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Journal of Hand Surgery (British and European Volume)
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Articles

Recording Congenital Differences of the Upper Limb

A. J. M. LUIJSTERBURG*
G. J. SONNEVELD
CHR. VERMEIJ-KEERS
S. E. R. HOVIUS

From the Department of Plastic and Reconstructive Surgery, Erasmus MC – University Medical Center Rotterdam, Dr Molewaterplein 40, 3015 GD Rotterdam, The Netherlands

Correspondence: Corresponding author: Dr A. J. M. Luijsterburg, Research Unit of the Department of Plastic and Reconstructive Surgery, Erasmus MC—University Medical Center Rotterdam, Room EE 15-91, P.O. Box 1738, 3000 DR Rotterdam, The Netherlands. Tel.: +31-10-4087291; Fax: +31-10-4089410 E-mail: luijsterburg{at}plch.fgg.eur.nl (A.ä.J.ä.M. LUIJSTERBURG)

Consistent classification of congenital differences of the upper limb is of paramount importance for the study of the pathogenesis. To overcome the inconsistencies of present classifications, a non-classifying recording method has been developed. This method records individual aberrations, including bone and soft-tissue defects. Between 1996 and 1998, a prospective study was performed to validate the method. Two hundred and thirty-one patients with upper limb differences were assessed, and all individual aberrations were recorded. These data can be transferred to any classification. It is concluded that the presented method will allow consistent grouping of patients without losing details about simple and complex differences.

Journal of Hand Surgery (British and European Volume), Vol. 28, No. 3, 205-214 (2003)
DOI: 10.1016/S0266-7681(02)00299-1
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