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Konjenital Ayna El Deformitesi (Olgu Sunumu)

Congenital Mirror Hand Deformity (Case Report)

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Abstract (2. Language): 
Mirror hand or ulnar dimelia is one of the rarest congenital anomalies of the upper limb. Typically, there is absence of the radius, duplication of the ulna and eight digits polidactyly. In this study, we report a case of a rare subject of hand duplication where the shoulder was normal and there was no associated anomalies. The patient underwent surgery for the excision of the radial three digits and reconstruction of the preserved radial phalanx to function as an opposable thumb. Excision of the lateral part of olecranon and tendon transfer were performed in onder to increase the elbow flexion.With respect to function and cosmetics, the result was quite satisfactory for the hand, white functionality within the elbow joint was inadequate due to the restricted mobility.
Abstract (Original Language): 
Ayna el veya ulnar dimelia üst ekstremite anomalileri içinde en nadir olanlarından biridir. Tipik olarak, radius yokluğu, ulnanın duplikasyonu ve elde 8 parmaklı polidaktili vardır. Bu çalışmamızda beraberinde omuz dahil ilişkili anomalilerin bulunmayan bir olgumuzu sunuyoruz. Olgumuza ameliyatta radial taraftaki 3 parmağı eksize edildi ve kalan radial parmak opozisyon yapabilecek şekilde başparmak oluşturuldu. Dirsek fleksiyonunu arttırmak için dış yan olekranon eksizyonu ve tendon transferi yapıldı. Hastada eldeki fonksiyonel ve kozmetik sonuç iyi olarak değerlendirilirken, dirsekteki fonksiyonel kısıtlılık açısından yeterli bir sonuç elde edilememiştir.
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REFERENCES

References: 

1. Hinojosa JF, Lascombes P, Prevot J. Cubital dimelia. Apropos of a case with review of the literature. Chir Pediatr 1988;29(1):52-4.
2. Özkan T, Gülgönen A, Bayram H. Ulnar dimalia (Mirror hand) A case report. 1989; 23(3):145-47.
3. Barton NJ, Buck-Gramko D, Evans DM. Mirror hand treated by true pollization. J Hand Surg[Br] 1986;11:320-336.
4. Leslie I. Terminology for Hand Surgery, 2001; Harcourt-Health Sciences.
5. Buck-Gramcko D. Pollization of index finger: Method and results in aplasia and hyp oplas ia o f th e thumb . J B one J oint Surg 1971; 53A:1605-17.
6. Dwight T. Fusion of the hands. Memoirs of the Boston Society of Natural History
1892; 4:473-486.
7. Gropper PT. Ulnar dimelia. J Hand Surg[Am] 1983; 8: 487-91.
8. Smit P, Guero S, Brunelle F. Ulnar dimelia: imaging modalities and surgical implications. J Radiol 2000; 81(3): 219-222.
9. Gorriz G. Ulnar dimelia-a limb without anteroposterior differentiation. J Hand
Surg[Am] 1982; 7: 466-9.
10. Chinegwunoh JO, Gupta M, Scott WA. Ulnar dimelia. Is it a true duplication of the ulna? J Hand Surg[Br] 1997; 22: 77-9.
11. Hussl H, Anderl H, Rumpl E. An 8-finger hand with ulnar duplication. Handchir
Microchir Plast Chir 1985; 17 Suppl: 47-52.
12. Borg DH, Van Roermund PM, Kon M. A sporadic case of tetramelic mirror-image polidactyly and unilateral tibial hypoplasia without associated anomalies. J Hand Surg
[Br] 1999; 24(4): 482-5.

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