Toe to hand transfer in children: Ten year follow up of psychological aspects

Bellew, Maggie; Haworth, Jo; Kay, Simon

doi:10.1016/j.bjps.2010.09.017

Cited by 26 publications

(18 citation statements)

References 9 publications

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“…One mother in our study described her son's hand function as 'better' than his peers. Bellew et al (2011) similarly identified two adults who self-reported the same. Parents in our study generally emphasised and greatly admired their children's acceptance, resilience and 'willingness to fit in'.…”

Section: Discussionmentioning

confidence: 94%

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The psychosocial impact of congenital hand and upper limb differences on children: a qualitative study

McDougall

Kennedy

Coombs

et al. 2020

J Hand Surg Eur Vol

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This qualitative study explored the psychosocial concerns of children born with congenital hand and upper limb differences (CHULDs) from the point of view of these children and their parents. Qualitative, in-depth, semi-structured interviews were conducted face-to-face with eight parent–child dyads. Open format questions allowed spontaneous emergence of relevant themes, followed by guided questioning. Thematic analysis of audio-recorded and transcribed interviews found that children as young as 5 years old had unique and meaningful opinions about their CHULD, of which parents were sometimes unaware. Children reported that unsolicited questions from peers caused significant stress, and this increased around the time of surgery. All children used planned responses to peers as an effective coping mechanism. Children also identified positive aspects of their difference, including an increased sense of determination and an appreciation for being unique. Strategies that may improve psychosocial outcomes for children with CHULDs are discussed. Level of evidence: IV

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Section: Discussionmentioning

confidence: 94%

“…One mother in our study described her son’s hand function as ‘better’ than his peers. Bellew et al. (2011) similarly identified two adults who self-reported the same.…”

Section: Discussionmentioning

confidence: 94%

The psychosocial impact of congenital hand and upper limb differences on children: a qualitative study

McDougall

Kennedy

Coombs

et al. 2020

J Hand Surg Eur Vol

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“…Sensory thresholds and sensitivity of the fingers and toes are different, as are the cosmetic expectation related to these structures. 15 Second, the small sample size reduced the statistical significance of our results. Third, we assessed tumor recurrence at 1 year postoperatively; however, 1 year is a short period to determine tumor recurrence, and it is possible that additional tumors eventually recur.…”

Section: Discussionmentioning

confidence: 85%

A modified proximally based nail bed flap approach for benign subungual bone tumors in the distal phalanx

Hong

Kim

Jang

et al. 2019

J Orthop Surg (Hong Kong)

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Background: Complete tumor removal and damaged nail bed repair are critical factors that determine the success of subungual tumor excision. We examined a modified proximally based nail bed flap approach for excision of subungual bone tumors of the distal phalanx and present cases where this approach was used, along with postoperative functional and cosmetic outcomes. Methods: Twenty-four benign subungual bone tumors, identified from 23 patients (9 males and 14 females), were included in this study. All patients underwent tumor excision by the modified proximally based nail bed flap approach. Pain was assessed using a numeric rating scale, and cosmesis was self-assessed using a visual analog scale preoperatively and 1 year postoperatively. We measured sensation of the involved digit tip, relative to opposite-side sensation, using static and moving two-point discrimination and Semmes–Weinstein monofilament tests 1 year postoperatively. Lastly, we assessed postoperative nail deformities and tumor recurrence as potential surgical complications. Results: Mean pain severity and cosmesis were significantly improved 1 year postoperatively. There were no significant differences in the digit tip sensation between the involved and the opposite-side digits 1 year postoperatively. We observed one case of tumor recurrence and four cases of postoperative nail deformities. Conclusions: The modified proximally based nail bed flap approach showed satisfactory functional and cosmetic outcomes. This approach enables a low rate of recurrence after removal of benign subungual bone tumors in the short term and cosmetically superior nail bed repair. Level of evidence: Therapeutic, IV

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“…106,157,158 These techniques can dramatically improve hand function through the reconstruction of a sensate mobile thumb or digits which will show a degree of commensurate growth with the child 159,160 (Figure 49.23). 106,157,158 These techniques can dramatically improve hand function through the reconstruction of a sensate mobile thumb or digits which will show a degree of commensurate growth with the child 159,160 (Figure 49.23).…”

Section: Toe-to-hand Transfersmentioning

confidence: 99%