CONGENITAL DEFECTS OF THE HAND – ONTOGENESIS, PHYLOGENESIS AND TISSUE SYSTEMS
SMRČKA, V., MAŘÍK, I., KUŽELKA, V. CONGENITAL DEFECTS OF THE HAND – ONTOGENESIS, PHYLOGENESIS AND TISSUE SYSTEMS. Lublin, 2014.
|Anglický název:||CONGENITAL DEFECTS OF THE HAND – ONTOGENESIS, PHYLOGENESIS AND TISSUE SYSTEMS|
|Autoři:||Václav Smrčka , Doc. MUDr. Ivo Mařík CSc. , Vítězslav Kuželka|
|Abstrakt EN:||The findings of palaeontology point to the phylogenetic evolution of the hand. The findings of palaeopahtology help to find the origin of congenital deformities. For ontogeny we used embryologic diagrams of Wolpert and 30 palaeopathological specimens of extremities from the 19th century. Untreated palaeopathological cases served us as a model for clinical insufficiencies, for example for aplasias of the metacarpi. Drafts of the algorithms with techniques in congenital deformities from the point of view of the affected system of flexors, extensors, ligaments and bone system are presented. The affection of the flexor system manifests itself by contractures which appear with acceleration of the bone growth, in the period of the growth acceleration, especially around the 7th and 15th years of age. We talk about retarded congenital deformities. Affection of the flexor system by a congenital deformity can be solved in surgical manner and by splinting, the extensor system usually by splinting. Bone system affected by a congenital deformity must be treated in surgical way. To treat congenital deformities of the hand a co-operation of plastic surgeon, orthopaedist, anthropologist and geneticist is suitable.|