Cleft hand classification and treatment: literature review
Cleft hand is a rare congenital deformity characterized by a longitudinal deficiency of the central rays of the hand, which may be associated with other malformations. Due to the wide spectrum of manifestations, the treatment is challenging. This study aims to present the most suitable classificatio...
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| Format: | Article |
| Language: | English |
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Thieme Revinter Publicações Ltda.
2022-09-01
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| Series: | Revista Brasileira de Cirurgia Plástica |
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| Online Access: | http://www.rbcp.org.br/export-pdf/3172/en_v37n3a14.pdf |
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| author | André Gustavo Pontes de Carvalho Pires Marcela dos Santos Martins João Carlos Nakamoto Marcos Marcatto Abreu Renato Novaes Oliveira Arthur Perez Ferreira |
| author_facet | André Gustavo Pontes de Carvalho Pires Marcela dos Santos Martins João Carlos Nakamoto Marcos Marcatto Abreu Renato Novaes Oliveira Arthur Perez Ferreira |
| author_sort | André Gustavo Pontes de Carvalho Pires |
| collection | DOAJ |
| description | Cleft hand is a rare congenital deformity characterized by a longitudinal deficiency of the central rays of the hand, which may be associated with other malformations. Due to the wide spectrum of manifestations, the treatment is challenging. This study aims to present the most suitable classifications, surgical techniques and follow-up adopted according to the clinical manifestation. A search was performed in the databases Web of Science, PubMed, Scopus, Cochrane and Embase, descriptors and terms related to the hand anomaly in a typical cleft. Thirty-two articles were included and analyzed regarding the classification of the anomaly, classification of the severity of expression, surgical techniques and studies with information on the surgical intervention adopted for a cohort of patients. Considering that studies about cleft hand could be directly affected by embryological, genetic and molecular biology discoveries, different classifications have been described and several studies to complement existing surgical techniques have been found. Innovative studies are scarce. Standardization in the description of techniques and results, in addition to better quality research, could elucidate gaps that still exist around treatment options. |
| format | Article |
| id | doaj-art-f678cf04ce0541c1a13dcf8ee4e59c33 |
| institution | DOAJ |
| issn | 1983-5175 2177-1235 |
| language | English |
| publishDate | 2022-09-01 |
| publisher | Thieme Revinter Publicações Ltda. |
| record_format | Article |
| series | Revista Brasileira de Cirurgia Plástica |
| spelling | doaj-art-f678cf04ce0541c1a13dcf8ee4e59c332025-08-20T02:48:58ZengThieme Revinter Publicações Ltda.Revista Brasileira de Cirurgia Plástica1983-51752177-12352022-09-01370335436310.5935/2177-1235.2022RBCP.587-enCleft hand classification and treatment: literature reviewAndré Gustavo Pontes de Carvalho Pires0Marcela dos Santos Martins1João Carlos Nakamoto2Marcos Marcatto Abreu3Renato Novaes Oliveira4Arthur Perez Ferreira5Universidade Estadual de Campinas, Departamento de Ortopedia e Traumatologia, Campinas, SP, Brazil.Universidade Estadual de Campinas, Departamento de Ortopedia e Traumatologia, Campinas, SP, Brazil.Universidade Estadual de Campinas, Departamento de Ortopedia e Traumatologia, Campinas, SP, Brazil.Universidade Estadual de Campinas, Departamento de Ortopedia e Traumatologia, Campinas, SP, Brazil.Universidade Estadual de Campinas, Departamento de Ortopedia e Traumatologia, Campinas, SP, Brazil.Universidade Estadual de Campinas, Departamento de Ortopedia e Traumatologia, Campinas, SP, Brazil.Cleft hand is a rare congenital deformity characterized by a longitudinal deficiency of the central rays of the hand, which may be associated with other malformations. Due to the wide spectrum of manifestations, the treatment is challenging. This study aims to present the most suitable classifications, surgical techniques and follow-up adopted according to the clinical manifestation. A search was performed in the databases Web of Science, PubMed, Scopus, Cochrane and Embase, descriptors and terms related to the hand anomaly in a typical cleft. Thirty-two articles were included and analyzed regarding the classification of the anomaly, classification of the severity of expression, surgical techniques and studies with information on the surgical intervention adopted for a cohort of patients. Considering that studies about cleft hand could be directly affected by embryological, genetic and molecular biology discoveries, different classifications have been described and several studies to complement existing surgical techniques have been found. Innovative studies are scarce. Standardization in the description of techniques and results, in addition to better quality research, could elucidate gaps that still exist around treatment options.http://www.rbcp.org.br/export-pdf/3172/en_v37n3a14.pdfcongenital abnormalitieshandfinger jointcongenital, hereditary, and neonatal diseases and abnormalitieshand deformities |
| spellingShingle | André Gustavo Pontes de Carvalho Pires Marcela dos Santos Martins João Carlos Nakamoto Marcos Marcatto Abreu Renato Novaes Oliveira Arthur Perez Ferreira Cleft hand classification and treatment: literature review Revista Brasileira de Cirurgia Plástica congenital abnormalities hand finger joint congenital, hereditary, and neonatal diseases and abnormalities hand deformities |
| title | Cleft hand classification and treatment: literature review |
| title_full | Cleft hand classification and treatment: literature review |
| title_fullStr | Cleft hand classification and treatment: literature review |
| title_full_unstemmed | Cleft hand classification and treatment: literature review |
| title_short | Cleft hand classification and treatment: literature review |
| title_sort | cleft hand classification and treatment literature review |
| topic | congenital abnormalities hand finger joint congenital, hereditary, and neonatal diseases and abnormalities hand deformities |
| url | http://www.rbcp.org.br/export-pdf/3172/en_v37n3a14.pdf |
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