Meng Xijun,Yu Lisong,Li Jun,et al.Treatment of congenital thumb ulnar deviation in children with closed osteotomy in epiphyseal by ultrasonography[J].Journal of Clinical Pediatric Surgery,,():158-161.[doi:10.3760/cma.j.cn101785-202307006-011]
Treatment of congenital thumb ulnar deviation in children with closed osteotomy in epiphyseal by ultrasonography
- Keywords:
- Ultrasound; Epiphyseal Deformity; Osteotomy; Surgical Procedures; Operative; Child
- Abstract:
- Objective To explore the application of ultrasonography for congenital thumb ulnar deviation in children.Methods From July 2018 to February 2021,the relevant clinical datas were retrospectively reviewed for 8 children (10 thumbs) undergoing ultrasound-guided closed osteotomy in epiphyseal.There were 4 boys and 4 girls.Involvement was unilateral (n=3) and bilateral (n=5).Ulnar deviated angle and actively flexion angle of interphalangeal joint and Tada scoring standard were measured for evaluating thumb functions (range of motion,joint stability and alignment of interphalangeal joint).Results The results showed that 8 cases with 10 thumbs were followed up for a period of (21.75±11.83)(8-57) months.Average preoperative values of ulnar deviated angle of thumb and mean actively flexion angle of interphalangeal joint were (40.12±13.44)° and (38.90±5.34)°.At the final follow-up,mean values of ulnar deviated angle of thumb and actively flexion angle of interphalangeal joint were (7.65±2.56)° and (36.20±3.36)°.Comparing the preoperative ulnar deviated angle and actively flexion angle of interphalangeal joint in 10 children with thumb,there were significant statistical differences (P<0.05).According to the Tada scoring criteria(range of motion,joint stability and alignment of interphalangeal joint),the outcomes were excellent (8 thumbs) and decent (2 thumbs).Conclusions With an accurate localization,ultrasonography is an effective method for osteotomy with congenital thumb ulnar deviation in children
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Memo
收稿日期:2022-10-13。
基金项目:湖北省自然科学基金资助项目(2013CKB026)
通讯作者:沈先涛,Email:xtshenwh@aliyun.com