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Review
. 2023 Oct 4;105(19):1537-1549.
doi: 10.2106/JBJS.22.01323. Epub 2023 Aug 25.

Congenital Upper-Limb Differences: A 6-Year Literature Review

Ayush Shah  1 , Deborah C Bohn, Ann E Van Heest, Caroline H Hu
Affiliations
Review

Congenital Upper-Limb Differences: A 6-Year Literature Review

Ayush Shah et al. J Bone Joint Surg Am. .

Abstract

➤ The Oberg-Manske-Tonkin (OMT) classification of congenital hand and upper-limb anomalies continues to be refined as our understanding of the genetic and embryonic etiology of limb anomalies improves.➤ We have conducted an evaluation of graft and graftless techniques for syndactyly reconstruction; strengths and drawbacks exist for each technique.➤ Treatment for radial longitudinal deficiency remains controversial; however, radialization has shown promise in early follow-up for severe deformities.➤ Recent emphasis on psychosocial aspects of care has demonstrated that children with congenital upper-limb differences demonstrate good peer relationships and marked adaptability.

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Conflict of interest statement

Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article ( http://links.lww.com/JBJS/H658 ).

References

    1. Wright JG. Revised grades of recommendation for summaries or reviews of orthopaedic surgical studies. J Bone Joint Surg Am. 2006 May;88(5):1161-2.
    1. Tonkin MA. Classification of congenital anomalies of the hand and upper limb. J Hand Surg Eur Vol. 2017 Jun;42(5):448-56.
    1. Manske PR, Oberg KC. Classification and developmental biology of congenital anomalies of the hand and upper extremity. J Bone Joint Surg Am. 2009 Jul;91(Suppl 4):3-18.
    1. Oberg KC, Feenstra JM, Manske PR, Tonkin MA. Developmental biology and classification of congenital anomalies of the hand and upper extremity. J Hand Surg Am. 2010 Dec;35(12):2066-76.
    1. Oberg KC. Classification of congenital upper limb anomalies: towards improved communication, diagnosis, and discovery. J Hand Surg Eur Vol. 2019 Jan;44(1):4-14.

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