Upper Limb Dimelia
A patient with upper limb dimelia including a double scapula, humerus, radius, and ulna, 11 metacarpals and digits (5 on the superior side, 6 on the inferior side) was treated with a simple amputation of the inferior limb resulting in cosmetic improvement and maintenance of range of motion in the pr...
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| Published in | The Journal of hand surgery (American ed.) Vol. 42; no. 7; pp. 575.e1 - 575.e5 |
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| Main Authors | , , , , |
| Format | Journal Article |
| Language | English |
| Published |
United States
Elsevier Inc
01.07.2017
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| Abstract | A patient with upper limb dimelia including a double scapula, humerus, radius, and ulna, 11 metacarpals and digits (5 on the superior side, 6 on the inferior side) was treated with a simple amputation of the inferior limb resulting in cosmetic improvement and maintenance of range of motion in the preserved limb. During the amputation, the 2 limbs were found to be anatomically separate except for the ulnar nerve, which, in the superior limb, bifurcated into the sensory branch of radial nerve in the inferior limb, and the brachial artery, which bifurcated into the radial artery. Each case of this rare anomaly requires its own individually carefully planned surgical procedure. |
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| AbstractList | A patient with upper limb dimelia including a double scapula, humerus, radius, and ulna, 11 metacarpals and digits (5 on the superior side, 6 on the inferior side) was treated with a simple amputation of the inferior limb resulting in cosmetic improvement and maintenance of range of motion in the preserved limb. During the amputation, the 2 limbs were found to be anatomically separate except for the ulnar nerve, which, in the superior limb, bifurcated into the sensory branch of radial nerve in the inferior limb, and the brachial artery, which bifurcated into the radial artery. Each case of this rare anomaly requires its own individually carefully planned surgical procedure. |
| Author | Seki, Atsuhito, MD, PhD Takagi, Takehiko, MD, PhD Takayama, Shinichiro, MD, PhD Watanabe, Masahiko, MD, PhD Nojiri, Ayano, MD |
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| Cites_doi | 10.1016/j.jse.2013.12.001 10.1097/00006534-196809000-00009 10.1177/1753193415614260 10.1542/peds.91.2.411 10.1111/j.1651-2227.2007.00127.x 10.1111/j.1469-8749.1963.tb05036.x 10.1302/0301-620X.42B3.549 10.1016/j.jhsa.2010.07.017 10.2106/00004623-198062030-00022 10.1016/S0266-7681(97)80025-3 10.4103/0970-0358.44842 10.1097/SAP.0b013e31821b6ced 10.1016/j.bjps.2015.02.016 |
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| Keywords | Upper limb dimelia epidermoid cyst amniotic constriction congenital anomaly duplication |
| Language | English |
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A case report publication-title: J Bone Joint Surg Am contributor: fullname: Stanitski – volume: 96 start-page: 464 year: 2007 end-page: 465 ident: bib9 article-title: Complete unilateral leg duplication with ipsilateral renal agenesis publication-title: Acta Paediatr contributor: fullname: Ascuitto – volume: 23 start-page: e68 year: 2014 end-page: e72 ident: bib4 article-title: Elbow and forearm reconstruction in patients with ulnar dimelia can improve activities of daily living publication-title: J Shoulder Elbow Surg contributor: fullname: Takayama – volume: 22 start-page: 80 year: 1997 end-page: 83 ident: bib1 article-title: Upper limb triplication with radial dimelia publication-title: J Hand Surg Br contributor: fullname: Matime – volume: 91 start-page: 411 year: 1993 end-page: 413 ident: bib8 article-title: Extent of duplication in lower-limb malformations suggests the time of the teratogenic insult publication-title: Pediatrics contributor: fullname: Hootnick – volume: 42 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10.1111/j.1651-2227.2007.00127.x contributor: fullname: Lilje – volume: 23 start-page: 212 issue: 1 Part 2 year: 1959 ident: 10.1016/j.jhsa.2017.02.005_bib10 article-title: Developmental anomalies in mice resulting from action of the gene, disorganization, a semi-dominant lethal publication-title: Pediatrics contributor: fullname: Hummel – volume: 5 start-page: 343 year: 1963 ident: 10.1016/j.jhsa.2017.02.005_bib7 article-title: Timing of human congenital malformations with a time-table of human development publication-title: Dev Med Child Neurol doi: 10.1111/j.1469-8749.1963.tb05036.x contributor: fullname: Millen – volume: 42-B start-page: 549 year: 1960 ident: 10.1016/j.jhsa.2017.02.005_bib5 article-title: Ulnar dimelia publication-title: J Bone Joint Surg Br doi: 10.1302/0301-620X.42B3.549 contributor: fullname: Harrison – volume: 35 start-page: 1762 issue: 11 year: 2010 ident: 10.1016/j.jhsa.2017.02.005_bib3 article-title: A child with longitudinal cleavage of the upper extremity: 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A case report publication-title: J Bone Joint Surg Am doi: 10.2106/00004623-198062030-00022 contributor: fullname: Hanley – volume: 22 start-page: 80 issue: 1 year: 1997 ident: 10.1016/j.jhsa.2017.02.005_bib1 article-title: Upper limb triplication with radial dimelia publication-title: J Hand Surg Br doi: 10.1016/S0266-7681(97)80025-3 contributor: fullname: Mennen – volume: 41 start-page: 195 issue: 2 year: 2008 ident: 10.1016/j.jhsa.2017.02.005_bib2 article-title: Complete cleft of the upper limb: a very rare anomaly publication-title: Indian J Plast Surg doi: 10.4103/0970-0358.44842 contributor: fullname: Bhatt – volume: 70 start-page: 38 issue: 1 year: 2013 ident: 10.1016/j.jhsa.2017.02.005_bib12 article-title: Atypical thumb polydactyly with duplicated metacarpal bone: a report of 2 cases publication-title: Ann Plast Surg doi: 10.1097/SAP.0b013e31821b6ced contributor: fullname: Iba – volume: 68 start-page: 876 issue: 6 year: 2015 ident: 10.1016/j.jhsa.2017.02.005_bib13 article-title: On-top plasty as a treatment for floating finger publication-title: J Plast Reconstr Aesthet Surg doi: 10.1016/j.bjps.2015.02.016 contributor: fullname: Takagi |
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| SubjectTerms | amniotic constriction congenital anomaly duplication epidermoid cyst Humans Infant Male Orthopedics Upper Extremity Deformities, Congenital - diagnostic imaging Upper Extremity Deformities, Congenital - pathology Upper Extremity Deformities, Congenital - surgery Upper limb dimelia |
| Title | Upper Limb Dimelia |
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