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CC BY 4.0 · Rev Bras Ortop (Sao Paulo) 2024; 59(S 01): e12-e16
DOI: 10.1055/s-0041-1735137
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Conservative Approach to Type III Ulnar Club Hand: Case Report

Article in several languages: 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

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

Study carried out at the Faculdade de Ciências Médicas e da Saúde de Juiz de Fora, MG, Brazil.




Publication History

Received: 23 December 2020

Accepted: 07 April 2021

Article published online:
01 October 2021

© 2021. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)

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