Profile of Congenital Transverse Deficiencies among Cases of Congenital Orthopaedic Anomalies

Abstract

The authors showed the data of congenital amputation in 36 cases among the physically handicapped individuals (who attended a district level hospital for the purpose of obtaining a handicap certificate) during the period from 1 January 1999 to 31 December 2000.Out of 3,550 individuals, we found 612 with congenital orthopaedic anomalies, which accounted for 17.2%. Of these 612 individuals, we noted 36 cases with congenital amputation (amputation through digits and toes were not included). Both unilateral and bilateral congenital amputations were much more common in the upper extremity as compared to lower extremity. Not a single case of simultaneous upper and lower extremity involvement was seen. The most common transverse deficiency in the upper limb was through the forearm, and in the lower limb it was through the foot. Congenital amputation was common in males with a gender ratio of 3.5:1. Left limb involvement was twice as much as right limb involvement, and it was common in both sexes. Bilateral limb involvement was seen only in males.

A rare case of forearm hypoplasia from 18th‐century Gdańsk, Poland

“…At present the occurrence rate of transverse forearm deficiencies in relation to other congenital malformations of the upper limb amounts to between 5.6% and 7.1%. Similar statistics have been noted in the US, Japan, Hong Kong and India (Yamaguchi, 1973;Flatt, 1977;Cheng et al, 1987;Jain & Lakhtakia, 2002). Excluding the absence of fingers, congenital amputation of the forearm is most often observed at the proximal one-third level: Jain & Lakhtakia (2002) Ogino & Saitou, 1987), occurring equally in both sexes (Jain & Lakhtakia, 2002;Menio & Wenner, 1992).…”

“…Similar statistics have been noted in the US, Japan, Hong Kong and India (Yamaguchi, 1973;Flatt, 1977;Cheng et al, 1987;Jain & Lakhtakia, 2002). Excluding the absence of fingers, congenital amputation of the forearm is most often observed at the proximal one-third level: Jain & Lakhtakia (2002) Ogino & Saitou, 1987), occurring equally in both sexes (Jain & Lakhtakia, 2002;Menio & Wenner, 1992). Transverse deficiencies in two or in a pair of limbs are indicative of autosomal-recessive inheritance (Freire-Maia, 1975), or of a deformation resulting from amniotic constriction bands (Lamb et al, 1982).…”

“…TFD can coexist with other congenital malformations, such as hydrocephalus, myelomeningocele, talipes equinovarus or radio-ulnar synostosis (Jain & Lakhtakia, 2002). A common feature of TFD is displacement of the radial head, noted in a fifth to two-thirds of cases (Reed, 1991;Menio & Wenner, 1992;Exner, 1998).…”

Compliance to service standards for congenital upper limb deficiency

“…2,11,12 We found an almost equal male:female occurrence of 1.1:1. Left:right ratio was 1.9:1, and three children (7%) were affected bilaterally.…”

“…2 The family of a child born with limb deficiency, and the child themselves, will have differing needs to the acquired amputee. 3 The involvement of a skilled and experienced multidisciplinary team at an early stage offers parents reassurance and advice at a time when they are likely to have many questions, and allows the most appropriate treatment plan to be made for their child.…”