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延伸肌中心滑道先天性缺陷的自发解决

Francisco Soldado¹, Trong-Quynh Nguyen², Juliana Rojas-Neira³

¹Pediatric Hand Surgery and Microsurgery, Barcelona Children's Hospital, HM Nens, HM Hospitales.

Journal of pediatric orthopedics

|July 11, 2024

概括

在儿童中,先天性中央滑动延伸肌缺陷通常会在4岁时自发消失. 虽然经常被误诊为坎普托达克提,但这种情况通常在没有干预的情况下得到改善.

科学领域:

儿科整形外科儿科整形外科
手术手术手术手术手术
遗传手部缺陷遗传手部缺陷

背景情况:

延伸肌中心滑动的先天性缺陷是一种罕见的儿科疾病.
报告的病例很少,需要进一步进行自然历史研究.
这项研究侧重于一组未经治疗的儿科患者.

研究的目的:

为了描述先天性中央滑动伸展肌缺陷在儿童中的自然史.
为了记录这种变形的自发解决和长期结果.
为了区分它与类似的条件,如camptodactyly.

主要方法:

对2008年6月至2021年7月期间诊断的儿科患者的回顾性分析.
纳入标准:先天性PIP曲形,MP超延伸和PIP延伸延迟.
排除标准:没有完全的被动PIP延伸,并存在飞皮肤网.

主要成果:

分析了24名儿童 (57位数),平均随访时间为6年9个月.
活跃的PIP延伸逐渐恢复,在大多数情况下在4岁时完全延伸.
通常被误诊为坎普多达克提;小指和戒指最受影响;7例病例有家族病史.

结论:

先天性中央滑动延伸肌缺陷通常会在生命的前四年内自发地消失.
刺可以加快纠正,虽然往往不需要.
一种轻微的,临床上没有意义的flexor digitorum superficialis收缩可能会持续存在;这种情况往往被误诊.

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