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.
Doğan E, Gül S, Çullu N, Doğan MM. Case of incomplete fibular hemimelia with tarsal coalition, pes planus, ball and socket ankle. J Surg Med. 2019;3(3):271-3.
Arık H, Çoşkun T. Van İlindeki Bir Üniversite Hastanesinin El Cerrahisi Kliniğine Başvuran Hastaların Profili. Van Tıp Derg. 2018;25(4):502-7.
Ekblom AG, Laurell T, Arner M. Epidemiology of congenital upper limb anomalies in 562 children born in 1997 to 2007: a total population study from stockholm, sweden. J Hand Surg Am. 2010 Nov;35(11):1742-54.
Goldfarb CA, Wall LB, Bohn DC, Moen P, Van Heest AE. Epidemiology of congenital upper limb anomalies in a midwest United States population: an assessment using the Oberg, Manske, and Tonkin classification. J Hand Surg Am. 2015;40(1):127-32.
Koskimies E, Lindfors N, Gissler M, Peltonen J, Nietosvaara Y. Congenital upper limb deficiencies and associated malformations in Finland: a population-based study. J Hand Surg Am. 2011;36(6):1058-65.
Pinto HB, Pais AP, Vitorio SC, Brandão R, Moreira AAD, Molinaro LR. Case study of congenital anomalies of the upper limb in reference ambulatory care facility. Acta Ortop Bras. 2018;26(5):325-7.
Parker SE, Mai CT, Canfield MA, Rickard R, Wang Y, Meyer RE, et al. National Birth Defects Prevention Network. Updated National Birth Prevalence estimates for selected birth defects in the United States, 2004-2006. Birth Defects Res A Clin Mol Teratol. 2010;88(12):1008-16.
Oberg KC, Feenstra JM, Manske PR, Tonkin MA. Developmental biology and classification of congenital anomalies of the hand and upper extremity. J Hand Surg Am. 2010;35(12):2066-76.
Chu A, Chan J, Baxi O. Congenital Deformities of the Hands. Pediatr Clin North Am. 2020;67(1):85-99.
Iba K, Horii E, Ogino T, Kazuki K, Kashiwa K. Congenital Hand Committee of Japanese Society for Surgery of the Hand. The Classification of Swanson for Congenital Anomalies of Upper Limb Modified by the Japanese Society for Surgery of the Hand (JSSH). Hand Surg. 2015;20(2):237-50.
Tonkin MA, Tolerton SK, Quick TJ, Harvey I, Lawson RD, Smith NC, , et al. Classification of congenital anomalies of the hand and upper limb: development and assessment of a new system. J Hand Surg Am. 2013;38(9):1845-53.
Leblebicioğlu G. Hand surgery in Turkey. The Journal of Hand Surgery. 2017;42(3):323.
de Almeida CEF. Analysis of surgical results and of residual postoperative deformities in preaxial polydactyly of the hand. J Plast Reconstr Aesthet Surg. 2017;70(10):1420-32.
How to Cite
Copyright (c) 2020 Mehmet Rauf Koç, Sezai Özkan, Cihan Adanaş
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.