![]() ![]() We present the case of a 53-year-old woman, referred to our clinic for pain in the left wrist of 2 years’ duration, with no previous trauma. Surgical treatment is indicated if symptoms are persistent and painful ( Fig. X-ray and CT scan allow definitive diagnosis. 2,9Ĭlinically, the condition is tolerated well until onset of symptoms, as most cases are described in adulthood. Aplasia or hypoplasia of the scaphoid bone is always associated with thumb deficiencies and is included in the first group (developmental failure with longitudinal arrest and radial deficiency). 2,4,5,8 The classification of the International Federation of Societies for Surgery of the Hand, based on that of Swanson, is currently the most widely used and establishes 7 groups: I) failure of formation II) failure of differentiation III) polydactyly IV) overgrowth V) undergrowth VI) amniotic band syndrome and VII) generalised skeletal syndromes. ![]() Various classifications have been made of congenital upper limb abnormalities isolated scaphoid hypoplasia does not appear in any category. 7 Approximately half the cases are bilateral and are associated with various malformations. 7 These congenital abnormalities occur in 1%–2% of all live newborns, with 10% affecting the upper limbs. 6,7 By the time pregnancy is diagnosed most abnormalities have already been generated. ![]() It is known that the outline of the upper limbs is visible at 4 weeks, during the embryogenesis period, and by 8 weeks the process is complete, and all limb structures are present. Environmental agents, infectious agents or dietary disturbances during gestation may be the cause. It may be due to spontaneous mutations (85%–90%) or be the result of hereditary genetic factors. 2,4 The condition may also appear in VACTERL syndrome (vertebral defects, anal atresia, cardiac anomalies, tracheoesophageal fistula, radial and renal anomalies, and other limb disorders) or in Holt–Oram syndrome (associated skeletal upper limb abnormalities and cardiovascular abnormalities), among others. 1–4 Aplasia or hypoplasia of the thumb, the thenar musculature or other bones of the carpus or forearm are some of the associated developmental abnormalities of the upper limb described in the literature. The Journal is included in the major databases: MEDLINE/PubMed, IME, EMBASE, Bibliomed, SCOPUS, and IBECS.Ībsence or hypoplasia of the carpal scaphoid bone is rare and infrequent, and even more so if it occurs in isolation, as it is usually associated with other structural anomalies or congenital syndromes. All works are evaluated blind by at least 3 peer reviewers, whose judgements are finally supervised by the Editor of the particular area of knowledge and by the Journal Editor in Chief. The Editorial Committee consists of 10 independent members, specialists of recognised prestige that are not associated with the governing bodies of the Society. The Updates and Research Works sections are of great interest to specialists, due to the careful selection of the topics. In each issue it also publishes one or two clinical cases that are of great interest to the readers, since they are usually exceptional cases that are difficult to diagnose or treat. In the contents of the Journal, priority is given to original research articles on the specialty, which is also its main aim the publication of the best original research articles in Spanish. The Revista Española de Cirugía Ortopédica y Traumatología (Journal of Orthopaedics Surgery and Traumatology) is the official publication of the Spanish Society of Orthopaedic Surgery and Traumatology that has a combined total of 5,000 members, and is the leading Spanish journal of the specialty. ![]()
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