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CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo)
DOI: 10.1055/s-0041-1735137
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Conservative Approach to Type III Ulnar Club Hand: Case Report[*]

Artikel in mehreren Sprachen: português | English
Gabriel Chartuni Teixeira Cury 
1   Faculdade de Ciências Médicas e da Saúde de Juiz de Fora, MG, Brasil
,
Leonardo Álaf Lucinda de Sá 
1   Faculdade de Ciências Médicas e da Saúde de Juiz de Fora, MG, Brasil
,
Cler David Oliveira 
1   Faculdade de Ciências Médicas e da Saúde de Juiz de Fora, MG, Brasil
,
Nathália Vieira Caires 
1   Faculdade de Ciências Médicas e da Saúde de Juiz de Fora, MG, Brasil
,
Arnaldo Gonçalves de Jesus Filho 
2   Departamento de Ortopedia e Cirurgia da Mão, Hospital Universitário, Universidade Federal de Juiz de Fora, MG, Brasil
3   Departamento de Ortopedia e Cirurgia da Mão, Santa Casa de Misericórdia de Juiz de Fora, MG, Brasil
,
Bruno Gonçalves Schroder e Souza 
1   Faculdade de Ciências Médicas e da Saúde de Juiz de Fora, MG, Brasil
4   Universidade Federal de Juiz de Fora, MG, Brasil
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Abstract

Ulnar club hand is a rare condition of the upper limbs, for which treatment depends on the degree of morphological and functional impairment, correlating with the radiographic classification of Dobyns, Wood, and Bayne. The aim of the present study is to report a case of a 6-year-old male patient, followed up for type III ulnar club hand (total ulnar dysplasia). Despite the initial difficulty of manipulating objects and performing everyday tasks, conservative physical therapy treatment provided strength gain and development of functional skills for daily life. We conclude that patients with type III deformity can be properly managed with rehabilitation although they require outpatient follow-up until skeletal maturity is reached, as dynamic deformities and new functional limitations may lead to need for corrective surgeries.

Keywords

musculoskeletal abnormalities - upper extremity deformities, congenital - phocomelia - hand deformities, congenital - ulna/abnormalities

* Work developed at the Faculdade de Ciências Médicas e da Saúde de Juiz de Fora, MG, Brazil.




Publikationsverlauf

Eingereicht: 23. Dezember 2020

Angenommen: 07. April 2021

Artikel online veröffentlicht:
01. Oktober 2021

© 2021. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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