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Upper extremity function in children with congenital hand anomalies

Emily S Ho1, Howard M Clarke

  • 1Department of Rehabilitation Services, Division of Occupational Therapy, The Hospital for Sick Children, Torornto, Canada. emily.ho@sickkids.ca

Journal of Hand Therapy : Official Journal of the American Society of Hand Therapists
|August 2, 2005
PubMed

Insights

Pollicization and centralization surgeries aim to improve function in children with congenital hand anomalies. Further research is needed to improve study quality and validate surgical outcomes.

Area of Science:

  • Pediatric Surgery
  • Hand Surgery
  • Congenital Anomalies

Background:

  • Functional enhancement is a primary goal in managing pediatric congenital hand anomalies.
  • Pollicization and centralization are surgical procedures used to address these conditions.

Purpose of the Study:

  • To systematically review existing literature on the functional outcomes of pollicization and centralization surgeries in children.
  • To assess the quality of evidence supporting these surgical interventions.

Main Methods:

  • A systematic literature search was conducted using MEDLINE, CINAHL, and secondary reference lists.
  • Studies were included if they reported on the functional outcome of pollicization or centralization surgery in pediatric patients.
  • Included studies were analyzed based on their level of evidence.

Main Results:

  • Ten studies were reviewed, with one study at level 3 evidence and nine at level 4.
  • The overall quality of evidence for functional outcomes in these surgical interventions is limited.

Conclusions:

  • Rigorous research is essential to validate the effectiveness of surgical interventions for congenital hand anomalies.
  • Improvements in research methodology, sampling, and functional outcome measurement are needed to enhance study quality in this field.

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