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Doğu Anadolu bölgesinde bir üçüncü basamak sağlık merkezine başvuran el anomalili çocukların değerlendirilmesi

Year 2020, Volume: 4 Issue: 1, 71 - 75, 02.01.2020
https://doi.org/10.28982/josam.676938

Abstract

Amaç: Konjenital veya edinsel el anomalilerinin tanımlanması ve tedavi yönetimi ortopedik ve plastik cerrahlar için ciddi problemlerdir. El cerrahisinde tıbbi eğitimin bir alt uzmanlık olarak başlamasıyla, el cerrahlarının sayısı artmış ve bu sorun kısmen giderilmiştir. Bu çalışma, el anomalisi ile üçüncü basamak bir sağlık merkezine başvuran çocukların kabul tiplerini, tedavi yönetimini, kabul sürelerini ve demografik verilerini literatür eşliğinde paylaşarak ülkemizin epidemiyolojik verilerine katkıda bulunmayı amaçlamıştır.

Yöntemler: 01.12.2018 - 01.12.2019 tarihleri arasında el cerrahisi kliniğine el anomalisi ile başvuran pediatrik hastalar bu kesitsel çalışmaya alındı. Hastaların dosya kayıt sistemlerinden elde edilen veriler kullanılarak uzatılmış OMT (Oberg, Manske, and Tonkin) sınıflandırmasına göre sınıflandırıldı. Hastaların yaşı, cinsiyeti, tanısı, kabul süresi, eğitim durumu, tedavi planlaması ve ebeveynlerin tedaviye ilişkin kararları bölgede mevcut tek el cerrahı tarafından değerlendirildi.

Bulgular: El cerrahisi kliniğine başvuran yaklaşık 1500 hastadan 0 ile 18 yaşları arasında çocuk el anomalisi olan 49 hasta çalışmaya dahil edildi. 49 hastanın 7'sinde edinsel ve 42'sinde konjenital el anomalisi vardı. En sık görülen konjenital anomali tetik parmak idi. Hastaların 11'i (%22.5) okul çağında, 12'si (%24.5) okul öncesi yaşta ve 26'sı (%53) 2 yaş ve altı bebeklik döneminde idi.

Sonuç: El anomalisi olan hastaların uygun zamanda uygun doktora ulaşmaları, deformitenin uygun zamanda tedavi olması, mevcut anomalinin çocuğun gelişimini engellememesi, deformitenin daha da büyümemesi ve bu bireylerin topluma erkenden kazandırılması açısından çok önemlidir. El cerrahisinin bölgede yeni bir oluşum olması, bu hastaların yan dal olan el cerrahisine yönlendirilmesi, ebeveynlerin bu yönde taleplerinin olması, halen planlanan ameliyatlarını bekleyen hastaların olması nedeniyle bölgede el cerrahın olması çok önemlidir ve bu nedenlerden dolayı hekim sayısının artırılması gerektiği kanaatindeyiz.

Supporting Institution

YOK

Project Number

YOK

References

  • 1. Doğan E, Gül S, Çullu N, Doğan MM. Case of incomplete fibular hemimelia with tarsal coalition, pes planus, ball and socket ankle. J Surg Med. 2019;3(3):271-3.
  • 2. Arık H, Çoşkun T. Van İlindeki Bir Üniversite Hastanesinin El Cerrahisi Kliniğine Başvuran Hastaların Profili. Van Tıp Derg. 2018;25(4):502-7.
  • 3. Ekblom AG, Laurell T, Arner M. Epidemiology of congenital upper limb anomalies in 562 children born in 1997 to 2007: a total population study from stockholm, sweden. J Hand Surg Am. 2010 Nov;35(11):1742-54.
  • 4. Goldfarb CA, Wall LB, Bohn DC, Moen P, Van Heest AE. Epidemiology of congenital upper limb anomalies in a midwest United States population: an assessment using the Oberg, Manske, and Tonkin classification. J Hand Surg Am. 2015;40(1):127-32.
  • 5. Koskimies E, Lindfors N, Gissler M, Peltonen J, Nietosvaara Y. Congenital upper limb deficiencies and associated malformations in Finland: a population-based study. J Hand Surg Am. 2011;36(6):1058-65.
  • 6. Pinto HB, Pais AP, Vitorio SC, Brandão R, Moreira AAD, Molinaro LR. Case study of congenital anomalies of the upper limb in reference ambulatory care facility. Acta Ortop Bras. 2018;26(5):325-7.
  • 7. Parker SE, Mai CT, Canfield MA, Rickard R, Wang Y, Meyer RE, et al. National Birth Defects Prevention Network. Updated National Birth Prevalence estimates for selected birth defects in the United States, 2004-2006. Birth Defects Res A Clin Mol Teratol. 2010;88(12):1008-16.
  • 8. Oberg KC, Feenstra JM, Manske PR, Tonkin MA. Developmental biology and classification of congenital anomalies of the hand and upper extremity. J Hand Surg Am. 2010;35(12):2066-76.
  • 9. Chu A, Chan J, Baxi O. Congenital Deformities of the Hands. Pediatr Clin North Am. 2020;67(1):85-99.
  • 10. Iba K, Horii E, Ogino T, Kazuki K, Kashiwa K. Congenital Hand Committee of Japanese Society for Surgery of the Hand. The Classification of Swanson for Congenital Anomalies of Upper Limb Modified by the Japanese Society for Surgery of the Hand (JSSH). Hand Surg. 2015;20(2):237-50.
  • 11. Tonkin MA, Tolerton SK, Quick TJ, Harvey I, Lawson RD, Smith NC, , et al. Classification of congenital anomalies of the hand and upper limb: development and assessment of a new system. J Hand Surg Am. 2013;38(9):1845-53.
  • 12. Leblebicioğlu G. Hand surgery in Turkey. The Journal of Hand Surgery. 2017;42(3):323.
  • 13. de Almeida CEF. Analysis of surgical results and of residual postoperative deformities in preaxial polydactyly of the hand. J Plast Reconstr Aesthet Surg. 2017;70(10):1420-32.

Evaluation of hand anomalies in children admitted to a tertiary health center in eastern Anatolia

Year 2020, Volume: 4 Issue: 1, 71 - 75, 02.01.2020
https://doi.org/10.28982/josam.676938

Abstract

Aim: Identification and treatment management of congenital or acquired hand anomalies are serious problems for orthopedic and plastic surgeons. With the start of medical education in hand surgery as a subspecialty, the number of hand surgeons has increased, and this problem has partially been removed. This study aimed to contribute to the epidemiologic data of our country by sharing admission times and types, treatment management, and demographic data of children admitted with hand anomalies to a tertiary health center in the light of the literature. 

Methods: Pediatric patients who were admitted with hand anomalies to the hand surgery clinic between 01.12.2018 and 01.12.2019 were included in this cross-sectional study. They were classified by extended OMT (Oberg, Manske, and Tonkin) classification by using the data obtained from the hospital registry. Patients’ ages, genders, diagnoses, admission times, educational statuses, treatment plans and decisions of parents on the treatment were evaluated by a single hand surgeon available in the region. 

Results: Out of approximately 1500 patients admitted to the hand surgery clinic, 49 patients between the ages of 0 and 18 with pediatric hand anomalies were included in the study. Out of 49 patients, 7 had acquired and 42 had congenital hand anomalies. The most common congenital anomaly was trigger finger. Eleven (22.5%) of the patients were at school age, 12 (24.5%) at pre-school age, and 26 (53%) were infants, aged 2 years and below. 

Conclusion: It is highly important for patients with hand anomalies to reach the appropriate physician at the right time so that their treatment may be planned accordingly, the present anomaly does not delay the growth of the child, the deformity does not progress further and that these individuals can be brought into the society earlier. Therefore, we believe that the number of physicians should be increased due to the following reasons: Hand surgery is a new branch and these patients should be referred to subspecialists in accordance with the demands of the patients’ parents. This branch is vital for the region, and there are patients still waiting for their already planned surgery.

Project Number

YOK

References

  • 1. Doğan E, Gül S, Çullu N, Doğan MM. Case of incomplete fibular hemimelia with tarsal coalition, pes planus, ball and socket ankle. J Surg Med. 2019;3(3):271-3.
  • 2. Arık H, Çoşkun T. Van İlindeki Bir Üniversite Hastanesinin El Cerrahisi Kliniğine Başvuran Hastaların Profili. Van Tıp Derg. 2018;25(4):502-7.
  • 3. Ekblom AG, Laurell T, Arner M. Epidemiology of congenital upper limb anomalies in 562 children born in 1997 to 2007: a total population study from stockholm, sweden. J Hand Surg Am. 2010 Nov;35(11):1742-54.
  • 4. Goldfarb CA, Wall LB, Bohn DC, Moen P, Van Heest AE. Epidemiology of congenital upper limb anomalies in a midwest United States population: an assessment using the Oberg, Manske, and Tonkin classification. J Hand Surg Am. 2015;40(1):127-32.
  • 5. Koskimies E, Lindfors N, Gissler M, Peltonen J, Nietosvaara Y. Congenital upper limb deficiencies and associated malformations in Finland: a population-based study. J Hand Surg Am. 2011;36(6):1058-65.
  • 6. Pinto HB, Pais AP, Vitorio SC, Brandão R, Moreira AAD, Molinaro LR. Case study of congenital anomalies of the upper limb in reference ambulatory care facility. Acta Ortop Bras. 2018;26(5):325-7.
  • 7. Parker SE, Mai CT, Canfield MA, Rickard R, Wang Y, Meyer RE, et al. National Birth Defects Prevention Network. Updated National Birth Prevalence estimates for selected birth defects in the United States, 2004-2006. Birth Defects Res A Clin Mol Teratol. 2010;88(12):1008-16.
  • 8. Oberg KC, Feenstra JM, Manske PR, Tonkin MA. Developmental biology and classification of congenital anomalies of the hand and upper extremity. J Hand Surg Am. 2010;35(12):2066-76.
  • 9. Chu A, Chan J, Baxi O. Congenital Deformities of the Hands. Pediatr Clin North Am. 2020;67(1):85-99.
  • 10. Iba K, Horii E, Ogino T, Kazuki K, Kashiwa K. Congenital Hand Committee of Japanese Society for Surgery of the Hand. The Classification of Swanson for Congenital Anomalies of Upper Limb Modified by the Japanese Society for Surgery of the Hand (JSSH). Hand Surg. 2015;20(2):237-50.
  • 11. Tonkin MA, Tolerton SK, Quick TJ, Harvey I, Lawson RD, Smith NC, , et al. Classification of congenital anomalies of the hand and upper limb: development and assessment of a new system. J Hand Surg Am. 2013;38(9):1845-53.
  • 12. Leblebicioğlu G. Hand surgery in Turkey. The Journal of Hand Surgery. 2017;42(3):323.
  • 13. de Almeida CEF. Analysis of surgical results and of residual postoperative deformities in preaxial polydactyly of the hand. J Plast Reconstr Aesthet Surg. 2017;70(10):1420-32.
There are 13 citations in total.

Details

Primary Language English
Subjects Orthopaedics
Journal Section Research article
Authors

Mehmet Rauf Koç 0000-0002-8135-1368

Sezai Özkan 0000-0003-4444-6939

Cihan Adanaş

Project Number YOK
Publication Date January 2, 2020
Published in Issue Year 2020 Volume: 4 Issue: 1

Cite

APA Koç, M. R., Özkan, S., & Adanaş, C. (2020). Evaluation of hand anomalies in children admitted to a tertiary health center in eastern Anatolia. Journal of Surgery and Medicine, 4(1), 71-75. https://doi.org/10.28982/josam.676938
AMA Koç MR, Özkan S, Adanaş C. Evaluation of hand anomalies in children admitted to a tertiary health center in eastern Anatolia. J Surg Med. January 2020;4(1):71-75. doi:10.28982/josam.676938
Chicago Koç, Mehmet Rauf, Sezai Özkan, and Cihan Adanaş. “Evaluation of Hand Anomalies in Children Admitted to a Tertiary Health Center in Eastern Anatolia”. Journal of Surgery and Medicine 4, no. 1 (January 2020): 71-75. https://doi.org/10.28982/josam.676938.
EndNote Koç MR, Özkan S, Adanaş C (January 1, 2020) Evaluation of hand anomalies in children admitted to a tertiary health center in eastern Anatolia. Journal of Surgery and Medicine 4 1 71–75.
IEEE M. R. Koç, S. Özkan, and C. Adanaş, “Evaluation of hand anomalies in children admitted to a tertiary health center in eastern Anatolia”, J Surg Med, vol. 4, no. 1, pp. 71–75, 2020, doi: 10.28982/josam.676938.
ISNAD Koç, Mehmet Rauf et al. “Evaluation of Hand Anomalies in Children Admitted to a Tertiary Health Center in Eastern Anatolia”. Journal of Surgery and Medicine 4/1 (January 2020), 71-75. https://doi.org/10.28982/josam.676938.
JAMA Koç MR, Özkan S, Adanaş C. Evaluation of hand anomalies in children admitted to a tertiary health center in eastern Anatolia. J Surg Med. 2020;4:71–75.
MLA Koç, Mehmet Rauf et al. “Evaluation of Hand Anomalies in Children Admitted to a Tertiary Health Center in Eastern Anatolia”. Journal of Surgery and Medicine, vol. 4, no. 1, 2020, pp. 71-75, doi:10.28982/josam.676938.
Vancouver Koç MR, Özkan S, Adanaş C. Evaluation of hand anomalies in children admitted to a tertiary health center in eastern Anatolia. J Surg Med. 2020;4(1):71-5.