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Table of Contents
Intro
Preface
Contents
1: The Congenital Hand: Psychological Aspects
1.1 Psychological Aspects
1.2 Patients, Hand, and Emotions
1.3 Psychologist's Intervention: Timing Mode
References
2: Babies Hand Imaging and X-ray
2.1 Traumatic Injuries
2.2 Congenital Hand Deformities and Syndromic Malformations with Prevalent Bone Involvement
2.3 Congenital Vascular Malformations and Vascular Tumours
2.4 Tumours, Post-traumatic or Post-surgical Inflammatory and Infectious Diseases
Further Reading
3: Hand Defects: An Isolated Anomaly Or a Syndromic Disease?
3.1 Definitions
3.2 Why a Proper Classification of Hand Malformations Is So Important?
3.3 The Clinical-Genetic Diagnostic Process
3.4 Main Syndromic Conditions Associated with Hand Anomalies
3.4.1 Amniotic Band Sequence
3.4.2 Poland Syndrome
3.4.3 Acrocephalosyndactylies
3.4.4 Arthrogryposis Multiplex Congenita
3.4.5 Bardet-Biedl Syndrome
3.4.6 Fanconi Anemia
3.4.7 Holt-Oram Syndrome
3.4.8 VATER/VACTERL Association
3.4.9 Oro-Facio-Digital Syndromes
3.4.10 Cornelia de Lange Syndrome
3.4.11 Rubinstein-Taybi Syndrome
3.4.12 Smith-Lemli-Opitz Syndrome
3.4.13 Greig Syndrome
3.4.14 EEC Syndrome
3.5 Differential Diagnosis According Types of Hand Defect
3.5.1 The New Genetic Tests and Their Use in the Diagnostic Process
References
4: Paediatric Trigger Finger
4.1 Trigger Finger
References
5: Camptodactyly
5.1 Pathogenesis
5.2 Classification
5.3 Clinical Exam
5.4 Treatment
5.5 Conservative Treatment
5.6 Surgical Technique
Further Reading
6: Syndactyly
6.1 Introduction
6.2 Epidemiology
6.3 Classification
6.4 Diagnostic Workup
6.5 Treatment
6.5.1 General Principles
6.5.1.1 Flap Coverage of the Web
6.5.1.2 Skin Grafts and Substitutes
6.5.1.3 Fingertip and Nail Wall Reconstruction
6.5.1.4 Exposure and Separation of Neurovascular Bundles
6.5.1.5 Simultaneous Separation of Multiple Syndactylies
6.5.1.6 Dressings and Dressing Changes
6.5.1.7 Timing of Surgery
6.5.2 Surgical Techniques
6.5.2.1 The First Web Space of the Hand
6.5.2.2 The Second to Fourth Web Spaces of the Hand
6.5.2.3 Syndactyly of the Feet
6.6 Complications
References
7: Symbrachydactyly
7.1 Introduction
7.2 Epidemiology
7.3 Etiology
7.4 Classification
7.5 Differential Diagnosis
7.6 Treatment
7.6.1 Nonoperative Treatment
7.6.2 Operative Treatment
7.6.2.1 Nubbins
7.6.2.2 Syndactyly
7.6.2.3 Web Contracture
7.6.2.4 Thumb in the Plane of the Hand
7.6.2.5 Digit Instability
7.6.2.6 Brachydactyly and Absence of Fingers
Non-Vascularized Free Toe Phalanx Transfers
Distraction Lengthening
Microsurgical Toe-to-Hand Transfers
References
8: Central Synpolydactyly
8.1 Introduction
8.2 Genetics
8.2.1 Classification
8.2.2 Surgical Considerations
Preface
Contents
1: The Congenital Hand: Psychological Aspects
1.1 Psychological Aspects
1.2 Patients, Hand, and Emotions
1.3 Psychologist's Intervention: Timing Mode
References
2: Babies Hand Imaging and X-ray
2.1 Traumatic Injuries
2.2 Congenital Hand Deformities and Syndromic Malformations with Prevalent Bone Involvement
2.3 Congenital Vascular Malformations and Vascular Tumours
2.4 Tumours, Post-traumatic or Post-surgical Inflammatory and Infectious Diseases
Further Reading
3: Hand Defects: An Isolated Anomaly Or a Syndromic Disease?
3.1 Definitions
3.2 Why a Proper Classification of Hand Malformations Is So Important?
3.3 The Clinical-Genetic Diagnostic Process
3.4 Main Syndromic Conditions Associated with Hand Anomalies
3.4.1 Amniotic Band Sequence
3.4.2 Poland Syndrome
3.4.3 Acrocephalosyndactylies
3.4.4 Arthrogryposis Multiplex Congenita
3.4.5 Bardet-Biedl Syndrome
3.4.6 Fanconi Anemia
3.4.7 Holt-Oram Syndrome
3.4.8 VATER/VACTERL Association
3.4.9 Oro-Facio-Digital Syndromes
3.4.10 Cornelia de Lange Syndrome
3.4.11 Rubinstein-Taybi Syndrome
3.4.12 Smith-Lemli-Opitz Syndrome
3.4.13 Greig Syndrome
3.4.14 EEC Syndrome
3.5 Differential Diagnosis According Types of Hand Defect
3.5.1 The New Genetic Tests and Their Use in the Diagnostic Process
References
4: Paediatric Trigger Finger
4.1 Trigger Finger
References
5: Camptodactyly
5.1 Pathogenesis
5.2 Classification
5.3 Clinical Exam
5.4 Treatment
5.5 Conservative Treatment
5.6 Surgical Technique
Further Reading
6: Syndactyly
6.1 Introduction
6.2 Epidemiology
6.3 Classification
6.4 Diagnostic Workup
6.5 Treatment
6.5.1 General Principles
6.5.1.1 Flap Coverage of the Web
6.5.1.2 Skin Grafts and Substitutes
6.5.1.3 Fingertip and Nail Wall Reconstruction
6.5.1.4 Exposure and Separation of Neurovascular Bundles
6.5.1.5 Simultaneous Separation of Multiple Syndactylies
6.5.1.6 Dressings and Dressing Changes
6.5.1.7 Timing of Surgery
6.5.2 Surgical Techniques
6.5.2.1 The First Web Space of the Hand
6.5.2.2 The Second to Fourth Web Spaces of the Hand
6.5.2.3 Syndactyly of the Feet
6.6 Complications
References
7: Symbrachydactyly
7.1 Introduction
7.2 Epidemiology
7.3 Etiology
7.4 Classification
7.5 Differential Diagnosis
7.6 Treatment
7.6.1 Nonoperative Treatment
7.6.2 Operative Treatment
7.6.2.1 Nubbins
7.6.2.2 Syndactyly
7.6.2.3 Web Contracture
7.6.2.4 Thumb in the Plane of the Hand
7.6.2.5 Digit Instability
7.6.2.6 Brachydactyly and Absence of Fingers
Non-Vascularized Free Toe Phalanx Transfers
Distraction Lengthening
Microsurgical Toe-to-Hand Transfers
References
8: Central Synpolydactyly
8.1 Introduction
8.2 Genetics
8.2.1 Classification
8.2.2 Surgical Considerations