Vater/Vacterl Association

Solomon, Benjamin D.; Hall, Bryan D.

doi:10.1002/9781119432692.ch61

Cited by 3 publications

(2 citation statements)

References 63 publications

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“…Radial longitudinal deficiency is often found in association with other congenital anomalies, with one-third of patients having a named syndrome 56 . Therefore, patients with thumb hypoplasia should be screened for associated syndromes, the most common being Holt-Oram, Fanconi anemia, thrombocytopenia absent radius syndrome, and VAC-TERL (vertebral anomalies, anal atresia, cardiac anomalies, tracheoesophageal fistula, renal defects, and limb anomalies) association (Table II) [57][58][59][60] . The surgical procedure should be performed after appropriate medical clearance has been given to the patient.…”

Section: Thumb Hypoplasiamentioning

confidence: 99%

Congenital Disorders of the Pediatric Thumb

Nguyen

2022

JBJS Reviews

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» Surgical timing for pediatric trigger thumb treatment is controversial for numerous reasons including the potential for spontaneous resolution, the possibility of bilateral involvement, and anesthesia concerns regarding the developing brain. Hence, a reasonable approach is to delay the surgical procedure until the patient is ≥3 years of age.» Preaxial polydactyly is usually unilateral and sporadic, with the most common reconstruction method consisting of excision of the diminutive thumb with preservation and soft-tissue reconstruction of the dominant thumb. The surgical procedure is typically performed around the patient age of 1 year to decrease the risks of anesthesia but allow reconstruction prior to the development of a tip-to-tip pinch.» Triphalangeal thumb and thumb hypoplasia are often found in the setting of systemic anomalies such as Holt-Oram syndrome, thrombocytopenia absent radius syndrome, Fanconi anemia, VACTERL (vertebral anomalies, anal atresia, cardiac anomalies, tracheoesophageal fistula, renal defects, and limb anomalies), and/or Blackfan-Diamond anemia. As such, patients should receive adequate workup for these entities. A surgical procedure should be performed only once patients have been medically cleared.» The status of the carpometacarpal joint in thumb hypoplasia determines whether reconstruction with first web space deepening, collateral ligament stabilization, and opponensplasty compared with index pollicization is performed.

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Section: Thumb Hypoplasiamentioning

confidence: 99%

Congenital Disorders of the Pediatric Thumb

Nguyen

2022

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“…Patients with the latter condition typically have at least 3 of these characteristic features. Additional abnormalities may also accompany congenital scoliosis 21 .…”

Section: Accompanying Anomaliesmentioning

confidence: 99%

Team Approach: Contemporary Treatment of Congenital Scoliosis

Karaarslan¹,

Gurel²,

Yücekul³

et al. 2019

JBJS Rev

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Congenital scoliosis is caused by developmental abnormalities such as failure of segmentation, failure of formation, or a combination of these conditions. » The multi-organ nature of congenital scoliosis necessitates a team approach in which spinal and intraspinal deformities are treated by orthopaedic surgeons, neurosurgeons, and physical therapists, and associated anomalies are treated by pediatricians, pediatric surgeons, cardiologists, pulmonologists, and urologists. » At the initial time of diagnosis, observation is appropriate for most cases. Although early arthrodesis may be appropriate for select cases, delaying tactics that are nonoperative (bracing and casting) or operative (growing rod and growth guidance) may preserve (or even stimulate) spine and chest cage development while controlling the deformity. » Early hemivertebra resection and short-segment arthrodesis provide excellent outcomes. » Patients with a neurological deficit may require neurosurgical intervention, which may be performed either before a deformity correction surgical procedure or simultaneously with the procedure.

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VACTERL-Assoziation: Von der Pränatalmedizin bis zum Erwachsenenalter – Teil 1

Kluwe¹

2018

Neonatologie Scan

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Vater/Vacterl Association

Cited by 3 publications

References 63 publications

Congenital Disorders of the Pediatric Thumb

Congenital Disorders of the Pediatric Thumb

Team Approach: Contemporary Treatment of Congenital Scoliosis

VACTERL-Assoziation: Von der Pränatalmedizin bis zum Erwachsenenalter – Teil 1

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