Common congenital hand conditions

A K Chong1

  • 1Department of Hand and Reconstructive Microsurgery, National University Hospital, IE Kent Ridge Road, NUHS Tower Block, Level 11, Singapore 119228. cfscks@nus.edu.sg

Singapore Medical Journal
|January 12, 2011
PubMed

Insights

Congenital hand deformities, like polydactyly and syndactyly, are common. This review helps non-specialist physicians diagnose and manage these conditions, addressing their psychological and functional impacts.

Area of Science:

  • Pediatric Orthopedics
  • Developmental Biology
  • Clinical Medicine

Background:

  • Congenital hand deformities are prevalent, though often minor.
  • Polydactyly and syndactyly represent the most frequent conditions requiring intervention.
  • These deformities can cause significant psychological distress and functional impairment.

Purpose of the Study:

  • To provide non-specialist physicians with diagnostic guidance for common congenital hand deformities.
  • To outline the fundamental management principles for these conditions.
  • To enhance the understanding of the psychological and functional implications of congenital hand differences.

Main Methods:

  • Review of common congenital hand conditions.
  • Focus on diagnostic criteria and management strategies.
  • Emphasis on conditions frequently presenting for treatment.

Main Results:

  • Identification of polydactyly and syndactyly as the most common treatable conditions.
  • Highlighting the significant psychological impact on patients and families.
  • Underscoring the potential for functional deficits in severe cases.

Conclusions:

  • Non-specialist physicians can effectively diagnose common congenital hand deformities.
  • Understanding management principles is crucial for optimal patient outcomes.
  • Addressing both functional and psychological aspects is essential in managing these conditions.

Related Concept Videos

Disorders of the Skeletal Muscle01:28

Disorders of the Skeletal Muscle

The clinical conditions affecting the skeletal muscle tissue are broadly categorized as musculoskeletal and neuromuscular disorders.
Musculoskeletal disorders
Musculoskeletal disorders involve injuries and conditions affecting the skeletal muscles and associated connective tissues. These disorders can arise from acute biomechanical stresses or chronic overuse and can occur across different age groups. Common injuries include sprains, fractures, and muscular strains, often resulting from...
Cardiomyopathy I: Introduction and Classification01:25

Cardiomyopathy I: Introduction and Classification

Cardiomyopathy, or CMP, is a group of diseases affecting the myocardial structure, impairing its ability to pump blood effectively. This condition can lead to arrhythmias, heart failure, or sudden cardiac death.Cardiomyopathies are classified into primary and secondary categories:Primary Cardiomyopathy refers to conditions involving only the heart muscle that are often idiopathic (of unknown cause) or genetic. They primarily affect the myocardium without the involvement of other systemic...
Cardiovascular System Abnormal Findings I: Inspection and Palpation01:29

Cardiovascular System Abnormal Findings I: Inspection and Palpation

In a cardiovascular examination, inspection and palpation are crucial for identifying abnormalities.
Abnormal findings observed during an inspection
Cytomegalovirus Disease01:27

Cytomegalovirus Disease

Cytomegalovirus (CMV) disease is caused by human cytomegalovirus, a double-stranded DNA virus of the Herpesviridae family. While primary CMV infection is often asymptomatic in immunocompetent individuals, the virus can cause severe disease in neonates and immunocompromised patients. CMV is the most common cause of congenital viral infection in the United States, and a major pathogen in solid organ and hematopoietic stem cell transplant recipients.CMV is transmitted via bodily fluids, sexual...
Sex-linked Disorders01:43

Sex-linked Disorders

Like autosomes, sex chromosomes contain a variety of genes necessary for normal body function. When a mutation in one of these genes results in biological deficits, the disorder is considered sex-linked.
Inborn Errors of Metabolism01:20

Inborn Errors of Metabolism

Phenylketonuria (PKU) is a protein metabolism disorder characterized by high blood levels of the amino acid phenylalanine. This results from a mutation in the gene responsible for phenylalanine hydroxylase, an enzyme that converts phenylalanine into tyrosine. When this enzyme is deficient, phenylalanine builds up in the blood, leading to symptoms such as vomiting, rashes, seizures, growth deficiency, and severe mental retardation. An early diagnosis and a diet restricting phenylalanine intake...