RESUMO
BACKGROUND: Congenital Anomalies of the Upper Limb (CAUL) are a group of structural or functional abnormalities that develop during intrauterine life and can lead to limb dysfunction. OBJECTIVES: To analyze the prevalence of congenital anomalies of the upper limbs in Brazil and assess maternal and neonatal variables. DESIGN AND SETTING: A cross-sectional, descriptive study was conducted on congenital upper limb malformations among live births across Brazil. METHODS: The study spanned from 2010 to 2019. Data were sourced from the Department of Informatics of the Unified Health System (DATASUS) and the Live Birth Information System (SINASC) portal. Analyses focused on the information reported in field 41 of the Live Birth Declaration Form entered into the computerized system. RESULTS: The most common anomaly in Brazil was supernumerary fingers, classified as ICD-Q69.0, affecting 11,708 children, with a prevalence of 4.02 per 10,000 live births. Mothers aged over 40 years had a 36% higher prevalence of having children with CAUL than mothers under 40 years old (OR = 1.36; 95% CI 1.19-1.56). Newborns weighing ≥ 2,499 g were 2.64 times more likely to have CAUL compared to those weighing ≥ 2,500 g (OR = 2.64; 95% CI 2.55-2.73). CONCLUSION: There was an observed increase in the reporting of CAUL cases over the decade studied. This trend serves as an alert for health agencies, as understanding the prevalence of CAUL and its associated factors is crucial for preventive medicine.
Assuntos
Deformidades Congênitas das Extremidades Superiores , Humanos , Brasil/epidemiologia , Estudos Transversais , Prevalência , Feminino , Recém-Nascido , Masculino , Adulto , Deformidades Congênitas das Extremidades Superiores/epidemiologia , Adulto Jovem , Idade Materna , Extremidade SuperiorRESUMO
INTRODUCCIÓN: Las deficiencias congénitas y adquiridas de extremidades superiores son una condición importante en la población pediátrica, existe poca información respecto de sus características clínicas, sociodemográficas y las asociadas al uso de prótesis. OBJETIVO: Describir las características clínicas y sociodemográficas de la población infantojuvenil entre 2 y 17 años con diagnóstico de deficiencia de extremidades superiores adquirida y/o congénita, pertenecientes al Instituto Teletón Santiago (IT-S). METODOLOGÍA: Estudio transversal, en población infantojuvenil entre 2 y 17 años, con diagnóstico de deficiencia de extremidades superiores, adquirida y congénita, que se atienden en el IT-S. Se realizó una revisión de fichas clínicas y encuesta para la obtención de datos de características sociodemográficas, clínicas y asociadas al uso de prótesis. RESULTADOS: Se incluyeron 215 pacientes, 93,9% de etiología congénita y 6,1% adquirida. El nivel de la deficiencia más frecuente fue parcial de mano con 51,6%, seguido del transradial con 33,1%. El 33% de los 215 pacientes estudiados tuvieron prescripción de prótesis. De los pacientes con prescripción de prótesis, 78,9% correspondía a mecánica y 18,3% a prótesis 3D. El 53,5% usaba su prótesis y el 46,4% no la usaba. Respecto a las prótesis 3D, el 84,6% no la usaban. En el nivel parcial de mano, el 83,3% no usaban su prótesis. CONCLUSIONES: Este estudio aporta datos de importancia clínica, destacando, una prescripción protésica de inicio temprano y asociada a las características clínicas de los pacientes. Así mismo, existe una alta tasa de no uso de las prótesis 3D, en el nivel parcial de mano.
INTRODUCTION: Congenital and acquired deficiencies of the upper extremities are an important condition in the pediatric population, however, there is almost no information regarding the clinical and sociodemographic characteristics and those associated with the use of prostheses. OBJECTIVE: Describe the clinical and sociodemographic characteristics of the child and adolescent population between 2 and 17 years old with a diagnosis of acquired and/or congenital upper limb deficiency, belonging to the Instituto Teletón Santiago (IT-S). METHODS: A cross-sectional study was conducted in child and adolescent population between 2 and 17 years old, with a diagnosis of acquired and/ or congenital upper limb deficiency treated in the IT-S. A review of clinical records and a survey were carried out to obtain data on sociodemographic and clinical characteristics and characteristics associated with the use of prostheses. RESULTS: 215 patients were included, 93.9% of congenital and 6.1% of acquired etiology. The most common level of deficiency was partial hand with 51.6%, followed by transradial with 33.1%. 33% of the 215 patients included had a prescription for a prosthesis. 78.9% of the patients with a prosthesis prescription had a mechanical prosthesis and 18.3% had a 3D prosthesis. 53.5% used their prosthesis and 46.4% did not use it. 84.6% of the patients with 3D prostheses did not use them and an 83.3% of the patients with a partial hand level deficiency did not use their prosthesis. CONCLUSION: This study provides data of clinical importance, highlighting an early-onset prosthetic prescription associated with the clinical characteristics of the patients. Likewise, there is a high rate of non-use of 3D prostheses at the partial hand level.
Assuntos
Humanos , Masculino , Feminino , Pré-Escolar , Criança , Adolescente , Extremidade Superior/patologia , Deformidades Congênitas das Extremidades Superiores/epidemiologia , Próteses e Implantes , Fatores Socioeconômicos , Chile , Estudos Transversais , Inquéritos e Questionários , Estudos Retrospectivos , Deformidades Congênitas das Extremidades Superiores/reabilitação , Amputação CirúrgicaRESUMO
For years people have been enamored by anomalies of the human limbs, particularly supernumerary and absent limbs and digits. Historically, there are a number of examples of such anomalies, including royal families of ancient Chaldea, tribes from Arabia, and examples from across nineteenth century Europe. The development of the upper limbs in a growing embryo is still being elucidated with the recent advent of homeobox genes, but researchers agree that upper limbs develop between stages 12-23 through a complex embryological process. Maternal thalidomide intake during limb development is known to cause limb reduction and subsequent amelia or phocomelia. Additionally, a number of clinical reports have illustrated different limb anomaly cases, with each situation unique in phenotype and developmental abnormality. Supernumerary and absent limbs and digits are not unique to humans, and a number of animal cases have also been reported. This review of the literature illustrates the historical, anatomical, and clinical aspects of supernumerary and absent limbs and digits for the upper limb.