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Ultrasound-Guided Needle Release Combined with Corticosteroid Injection for the Treatment of Supinator Syndrome
Published on: May 26, 2023
[Syndactyly]
1Institut de la main et du membre supérieur, clinique Monticelli, 88, rue du Commandant-Rolland, 13008 Marseille, France. philippe.samson@wanadoo.fr
Chirurgie De La Main
|October 10, 2008
Summary
Syndactyly, a common congenital hand anomaly, is surgically treated in infants. Surgical outcomes for syndactyly are generally excellent for simple cases but depend on underlying abnormalities in complex cases.
Area of Science:
- Orthopedics
- Pediatric Surgery
- Plastic Surgery
Background:
- Syndactyly is a frequent congenital hand anomaly.
- It can occur in isolation or as part of broader genetic syndromes.
- Surgical intervention is typically recommended between 6 and 18 months of age.
Purpose of the Study:
- To review the surgical management of syndactyly.
- To discuss treatment strategies based on syndactyly type and severity.
- To evaluate factors influencing functional and cosmetic outcomes.
Main Methods:
- Surgical techniques including local flaps and direct closure for commissure construction.
- Use of full-thickness skin grafts for complex or extensive syndactyly.
- Assessment of outcomes based on case complexity and underlying abnormalities.
Main Results:
- Simple syndactyly cases typically yield excellent functional and cosmetic results.
- Local flaps and direct closure are effective for commissure construction.
- Skin grafts are valuable for complex cases involving adjacent web spaces.
Conclusions:
- Surgical correction of syndactyly can achieve excellent outcomes, particularly in simpler presentations.
- Prognosis in complex syndactyly is significantly influenced by the degree of skeletal, articular, and tendinous involvement.
- Timely surgical intervention is crucial for optimal hand function and aesthetics.
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