Congenital limb deformities are congenital
musculoskeletal disorders which primarily affect the upper and lower limbs.
An example is
polydactyly, where a foot or hand has more than 5 digits.
Clubfoot
Clubfoot is a birth defect where one or both feet are rotated inward and downward. Congenital clubfoot is the most common congenital malformation of the foot with an incidence of 1 per 1000 births. In approximately 50% of cases, clubfoot aff ...
, one of the most common congenital deformities of the lower limbs, occurs approximately 1 in 1000 births. It can be treated by
physical therapy
Physical therapy (PT), also known as physiotherapy, is one of the allied health professions. It is provided by physical therapists who promote, maintain, or restore health through physical examination, diagnosis, management, prognosis, patient ...
, or by a combination of physical therapy and surgery.
One class of congenital limb deformities, limb reduction defects, occurs when one or more limbs are undersized or missing parts. The prevalence of these defects in the United States is approximately 1 in 1900 births. This category includes
amelia,
ectrodactyly,
radial dysplasia, and
phocomelia among others. These defects are more likely to be unilateral than bilateral, more likely to affect the upper limbs than lower limbs, and are associated with complex genetic syndromes about 10% of the time.
A wide variety of abnormalities of the hands and feet, including the nails and the creases of the hand, have been described and differentiated.
Many of these abnormalities do not have an impact on function but may be useful in diagnosing genetic syndromes; for example, the
single transverse palmar crease
In humans, a single transverse palmar crease is a single crease that extends across the palm of the hand, formed by the fusion of the two palmar creases (known in palmistry as the "heart line" and the "head line"). Although it is found more freque ...
is commonly associated with
Down syndrome.
References
Congenital disorders of musculoskeletal system
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