Abstract
Oligodactyly, or the absence of one or more fingers, is a common finding in congenital
anomalies of the upper limb. The specific diagnoses associated with oligodactyly can
be grouped into several developmental patterns, each with a spectrum of limb involvement
and potential for associated anomalies. These conditions include symbrachydactyly,
ulnar dysplasia, amnion disruption sequence, cleft hand, and radial dysplasia. This
article reviews the major causes of oligodactyly and presents the etiology, genetics,
and spectrum of presentation. Copyright © 2002 by the American Society for Surgery
of the Hand
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References
References
- The Vertebrate Body.Saunders, Philadelphia1977 (203-204)
PW. Brown, Less than ten-surgeons with amputated fingers, J Hand Surg [Am] 7 31-37 (198*2).
- 3Clinical features and roentgenograms of symbrachydactyly.J Hand Surg [Br]. 1989; 14: 303-306
- Zur Morphologie und Klassifikation der Symbrachydaktylie.Handchirurgie. 1971; 3: 123-128
- Isolated symbrachydactyly of the foot.Z Orthop Ihre Grenzgeb. 1988; 126 ([in German]): 125-126
- Congenital differences of the hand. Symbrachydactyly.in: Handchirurgie. George Thieme, Stuttgart1981: 35-42 ([in German])
- Brachymetacarpia and brachyphalangia.J Hand Surg [Am]. 1986; 11: 829-836
- The position of symbrachydactyly in the classification of congenital hand anomalies.J Hand Surg [Br]. 1994; 19: 350-354
- Cleft hand: classification, incidence and treatment.J Bone Joint Surg. 1964; 46A: 1707-1719
- Subclavian artery supply disruption sequence: hypothesis of a vascular etiology for Poland, Klippel-Feil, and Mobius anomalies.Am J Med Genet. 1986; 23: 903-918
- Symbrachydactyly.in: The growing hand: diagnosis and management of the upper extremity in children. Harcourt Publishers, London2000: 213-223
- Congenital differences of the hand. Symbrachydactyly.in: Handchirurgie. George Thieme, Stuttgart1981: 35-42 ([in German])
- The role of nonvascularized toe phalanx transplantation.Hand Clin. 1990; 6: 643-659
- Reconstruction of congenital hand defects with microvascular toe transfers.Hand Clin. 1985; 1: 351-360
- Congenital constriction band syndrome.Hand Clin. 1998; 14: 29-38
- Congenital ring constrictions.Br J Plast Surg. 1961; 14: 1-31
- Growth and development of the hand.in: Reconstruction of the child's hand. Lea and Febiger, Philadelphia1991: 121-126
- Focal deficiencies in fetal tissues and their relationship to intrauterine amputation.Contributions to Embryology of the Carnegie Institute. 1930; : 22
- Amniochorionic mesoblastic fibrous strings and amniotic bands: associated constricting fetal malformations or fetal death.Am J Obstet Gynecol. 1965; 91: 65-75
- Experimental approach to the pathogenesis of the anomalies of amniotic disease.J Pediatr Surg. 1980; 15: 63-67
- Congenital constriction band syndrome.J Hand Surg [Am]. 1984; 9: 82-88
- Cleft hands: classification and treatment.Hand Clin. 1985; 1: 467-473
- The cleft hand.in: The growing Hand: Diagnosis and Management of the Upper Extremity in Children. Harcourt Publishers, London2000: 203-212
- Congenital limb anomalies: frequency and aetiological factors.J Med Genet. 1974; 11: 221-233
- Split-hand and atypical split-hand. In: Congenital deformities of the upper extremities.Adelsborgtrykkeriet, Odense, Denmark1949 (46-47)
- The care of congenital hand anomalies.2nd ed. Quality Medical Publishing Inc, St. Louis1994 (337-365)
- Morphology and classification of cleft hands.Handchir Mikrochir Plast Chir. 1986; 18 ([in German]): 161-195
- Lobster-claw deformities of the hands and feet.Br J Plast Surg. 1970; 23: 269-282
- Surgical classification of central deficiencies according to the thumb web.Am J Hand Surg. 1995; 20: 687-697
- Cleft hand/foot: clinical and developmental aspects.J Med Genet. 1994; 31 ([Review]): 726-730
- Split-hand/split-foot malformation with paternal mutation in the p63 gene.Prenat Diagn. 2001; 21: 1119-1122
- Fine mapping of the split-hand/split-foot locus (SHFM3) at 10q24: evidence for anticipation and segregation distortion.Am J Hum Genet. 1999; 64: 1646-1654
- Teratogenic relationship between polydactyly, syndactyly and cleft hand.J Hand Surg [Br]. 1990; 15: 201-209
- Cleft hand, syndactyly and hypoplastic thumb.J Hand Surg [Br]. 1992; 17: 365-370
- A classification of cleft hands based on clinical findings: theory of developmental mechanism.Plast Reconstr Surg. 1979; 64: 381-389
- Congenital central ray deficiency in the hand: a survey of 59 cases and subclassification.J Hand Surg. 1981; 6: 434-441
- Die Entwicklungsstorunguen der Extremitaten.in: Handbuch der speziellen pathologischen Anatomie und Histologie. Springer, Berlin1952
- Die angeborenenen fehlbidugen der menschlichen hand.Thieme, Leipzig1937
- Toe transfers for congenital hand defects.J Hand Surg. 1982; 7: 118-124
- Surgical treatment of cleft hand. In: Transactions of the Society of Plastic and Reconstructive Surgery, 4th Congress, Rome.Excerpta Medica Foundation, Amsterdam1967 (888-893)
- Advances in microsurgical reconstruction of the congenitally adactylous hand.Clin Orthop. 1995; 314: 45-58
- Congenital deformities of the upper extremities (translated by E. Aagesen). Andelsbogtry-kkeriet and Det Danske Forlag.Odense, Denmark1949 (15-36)
- Ulnar deficiency.in: Current Practice in Hand Surgery. CV Mosby, St. Louis1997: 371-390
- Ulnar club hand (ulnar deficiencies).in: 3rd Ed. Operative Hand Surgery. Churchill Livingstone, New York1993: 288-303
- The care of congenital hand anomalies.2nd ed. Quality Medical Publishing, St. Louis1994 (411-424)
- Classification of ulnar deficiency according to the thumb and first web.J Hand Surg [Am]. 1997; 22: 479-488
- Congenital ulnar deficiency. Natural history and therapeutic implications.Hand Clin. 1985; 1: 499-510
- Clinical and experimental studies on ulnar ray deficiency.Handchir Mikrochir Plast Chir. 1988; 20: 330-337
- Ulnar longitudinal deficiency.in: 4th ed. Operative Hand Surgery. Churchill Livingstone, New York1999: 358-368
- Management of radial dysplasia.Hand Clin. 1990; 6: 589-605
- Congenital deformities of the upper extremities.Ejnar Munksgaard, Copenhagen1950
- Morphological patterns in limb deficiencies and duplications.Am J Anat. 1951; 89: 135-193
- Long-term review of the surgical treatment of radial deficiencies.J Hand Surg [Am]. 1987; 12: 169-179
- Der hypoplatiche daumen.Arch Orthop Unfallchir. 1967; 62: 225-246
- Anomalies associated with radial dysplasia.J Pediatr. 1974; 84: 409-411
- Congenital hand anomaly: etiology and associated malformations.Hand Clin. 1985; 1: 405-415
- Radial ray defects and associated anomalies.Clin Genet. 1989; 35: 322-330
- Thrombocytopenia with absent radii: a review of 100 cases.Am J Pediatr Hematol Oncol. 1988; 10: 51-64
- Thrombocytopenia and absent radius (TAR) syndrome.J Med Genet. 1987; 24: 79-83
- Radial deficiencies (radial club hand).in: ed 3. Lovel and Winter's Pediatric Orthopaedics. Lippincott, Philadelphia1990: 556-569
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1531-0914/02/0203-0001$35.00/0
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© 2002 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.