Overgrowth Conditions: A Diagnostic and Therapeutic Conundrum

被引：15
作者：
Carty, Matthew J.
Taghinia, Amir [1 ,2 ]
Upton, Joseph [2 ,3 ]
机构：
[1] Harvard Univ, Sch Med, Beth Israel Deaconess Med Ctr, Dept Surg, Boston, MA 02120 USA
[2] Childrens Hosp Boston, Dept Surg, Boston, MA 02115 USA
[3] Harvard Univ, Sch Med, Shriners Hosp Boston, Boston, MA 02120 USA
来源：
HAND CLINICS | 2009年 / 25卷 / 02期
关键词：
Overgrowth; Macrodactyly; Lipomatous overgrowth; Nerve territory oriented macrodactyly; Lipomatosis; Gigantism; Vascular malformations; Proteus syndrome; Parkes Weber syndrome; Klippel-Trenaunay syndrome; CLOVE syndrome; CONGENITAL LIPOMATOUS OVERGROWTH; NEVI CLOVE-SYNDROME; VASCULAR MALFORMATIONS;
D O I：
10.1016/j.hcl.2008.12.006
中图分类号：
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];
学科分类号：
摘要：
Over the past five decades, one of the major problems in the treatment of over-growth syndromes of the hand has been classification. Currently, a number of specific conditions with known natural histories have been delineated and reviewed. Treatment is highly individualized. Amputation is still recommended for grotesque deformities of the upper limb. Early aggressive surgery, when indicated, will improve contour, function, and appearance. Specific therapeutic techniques include radical debulking, microvascular neurolysis, vascular reconstruction, epiphysiodesis, and, in some cases, thumb or digit replacement. Long-term outcomes remain in the good-to-fair range and are dependent upon the condition, reconstructive techniques employed, age of patient, and the severity of deformity.
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收藏
页码：229 / +
页数：18
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