Related Experiment Video
Updated: Dec 8, 2025
Three-Dimensional Printing of a Complex Aortic Anomaly
Published on: November 1, 2018
Three-dimensional CT angiography for surgical planning in congenital hand malformations: a case series presentation
Evi M Morandi1, Michael Rieger2,3, Eva-Maria Baur1
1Department of Plastic, Reconstructive and Aesthetic Surgery, Medical University Innsbruck, Innsbruck, Austria.
Insights
Three-dimensional CT angiography provides clear images of vascular and bony structures in congenital hand malformations, aiding surgical planning. This technique is valuable for complex cases.
Area of Science:
- Medical Imaging
- Orthopedics
- Pediatric Surgery
Background:
- Congenital hand malformations present complex challenges in diagnosis and surgical treatment.
- Accurate visualization of intricate vascular and bony abnormalities is crucial for effective surgical planning.
Purpose of the Study:
- To evaluate the utility of three-dimensional computed tomographic (CT) angiography in assessing congenital hand malformations.
- To determine the effectiveness of 3D CT angiography in preoperative planning for complex hand anomalies.
Main Methods:
- A retrospective analysis of 140 hands (116 patients) with congenital hand malformations was performed.
- Three-dimensional CT angiography was utilized to visualize vascular and bony structures between January 2000 and December 2019.
- Image quality was assessed for operative planning, with detailed reporting of six representative cases.
Main Results:
- Three-dimensional CT angiography yielded satisfactory images for surgical planning in most cases.
- The technique effectively delineated abnormal vascular patterns and bony malformations.
- Detailed case reports highlighted typical findings and potential interpretation pitfalls.
Conclusions:
- Three-dimensional CT angiography is a valuable tool for the preoperative assessment of complex congenital hand malformations.
- The modality aids in understanding intricate anatomical details necessary for successful surgical intervention.
- Careful interpretation is advised to maximize the benefits of this imaging technique.
Abstract:
Between January 2000 and December 2019, three-dimensional computer tomographic (CT) angiography was used in a total of 140 hands (116 patients, mean age 6.8 years) with congenital hand malformation to assess the vascular and bony structures. Analysis showed overall satisfactory three-dimensional CT images for operative planning, including detailed abnormal vascular patterns and bony malformations. Among the 116 patients, six patients with typical findings of a few malformations are reported in detail. Pitfalls in interpretation of the images and the use of three-dimensional CT angiography in surgical planning are discussed. We conclude that three-dimensional CT angiography is useful for preoperative planning of complex congenital hand malformations.Level of evidence: IV.
