畸形,其發生率約每10萬嬰兒中有一位,因橈骨發育不全(hypoplasia )或不發育(aplasia),形成腕骨在腕部缺少橈骨骨頭(radial head)支撐,結果引起手腕的橈側轉向(radial deviation)及手掌屈曲(flexion)。自1988年至1992年間,馬偕紀念醫院共有4位男性病人接受矯正手術,年齡分別為9個月、10個月、1歲半及5歲,我們利用Radialization方法矯正此畸形,並在橈倒做肌腱轉移(tendon transfer)後,在尺側肌腱上稍作修飾(modification),使腕部在外形及功能都有改善。 |
英文摘要 | Radial club hand is a very rare congenital anomaly, with an incidence of about 1 per 100,000 births. In the deformity, the hand is flexed and radially deviated at the wrist as a result of hypoplasia or aplasia of the radius. From 1988 to 1992, Mackay Memorial Hospital has had four male patients with this condition who presented at age 9 months, 10 months, 18 months and 5 years, respectively. Radialization done for correction of the deformity with muscle transfers, modifications with ulnar muscles and tendon plication resulted in improvement in function and appearance. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。