Improving Value Delivery for Children With Congenital Hand Differences
Value is a measurement of the relative quality and cost of a product or service. High-quality and low-cost increase value. Understanding cost and outcomes in health care can help us understand how to improve value in congenital hand surgery. To do this, we need to better measure and track cost of this pediatric condition as well as quantify outcomes. Delivering care in high-volume centers with pediatric specialists and a multimodal team will improve value in congenital hand differences. (Source: Techniques in Orthopaedics)
Source: Techniques in Orthopaedics - February 21, 2019 Category: Orthopaedics Tags: Symposium Source Type: research
Clinodactyly
describes an abnormal curvature of the digit in the coronal plane. A familial form of clinodactyly shows autosomal dominant inheritance with an incidence of 1% in healthy newborns. In syndromic populations, the incidence is much higher, especially in Down syndrome. The small finger is the most commonly involved digit and often the clinical finding is present bilaterally. Children are often brought to clinic for evaluation of the cosmetic difference. Most agree, that an angular deformity of (Source: Techniques in Orthopaedics)
Source: Techniques in Orthopaedics - February 21, 2019 Category: Orthopaedics Tags: Symposium Source Type: research
Syndactyly
refers to fusion, or webbing, of the digits. It is one of the more common congenital deformities of the hand. Syndactyly is classified as complete or incomplete, simple or complex. Complete syndactyly extends to the distal tip of the digit. Complex syndactyly refers to bone and/or nail involvement. Release of the fused digits is an option to improve the appearance of the hand and to prevent deformities (eg, clinodactyly and flexion contractures) in the growing hand. Hand function may improve as well, particularly if independent finger motion can be generated. (Source: Techniques in Orthopaedics)
Source: Techniques in Orthopaedics - February 21, 2019 Category: Orthopaedics Tags: Symposium Source Type: research
Symbrachydactyly: Assessing Indications for Operative Treatment
Symbrachydactyly is a congenital hand difference which is sporadic and generally unilateral that presents with shortened or absent central digits. The treatment of symbrachydactyly is multifaceted and optimized when opportunities to enhance innate ability through nonoperative interventions and surgical procedures are applied effectively. There is a significant, meaningful role for hand therapy, normalizing hand differences through hand camps or peer relationships, and, when appropriate, referral to mental health professionals. Surgical management is targeted at the associated features of symbrachydactyly including syndacty...
Source: Techniques in Orthopaedics - February 21, 2019 Category: Orthopaedics Tags: Symposium Source Type: research
Pediatric Forearm Deformity: Use of 3D Modeling to Guide Deformity Correction
Pediatric forearm deformity correction is one of many fundamental skills of practicing pediatric orthopedist. The etiology of forearm deformity can vary from congenital to traumatic. When residual posttraumatic forearm angulation exceeds 20 degrees, and rotational deformity is>30 degrees, an osteotomy may be indicated. Surgeons tasked with preoperative planning are limited by the 2-dimensional (2D) nature of radiographs. It becomes increasingly beneficial to have 3D information when surgical correction is mandated in multiple areas or critical locations such as the distal radioulnar joint or radial head. The purpose of thi...
Source: Techniques in Orthopaedics - February 21, 2019 Category: Orthopaedics Tags: Symposium Source Type: research
