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Related Experiment Videos

Congenital central hand deficit.

J N Nutt, A E Flatt

    The Journal of Hand Surgery
    |January 1, 1981
    PubMed
    Summary
    This summary is machine-generated.

    Congenital central hand deficits affect 80 hands across 60 patients. Surgical intervention occurred in 58%, but function isn't predictable from anatomy. Patients reported no social distress from these limb differences.

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    Area of Science:

    • Orthopedics
    • Genetics
    • Developmental Biology

    Background:

    • Congenital central deficits involve the absence of one, two, or three central hand rays.
    • The long ray is most frequently affected, followed by the index and ring rays.
    • Associated central foot deficits and family history are noted in a subset of patients.

    Purpose of the Study:

    • To classify congenital central hand deficits based on ray involvement.
    • To analyze the frequency of associated foot deficits and family history.
    • To evaluate surgical interventions and functional outcomes.

    Main Methods:

    • Retrospective analysis of 80 hands from 60 patients with congenital central deficits.
    • Classification of hand deformities based on the number of absent central rays (long, index, ring).

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  • Review of surgical procedures and functional assessments.

    • Main Results:

    • 23% of patients had associated central foot deficits; 15% had a family history.
    • Lesser deficiencies in border rays were common.
    • Surgery on central or border ray structures was performed in 58% of hands.
    • Hand function could not be reliably predicted from the anatomical state.
    • Patients did not perceive their condition as a social catastrophe.

    Conclusions:

    • Congenital central ray deficiencies present with variable patterns and potential associated anomalies.
    • Surgical outcomes and functional predictions remain challenging.
    • Patient perception of these limb differences is often positive, challenging societal stigma.