Treat the hand deformity It is the better that the operation is not the earlier

Treat the hand deformity It is the better that the operation is not the earlier
Treat the hand deformity It is the better that the operation is not the earlier
Treat the hand deformity It is the better that the operation is not the earlier
Beijing accumulate puddle hospital hand the intersection of surgery and Zhao beautiful to know field document and human body other inborn deformity the same, cause hands and the inborn odd-shaped reason of upper limbs to mainly have inherent cause and environmental factor. The inherent cause includes the chromosome is unusual with gene mutation, hand and upper limbs deformity that this kind of factor causes account for 5%~10%. Environmental factor, for instance the medicine, virus are infected, wound, alcoholism, chemical article, radioactive rays, parent's malnutrition or disease,etc. may cause the deformity. It is very easy to find that often the inborn deformity of hands and the upper limbs appears alone in the hand deformity, can find out from the appearance. Except that the appearance is unusual, the deformity person's hand and upper limbs function will be influenced in various degree, the serious one may totally lose the limb function. There are many kinds of hands and odd-shaped manifestation of upper limbs. First, limbs form the obstacle. Display it is hand or upper limbs that have different level or incomplete different levels mainly, such as inborn broken limb, inborn severed finger, seal's hand,etc.. Second, limbs split up and separate the obstacle. It behaves to be mainly, point ' And the finger is connected with) , the muscle bone joint is bad in development. If and a plurality of fingers are connected with, may be shown as shovel hands (the whole hand is just like iron shovel) Or one kind of hands of mitten. Three is that more than is pointed. Pointing the number more than normal people of the patient, this kind of deformity is twin deformity. Belonging to this kind of has shadow hand deformity of mirrors, the patient's clubhands are symmetrical the mirror shadow to exist. Fourth, called by ordinary people " The big foot " Or " big hands " Deformity,at being at medical science name being huge limb (toe, be pointed) Disease. This kind of deformity is congenital growth was excessively caused. The one opposite to this is development low limb or hands (point) that causes Short and small deformity. Another kind of rare deformity draws back narrowband syndrome for being annular, the infant's finger, limb can see the annular ditch like thin rope kind. In fact, a lot of hand deformity does not appear with a kind of manifestation alone, often many kinds of deformity are mixed together, or the deformity of hand only behaves for one of syndrome of a certain congenital malformation. In addition, some hands and odd-shaped patients of upper limbs may amalgamate deformity of organs such as lower extremities, backbone or cranium brain, viscera,etc. at the same time, parents and doctor should pay special attention to in making a diagnosis, so as not to omit, result in treating the delay or producing more serious consequence. Different odd-shaped the intersection of operation and with find child have the hands or inborn deformity of upper limbs opportunity, should seek medical advice as soon as possible, send for a doctor and judge that treats the opportunity, because different deformity is the best to treat time is different. The treatment should solve the appearance problem on one hand, on the other hand should solve the function problem. Say, treating should rely mainly on improving the function, and then consider the appearance is improved from principle. With the development of limbs, some deformity of hindering development will be aggravated gradually, or will bring the subsequent one in deformity then send the deformity. This kind of deformity must be treated early. For example whom child suffer from a certain complex type and mean deformity, not annular to contract the intersection of narrowband and syndrome,etc. treat early soon. If child's hand and upper limbs deformity do not hinder development, if some kinds of mean deformity more, can postpone getting and treating preschoolly. Some deformity, for instance, the carpal bone is merged, does not influence appearance and function seriously, needn't do special treatment. The serious deformity will often influence various on hand to organize importantly, while treating yes use and reshape and prop up and have, and with the child's growth, the operation will go on by stages in a planned way, not over until growing up. For example correct the operations of skin and soft tissue contracture, can implement in infant and pre-school children period. The operation related to tendon, should do when the infant can do the function and do exercises voluntarily, do the operation 5 years old later too first. And the inborn tenovaginitis is because of having from the possibility of healing within two years old, so the therapeutic opportunity of surgery is after two years old. Though some children have inborn hands or upper limbs deformity, with growing, limbs demonstrate very strong function compensates ability. If the inborn thumb is bad in development or has no thumb, but the child's clubhand is in the course of developing and living, forefinger all right thumb gradually. The forefinger can increase with the distance of middle finger before sloping, fastening to the side of oar automatically, mean the web is widened, can only be done and grasped movements, and then the function that pinched in pointing gradually originally between forefinger and middle finger, in this way, can dispense with the operation of the thumb forefinger in the future. And for example, child has serious forearm deformity, but while development use, can often present the good function that people can not expect. According to this kind of situation, to some hands with serious deformity, the period of infant from the child should guide and train consciously, use tactics and propping up having, gypsum,etc. rationally by stages in a planned way at the same time, these methods can often make the deformity get the correction of the suitable intensity.



|