guidebook. - Fanconi Anemia Research Fund

More documents

Recommendations

Info

Chapter 5: Hand and Arm Differences in FA 107 Thumb duplication involves more than the bony elements, since the parts may share common nails, tendons, ligaments, joints, and neurovascular structures. Treatment requires using portions of each component to construct a properly aligned and functional thumb. This decision is not always straightforward and requires careful examination. The soft tissues from the ablated thumb are used to augment the retained thumb, including the collateral ligament and muscles. Articular surface modification via osteotomy or joint recontouring and tendon realignment are necessary to optimize thumb function. Irrespective of treatment, the reconstructed thumb will be smaller than a normal thumb and usually will lack some motion. Table 2: Classification of Duplicated Thumbs Type Duplicated Elements I Bifid distal phalanx II Duplicated distal phalanx III Bifid proximal phalanx IV Duplicated proximal phalanx* V Bifid metacarpal phalanx VI Duplicated metacarpal phalanx VII Triphalangeal component * Most common type Adapted from Wassel et al. Radial Deficiency The radius can be slightly smaller, considerably smaller, or absent. The severity of radial deficiency is graded from I through IV, and based on x-ray interpretation (Table 3). Ossification of the radius is delayed in radial deficiency, and the differentiation between total and partial absence (Types III and IV) cannot be established until approximately three years of age. Complete
108 <strong>Fanconi</strong> <strong>Anemia</strong>: Guidelines for Diagnosis and Management Figures 9A and 9B: X-ray and clinical picture of an eight-year-old child with complete absence of the left radius and a perpendicular alignment between the hand and forearm. (Courtesy of Shriners Hospital for Children, Philadelphia)
Page 1 and 2:
Fanconi Anemia: Guidelines for Diag
Page 3 and 4:
We are deeply grateful to the follo
Page 5 and 6:
iv Fanconi Anemia: Guidelines for D
Page 7 and 8:
vi Fanconi Anemia: Guidelines for D
Page 9 and 10:
8 Fanconi Anemia: Guidelines for Di
Page 11 and 12:
10 Fanconi Anemia: Guidelines for D
Page 13 and 14:
Page 15 and 16:
Page 17 and 18:
Page 19 and 20:
Page 21 and 22:
Page 23 and 24:
Page 25 and 26:
Page 27 and 28:
Page 29 and 30:
Page 31 and 32:
Page 33 and 34:
Page 35 and 36:
Page 37 and 38:
Page 39 and 40:
Page 41 and 42:
Page 43 and 44:
Page 45 and 46:
Page 47 and 48:
Page 49 and 50:
Page 51 and 52:
Page 53 and 54:
Page 55 and 56:
Page 57 and 58: 56 Fanconi Anemia: Guidelines for D
Page 77 and 78: Chapter 4 Gastrointestinal, Hepatic
Page 101 and 102: 100 Fanconi Anemia: Guidelines for
Page 107: 106 Fanconi Anemia: Guidelines for
Page 135 and 136: Chapter 7 Endocrine Disorders in Fa
Page 159 and 160:
158 Fanconi Anemia: Guidelines for
Page 161 and 162:
Page 163 and 164:
Page 165 and 166:
Page 167 and 168:
Page 169 and 170:
Page 171 and 172:
Page 173 and 174:
Page 175 and 176:
Page 177 and 178:
Page 179 and 180:
Chapter 9 Matched Sibling Donor Hem
Page 181 and 182:
Page 183 and 184:
Page 185 and 186:
Page 187 and 188:
Page 189 and 190:
Page 191 and 192:
Page 193 and 194:
Page 195 and 196:
Page 197 and 198:
Page 199 and 200:
Page 201 and 202:
Page 203 and 204:
Page 205 and 206:
Page 207 and 208:
Page 209 and 210:
Page 211 and 212:
Page 213 and 214:
Page 215 and 216:
Page 217 and 218:
Page 219 and 220:
Page 221 and 222:
Page 223 and 224:
Page 225 and 226:
Page 227 and 228:
Page 229 and 230:
Page 231 and 232:
Page 233 and 234:
Page 235 and 236:
Page 237 and 238:
Chapter 12 Novel Treatment Options
Page 239 and 240:
Page 241 and 242:
Page 243 and 244:
Page 245 and 246:
Page 247 and 248:
Page 249 and 250:
Page 251 and 252:
Chapter 13 Head and Neck Squamous C
Page 253 and 254:
Page 255 and 256:
Page 257 and 258:
Page 259 and 260:
Page 261 and 262:
Page 263 and 264:
Page 265 and 266:
Chapter 14 The Adult Fanconi Anemia
Page 267 and 268:
Page 269 and 270:
Page 271 and 272:
Page 273 and 274:
Page 275 and 276:
Page 277 and 278:
Page 279 and 280:
Page 281 and 282:
Page 283 and 284:
Page 285 and 286:
Page 287 and 288:
Page 289 and 290:
Page 291 and 292:
Page 293 and 294:
Page 295 and 296:
Page 297 and 298:
Page 299 and 300:
Page 301 and 302:
Page 303 and 304:
Page 305 and 306:
Page 307 and 308:
Page 309 and 310:
Page 311 and 312:
Page 313 and 314:
Page 315 and 316:
Page 317 and 318:
Page 319 and 320:
Page 321 and 322:
Page 323 and 324:
Page 325 and 326:
Page 327 and 328:
Page 329 and 330:
Page 331 and 332:
Page 333 and 334:
Page 335 and 336:
Page 337 and 338:
Page 339 and 340:
Page 341 and 342:
Page 343 and 344:
Page 345 and 346:
Page 347 and 348:
Page 349 and 350:
Page 351 and 352:
Page 353 and 354:
Page 355 and 356:
Page 357 and 358:
Page 359 and 360:
Page 361 and 362:
Page 363 and 364:
Page 365 and 366:
Page 367 and 368:
Page 369 and 370:
Page 371 and 372:
Page 373 and 374:
Page 375 and 376:
Page 377 and 378:
Page 379 and 380:
Page 381 and 382:
Page 383 and 384:
Page 385 and 386:
Page 387 and 388:
Page 389 and 390:
Page 391 and 392:
show all

guidebook. - Fanconi Anemia Research Fund

Create successful ePaper yourself

Delete template?

Save as template?