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Mirror hand and its management: a case report.

V Ravi Kiran¹, Udit K Jayant¹, M L V Sai Krishna²

¹Department of Orthopaedics, All India Institute of Medical Sciences (AIIMS), New Delhi, India.

Journal of Medical Case Reports

|November 29, 2024

Summary

This summary is machine-generated.

Mirror hand, a rare congenital anomaly, involves limb malformation due to embryonic development issues. Early surgical intervention and planning are crucial for optimal functional and cosmetic outcomes in affected children.

Keywords:

Case report Dimelia Mirror hand Pollicization

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Area of Science:

Congenital Hand Anomalies
Pediatric Surgery
Embryogenesis Research

Background:

Mirror hand is a rare congenital anomaly, often sporadic, linked to sonic hedgehog pathway defects during embryogenesis.
This condition presents a significant surgical challenge, requiring specialized management strategies.

Observation:

A 2.5-year-old child presented with Al Qattan type 1A ulnar dimelia, characterized by ulna duplication and polydactyly, impacting wrist and elbow mobility.
Radiological assessment confirmed the duplication of the ulna and presence of polydactyly.

Findings:

Successful surgical management achieved significant improvements in fine and gross motor skills.
Acceptable cosmetic results were noted during the 2-year follow-up period.

Implications:

Early intervention (18-24 months) is critical for optimal functional outcomes in mirror hand cases.
Meticulous preoperative planning, surgical technique, and long-term follow-up with physical therapy are essential.
Digital subtraction angiography is recommended to screen for associated neurovascular malformations.