Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Smolle, C; Singer, G; Kraus, T; Girsch, W.
A Holistic Update on Congenital Hand Deformities
PADIATR PADOL. 2021;
Doi: 10.1007/s00608-021-00941-2
Web of Science
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- Führende Autor*innen der Med Uni Graz
- Smolle Christian
- Co-Autor*innen der Med Uni Graz
- Girsch Werner
- Kraus Tanja
- Singer Georg
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- Abstract:
- Congenital deformities of the limbs occur with an incidence of 1.5 to 3 per 1000 births. "Simple" deformities, such as syn- or polydactylies, are much more common than complex forms, such as radius or ulna hypoplasia, or peromelia, although in Austria (just as in most countries of the western world) reliable data do not exist owing to documentation. Thanks to modern diagnostic procedures, especially improvements in prenatal imaging, limb deformities are recognized increasingly early. The diagnosis always causes the parents great uncertainty, which is why comprehensive counselling and empathetic guidance are necessary from the start. Infants with deformities of the upper extremity usually do not experience any limitations at all and use the extremity in the way in which the malformation allows. It should be mentioned that in the vast majority of cases there are no cognitive impairments, and normal mental development can be expected. Correction of the deformity is aimed at providing the child with a sensitive extremity with a gripping function that can be used in everyday life. The ideal time for surgery is between 6 months and 2 years of age to allow for full functional integration of the reconstructed hand into the body schema. Psychological support for the parents and children until adulthood strengthens the self-esteem of those affected; thus, great importance is deliberately placed on the correct choice of words and the deformity is described right from the start in a positive way as a special feature and not as malformation.
- Find related publications in this database (Keywords)
- Malformation
- Hand surgery
- Paediatric
- Parents
- Extremity