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Post a Comment Creation of elbow joint in children with humeroradial synostosis. A clinical case
- Authors: Grankin D.Y.1, Golyana S.I.1, Avdeychik N.V.2, Safonov A.V.2, Arakelyan A.I.2
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Affiliations:
- H. Turner National Medical Research Center for Children’s Trauma Surgery and Orthopedics
- H. Turner National Medical Research Center for Children’s Orthopedics and Trauma Surgery
- Issue: Vol 40, No 5 (2023)
- Pages: 158-166
- Section: Clinical case
- URL: https://ogarev-online.ru/PMJ/article/view/254819
- DOI: https://doi.org/10.17816/pmj405158-166
- ID: 254819
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Abstract
Humeroradial synostosis is a severe rare anomaly of the upper limb, leading to the development of disability. This congenital anomaly may be a separate nosological unit, or a part of a genetic syndrome. Multi-stage surgical treatment is correct for all components of the deformity. The most difficult stage of treatment is the creation of an elbow joint. There are few studies on this problem in the literature. The article presents the results of surgical treatment of two children with humeroradial synostosis, who had the elbow joint created using two techniques. Patient A. underwent microsurgical transplantation of 2–3 metatarsophalangeal joints into the area of the elbow joint that had been absent since birth. Patient B. underwent total arthroplasty of the elbow joint with an individual implant. The unsatisfactory result of the treatment of patient A. is associated with the impossibility of early development of movements in the elbow joint due to the presence of axial pins. The stable position of the endoprosthesis in patient B. made it possible to conduct a course of early development of movements and get a good long-term result. Due to small number of patients, it is impossible to reliably assess the advantage of one of the presented methods. Improvement of the results of treatment in children with humeroradial synostosis requires further research.
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##article.viewOnOriginalSite##About the authors
D. Yu. Grankin
H. Turner National Medical Research Center for Children’s Trauma Surgery and Orthopedics
Author for correspondence.
Email: grankin.md@gmail.com
ORCID iD: 0000-0001-8948-9225
SPIN-code: 1940-3837
Researcher, Department of Reconstructive Microsurgery and Hand Surgery
Russian Federation, Saint-PetersburgS. I. Golyana
H. Turner National Medical Research Center for Children’s Trauma Surgery and Orthopedics
Email: ser.golyana@yandex.ru
ORCID iD: 0000-0003-1319-8979
SPIN-code: 8360-8078
Candidate of Medical Sciences, Scientific Supervisor, Department of Reconstructive Microsurgery and Hand Surgery
Russian Federation, Saint-PetersburgN. V. Avdeychik
H. Turner National Medical Research Center for Children’s Orthopedics and Trauma Surgery
Email: natali_avdeichik@mail.ru
ORCID iD: 0000-0001-7837-4676
SPIN-code: 6059-4464
Orthopedic Surgeon
Russian Federation, Saint-PetersburgA. V. Safonov
H. Turner National Medical Research Center for Children’s Orthopedics and Trauma Surgery
Email: safo125@gmail.com
ORCID iD: 0000-0003-1923-7289
Candidate of Medical Sciences, Head of the Department of Reconstructive Microsurgery and Hand Surgery
Russian Federation, Saint-PetersburgA. I. Arakelyan
H. Turner National Medical Research Center for Children’s Orthopedics and Trauma Surgery
Email: a_bryanskaya@mail.ru
ORCID iD: 0000-0002-3998-4954
SPIN-code: 9224-5488
Candidate of Medical Sciences, researcher, Department of Consequences of Injuries and Rheumatoid Arthritis
Russian Federation, Saint-PetersburgReferences
- Maier W.A. Thalidomide embryopathy and limb defects; experiences in habilitation of children with ectromelias. Arch. Dis. Child. 1965; 40: 154–157.
- Shvedovchenko I.V., Min'kin A.V. Operativnoe lechenie i protezirovanie detej s vrozhdennym plecheluchevym sinostozom. Vestnik vserossijskoj gil'dii protezistov-ortopedov 2005; 2: 24–33 (in Russian).
- McVeigh T.P., Soye J.A., Gordon E., Lynch S.A. Non-syndromic bilateral ulnar aplasia with humeroradial synostosis and oligo-ectrodactyly. American Journal of Medical Genetics Part A 2018; 176 (5): 1180–1183.
- Lee Y., Choi J.H., Oh A., Kim G.H., Park S.H., Moon J.E., Ko C.W., Cheon C.K., Yoo H.W. Clinical, endocrinological, and molecular features of four Korean cases of cytochrome P450 oxidoreductase deficiency. Ann Pediatr Endocrinol Metab. 2020 Jun; 25 (2): 97–103. doi: 10.6065/apem.1938152.076.
- Morton J.E. V. Frentz S., Morgan T., Sutherland-Smith A.J., Robertson S.P. Biallelic mutations in CYP26B1: A differential diagnosis for Pfeiffer and Antley–Bixler syndromes. American Journal of Medical Genetics Part A 2016; 170 (10): 2706–2710.
- Gençay I., Vargel I., Büyükkoçak U., Yazc I., Apan A. Anesthetic risks associated with Antley-Bixler syndrome. The Journal of Craniofacial Surgery 2013 Jan; 24 (1): e21-3. doi: 10.1097/SCS.0b013e318267be0f. PMID: 23348324.
- Oldani E., Garel C., Bucourt M., Carbillon L. Prenatal diagnosis of Antley-Bixler syndrome and POR deficiency. The American Journal of Case Reports 2015; 16: 882.
- Morton J.E. V., Frentz S., Morgan T., Sutherland-Smith A.J., Robertson S.P. Biallelic mutations in CYP26B1: A differential diagnosis for Pfeiffer and Antley–Bixler syndromes. American Journal of Medical Genetics Part A 2016; 170 (10): 2706–2710.
- Zavaruhin V.I. Embriogenez verhnej konechnosti: ot bugorka do slozhnejshego mekhanizma. Voprosy rekonstruktivnoj i plasticheskoj hirurgii 2018; 21 (4): 61–67 (in Russian).
- Goldfarb C.A., Ezaki M., Wall L.B., Lam W.L., Oberg K.C. The Oberg-Manske-Tonkin (OMT) classification of congenital upper extremities: update for 2020. The Journal of Hand Surgery 2020; 45 (6): 542–547.
- Zavaruhin V.I. Obshchie principy lecheniya vrozhdennyh anomalij razvitiya verhnej konechnosti. CHast' I. Voprosy rekonstruktivnoj i plasticheskoj hirurgii 2018; 4: 67 (in Russian).
- Sénès F.M., Catena N. Correction of forearm deformities in congenital ulnar club hand: one-bone forearm. The Journal of hand surgery 2012; 37 (1): 159–164.
- Avdejchik N.V., Golyana S.I., Grankin D.YU., Safonov A.V., Tihonenko T.I., Galkina N.S.. Vozmozhnosti primeneniya mikrohirurgicheskoj autotransplantacii kompleksov tkanej u detej. Ortopediya, travmatologiya i vosstanovitel'naya hirurgiya detskogo vozrasta 2020; 8 (4): 437–450 (in Russian).
- Rayan G.M., Upton III J., Rayan G.M., Up-ton III J. Elbow Synostosis. Congenital Hand Anomalies and Associated Syndromes 2014; 105–117.
- Golyana S.I., Avdejchik N.V., Grankin D. YU., Safonov A.V. Blizhajshie rezul'taty endoprotezirovaniya loktevogo sustava u detej s vrozhdennoj loktevoj kosorukost'yu. Sovremennye problemy nauki i obrazovaniya 2021; 4: 76–76 (in Russian).
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