基于物理特征的辐射多节节症的分类
Wei Chien Sun1, Po An Chen1, Brian Po Rong Chen1
1Department of Paediatric Orthopaedics, Bone and Joint Research Center, Chang Gung Memorial Hospital, Chang Gung University, Taoyuan, Taiwan.
Pediatrics and neonatology
|September 1, 2023
概括
指多爪症的新分类系统使用身体特征来指导治疗. 这种实用方法有助于医生和家长了解手术决策,以便进行指复制.
科学领域:
- 整形外科手术 整形外科手术
- 儿科整形外科 儿科整形外科
- 手术手术手术手术手术
背景情况:
- 之前的指多指纹症分类依赖于放射测量.
- 需要基于可观测的物理特征进行实际分类,以指导治疗.
研究的目的:
- 根据物理发现,开发一个新的,实用的分类算法,用于指多肢症.
- 建立使用这种新型分类系统的治疗指南.
主要方法:
- 一个新的分类系统使用四个物理特征来分层多指甲动物:浮动,对称性,主导侧面和关节角度/指甲大小.
- 算法确定了低塑性类型,然后是对称和不对称的亚型.
- 用新分类对500名患者的545个指进行了回顾性分析,并与瓦塞尔-弗拉特分类进行了比较.
主要成果:
- 新的分类将545种多指甲动物分为低塑性 (14.5%),头主导 (67.5%),辐射主导 (1.5%),对称足够的指甲 (12.8%) 和对称不足够的 (3.7%) 类型.
- 外科手术包括切除和重建 (73.9%),简单切除 (24.8%) 和其他手术 (1.3%).
- 在新的分类类型中,手术程序的分布有很大差异,但在瓦塞尔-弗拉特类型中是相似的.
结论:
- 这种新型的分类系统有效地基于逐步的物理发现对指多肢症进行了分层.
- 这种简单的分类有助于儿科医生和家长了解手术决定后的指复制的逻辑.
- 该分类为指挥指多肢症的治疗策略提供了实际框架.
相关概念视频
01:09Bones of the Upper Limb: Radius
2.3K
The radius is longer of the two bones that make up the human antebrachium or forearm. At the proximal end, the radius articulates with the capitulum of the humerus and the radial notch of the ulna to form the elbow joint. At the distal end, the radius articulates with the ulna via the ulnar notch, forming the distal radioulnar joint. Distally, the radius also attaches to the carpal wrist bones (scaphoid and lunate) to form the radiocarpal joint.
The radius has a nail-shaped head, and a...
The radius has a nail-shaped head, and a...
2.3K
01:11Assessment of radial pulse
870
Assessment of Radial Pulse
The radial pulse, located at the wrist, is often the preferred site for assessing peripheral pulse because of its accessibility and dependability. The process of determining the radial pulse involves several steps:
The radial pulse, located at the wrist, is often the preferred site for assessing peripheral pulse because of its accessibility and dependability. The process of determining the radial pulse involves several steps:
870
01:15Bones of the Upper Limb: Ulna
2.2K
The ulna and radius are parallel bones of the antebrachium or the forearm. The ulna lies medially and consists of a bony tip called the olecranon process at its proximal end. This hook-like projection articulates with the olecranon fossa of the humerus and forms the "hinged" ulnohumeral part of the elbow joint. This joint facilitates forearm extension and flexion while preventing its hyperextension. Similarly, the coronoid process, another bony projection on the proximal/anterior side...
2.2K
01:18Classification of Bones
5.7K
The bones of the human skeletal system are of varied shapes, sizes, and functions. They can be classified based on their shape and function into four major classes: long bones, short bones, flat bones, and irregular bones. Some classifications include a fifth type, the sesamoid bones, as a separate class, whereas others categorize them under short bones.
Long and Short Bones
The appendicular skeleton, particularly the upper and lower limbs, is primarily made of long and short bones. The...
Long and Short Bones
The appendicular skeleton, particularly the upper and lower limbs, is primarily made of long and short bones. The...
5.7K
01:22Spinal Nerves: Plexus I
1.0K
Nerve plexuses are networks of interlacing nerves that serve as communication hubs to distribute and organize nerve action across various body regions. The nerve plexuses are organized into the cervical plexus located in the neck region, brachial plexus in the shoulder area, lumbar plexus found in the lower back, sacral plexus situated in the pelvis, and coccygeal plexus located in the coccygeal region.
The Cervical Plexus
The cervical plexus, formed by the anterior rami of the first four...
The Cervical Plexus
The cervical plexus, formed by the anterior rami of the first four...
1.0K
01:21Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation
17
Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
17