Evaluation of hand anomalies in children admitted to a tertiary health center in eastern Anatolia
Keywords:Congenital anomaly, Pediatric patient, Hand surgery
Aim: Identification and treatment management of congenital or acquired hand anomalies are serious problems for orthopedic and plastic surgeons. With the start of medical education in hand surgery as a subspecialty, the number of hand surgeons has increased, and this problem has partially been removed. This study aimed to contribute to the epidemiologic data of our country by sharing admission times and types, treatment management, and demographic data of children admitted with hand anomalies to a tertiary health center in the light of the literature.
Methods: Pediatric patients who were admitted with hand anomalies to the hand surgery clinic between 01.12.2018 and 01.12.2019 were included in this cross-sectional study. They were classified by extended OMT (Oberg, Manske, and Tonkin) classification by using the data obtained from the hospital registry. Patients’ ages, genders, diagnoses, admission times, educational statuses, treatment plans and decisions of parents on the treatment were evaluated by a single hand surgeon available in the region.
Results: Out of approximately 1500 patients admitted to the hand surgery clinic, 49 patients between the ages of 0 and 18 with pediatric hand anomalies were included in the study. Out of 49 patients, 7 had acquired and 42 had congenital hand anomalies. The most common congenital anomaly was trigger finger. Eleven (22.5%) of the patients were at school age, 12 (24.5%) at pre-school age, and 26 (53%) were infants, aged 2 years and below.
Conclusion: It is highly important for patients with hand anomalies to reach the appropriate physician at the right time so that their treatment may be planned accordingly, the present anomaly does not delay the growth of the child, the deformity does not progress further and that these individuals can be brought into the society earlier. Therefore, we believe that the number of physicians should be increased due to the following reasons: Hand surgery is a new branch and these patients should be referred to subspecialists in accordance with the demands of the patients’ parents. This branch is vital for the region, and there are patients still waiting for their already planned surgery.
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