CONGENITAL ANOMALIES OF THE UPPER LIMBS IN A UNIVERSITY CENTER: A CROSS-SECTIONAL STUDY.

IF 0.6 4区医学 Q4 ORTHOPEDICS

Acta Ortopedica Brasileira Pub Date : 2025-12-01 eCollection Date: 2025-01-01 DOI:10.1590/1413-785220253303e292550

Danilo José Leite Gomes, Rodrigo Guerra Sabongi, Vinicius Ynoe de Moraes, Luis Renato Nakachima, João Carlos Belloti, Flavio Faloppa

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引用次数: 0

Abstract

Objective: To identify the prevalence and characteristics of CAULs treated at a university center, aiming to improve epidemiological understanding and management of these conditions.

Methods: Study carried out at the Hand Surgery and Microsurgery Service of Hospital São Paulo, UNIFESP, between January 2014 and February 2023. The sample included 296 patients diagnosed with CAULs, whose data were obtained from medical records. Information on sex, type of anomaly, age at first consultation, laterality, time until surgery, number of procedures and consultations were collected. Descriptive statistical analyses and association tests were performed, considering a significance level of 0.05.

Results: It was observed that 61.15% of the patients were from São Paulo, with a higher prevalence of syndactyly (20.3%), followed by preaxial polydactyly (17.9%) and camptodactyly (11.5%). The majority (35.1%) presented bilateral involvement. Conservative treatment was used in 50% of the cases, while surgical intervention, often the only one (34.46%), was necessary in the others.

Conclusion: This study provides an overview of CAULs, with findings that reinforce the predominance of anomalies such as syndactyly and the importance of individualized treatment strategies. Level of Evidence II; Retrospective ^f Study.

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一所大学中心的上肢先天性畸形：横断面研究。

目的：了解某高校中心治疗的caus患病率及特点，以提高对这些疾病的流行病学认识和管理。方法：研究于2014年1月至2023年2月在UNIFESP圣保罗医院手外科和显微外科进行。样本包括296名诊断为caus的患者，其数据来自医疗记录。收集了性别、异常类型、初次就诊年龄、侧边、手术时间、手术次数和就诊情况等信息。考虑显著性水平0.05，进行描述性统计分析和关联检验。结果：61.15%的患者来自圣保罗，其中并指患病率最高（20.3%），其次是前轴多指（17.9%）和喜树指（11.5%）。大多数（35.1%）表现为双侧受累。50%的病例采用保守治疗，而其他病例则需要手术干预，手术干预通常是唯一的一种（34.46%）。结论：本研究提供了caus的概述，并指畸形的优势和个性化治疗策略的重要性。证据水平II；回顾性研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Acta Ortopedica Brasileira Orthopedics-

CiteScore

0.90

自引率

14.30%

发文量

审稿时长

25 weeks

期刊介绍： A Revista Acta Ortopédica Brasileira, órgão oficial do Departamento de Ortopedia e Traumatologia da Faculdade de Medicina da Universidade de São Paulo (DOT/FMUSP), é publicada bimestralmente em seis edições ao ano (jan/fev, mar/abr, maio/jun, jul/ago, set/out e nov/dez) com versão em inglês disponível nos principais indexadores nacionais e internacionais e instituições de ensino do Brasil. Sendo hoje reconhecidamente uma importante contribuição para os especialistas da área com sua seriedade e árduo trabalho para as indexações já conquistadas.