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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

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