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Research ArticleOriginal Article
Open Access

An 8-year review of upper limb congenital differences at a teaching hospital in Jordan

A retrospective study

Omar Q. Samarah, Ayham M. Odeh, Zaid M. Alkhadire, Roaa H. Abu Hejleh, Yazeed Y. Diab, Leen N. Yousef, Yazan S. Hammad, Mohamad S. Yasin and Ahmad A. Abu Halaweh
Saudi Medical Journal November 2024, 45 (11) 1265-1269; DOI: https://doi.org/10.15537/smj.2024.45.11.20240602
Omar Q. Samarah
From the Department of Special Surgery (Samarah, Yasin), School of Medicine; from the School of Medicine (Odeh, Alkhadire, Abu Hejleh, Diab, Yousef, Abu Halaweh), University of Jordan, Amman, Jordan, and from the Sarcoma and Complex Joints Unit (Hammad), Royal National Orthopedic Hospital, Stanmore, London.
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  • ORCID record for Omar Q. Samarah
  • For correspondence: [email protected]
Ayham M. Odeh
From the Department of Special Surgery (Samarah, Yasin), School of Medicine; from the School of Medicine (Odeh, Alkhadire, Abu Hejleh, Diab, Yousef, Abu Halaweh), University of Jordan, Amman, Jordan, and from the Sarcoma and Complex Joints Unit (Hammad), Royal National Orthopedic Hospital, Stanmore, London.
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Zaid M. Alkhadire
From the Department of Special Surgery (Samarah, Yasin), School of Medicine; from the School of Medicine (Odeh, Alkhadire, Abu Hejleh, Diab, Yousef, Abu Halaweh), University of Jordan, Amman, Jordan, and from the Sarcoma and Complex Joints Unit (Hammad), Royal National Orthopedic Hospital, Stanmore, London.
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Roaa H. Abu Hejleh
From the Department of Special Surgery (Samarah, Yasin), School of Medicine; from the School of Medicine (Odeh, Alkhadire, Abu Hejleh, Diab, Yousef, Abu Halaweh), University of Jordan, Amman, Jordan, and from the Sarcoma and Complex Joints Unit (Hammad), Royal National Orthopedic Hospital, Stanmore, London.
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Yazeed Y. Diab
From the Department of Special Surgery (Samarah, Yasin), School of Medicine; from the School of Medicine (Odeh, Alkhadire, Abu Hejleh, Diab, Yousef, Abu Halaweh), University of Jordan, Amman, Jordan, and from the Sarcoma and Complex Joints Unit (Hammad), Royal National Orthopedic Hospital, Stanmore, London.
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Leen N. Yousef
From the Department of Special Surgery (Samarah, Yasin), School of Medicine; from the School of Medicine (Odeh, Alkhadire, Abu Hejleh, Diab, Yousef, Abu Halaweh), University of Jordan, Amman, Jordan, and from the Sarcoma and Complex Joints Unit (Hammad), Royal National Orthopedic Hospital, Stanmore, London.
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Yazan S. Hammad
From the Department of Special Surgery (Samarah, Yasin), School of Medicine; from the School of Medicine (Odeh, Alkhadire, Abu Hejleh, Diab, Yousef, Abu Halaweh), University of Jordan, Amman, Jordan, and from the Sarcoma and Complex Joints Unit (Hammad), Royal National Orthopedic Hospital, Stanmore, London.
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Mohamad S. Yasin
From the Department of Special Surgery (Samarah, Yasin), School of Medicine; from the School of Medicine (Odeh, Alkhadire, Abu Hejleh, Diab, Yousef, Abu Halaweh), University of Jordan, Amman, Jordan, and from the Sarcoma and Complex Joints Unit (Hammad), Royal National Orthopedic Hospital, Stanmore, London.
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Ahmad A. Abu Halaweh
From the Department of Special Surgery (Samarah, Yasin), School of Medicine; from the School of Medicine (Odeh, Alkhadire, Abu Hejleh, Diab, Yousef, Abu Halaweh), University of Jordan, Amman, Jordan, and from the Sarcoma and Complex Joints Unit (Hammad), Royal National Orthopedic Hospital, Stanmore, London.
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Article Figures & Data

Tables

    • View popup
    Table 1

    - Demographic characteristics of patients with congenital hand anomalies.

    Variablesn (%)
    Laterality
    Bilateral73 (32.9)
    Left71 (32.0)
    Right78 (35.1)
    Gender
    Female102 (45.9)
    Male120 (54.1)

    Values are presented as numbers and percentages (%).

      • View popup
      Table 2

      - Gender distribution of congenital hand anomalies.

      OMT classificationGender
      FemaleMale
      RowColumnRowColumn
      Malformations80 (45.5)80 (78.4)96 (54.5)96 (80.0)
      Deformations1 (33.3)1 (1.0)2 (66.7)2 (1.7)
      Dysplasias13 (46.4)13 (12.7)15 (53.6)15 (12.5)
      Syndromes8 (53.3)8 (7.8)7 (46.7)7 (5.8)
      Total102 (45.9)102 (100)120 (54.1)120 (100)

      Values are presented as numbers and percentages (%).

      OMT: Oberg-Manske-Tonkin classification

        • View popup
        Table 3

        - Laterality of congenital hand anomalies.

        OMT classificationLaterality
        BilateralLeftRight
        Malformations53 (30.1)60 (34.1)63 (35.8)
        Deformations1 (33.3)1 (33.3)1 (33.3)
        Dysplasias13 (46.4)4 (14.3)11 (39.3)
        Syndromes6 (40.0)6 (40.0)3 (20.0)
        Total73 (32.9)71 (32.0)78 (35.1)

        Values are presented as numbers and percentages (%).

        OMT: Oberg-Manske-Tonkin classification

          • View popup
          Table 4

          - Prevalence of the most common different congenital upper limb anomalies based on anatomical location.

          Anatomical locationsn (%)
          Finger
          Polydactyly radial41 (18.5)
          Syndactyly simple36 (16.2)
          Polydactyly ulnar19 (8.6)
          Symbrachydactyly9 (4.1)
          Syndactyly complex9 (4.1)
          Polysyndactyly radial7 (3.2)
          Camptodactyly4 (1.8)
          Thumb in palm deformity4 (1.8)
          Triphalangeal thumb3 (1.4)
          Brachydactyly2 (0.9)
          Constriction band sequence2 (0.9)
          Macrodactyly1 (0.5)
          Synopolydactyly thumb1 (0.5)
          Thumb hypoplasia1 (0.5)
          Hand
          Cleft hand7 (3.2)
          Enchondromatosis2 (0.9)
          Forearm
          Club hand radial13 (5.9)
          Club hand ulnar6 (2.7)
          Synostosis radioulnar6 (2.7)
          Exostosis forearm3 (1.4)
          Congenital dislocation of the radial head2 (0.9)
          Fibrous dysplasia1 (0.5)
          Madelung deformity1 (0.5)
          Shoulder
          Sprengel’s scapula13 (5.9)
          Syndromes
          Poland syndrome5 (2.3)
          Down syndrome3 (1.4)
          Cenani Lenz syndrome2 (0.9)
          Apert syndrome1 (0.5)
          Ellis van creveld syndrome1 (0.5)
          Larsen syndrome1 (0.5)
          Rubinstein Taybi syndrome1 (0.5)
          Vactrels syndrome1 (0.5)
          Whole limb
          Epiphyseal abnormalities5 (2.3)
          Hemihypertrophy5 (2.3)
          Arthrogryposis3 (1.4)
          Neurofibromatosis1 (0.5)
          Total222 (100)

          Values are presented as numbers and percentages (%).

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          Saudi Medical Journal: 45 (11)
          Saudi Medical Journal
          Vol. 45, Issue 11
          1 Nov 2024
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          An 8-year review of upper limb congenital differences at a teaching hospital in Jordan
          Omar Q. Samarah, Ayham M. Odeh, Zaid M. Alkhadire, Roaa H. Abu Hejleh, Yazeed Y. Diab, Leen N. Yousef, Yazan S. Hammad, Mohamad S. Yasin, Ahmad A. Abu Halaweh
          Saudi Medical Journal Nov 2024, 45 (11) 1265-1269; DOI: 10.15537/smj.2024.45.11.20240602

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          An 8-year review of upper limb congenital differences at a teaching hospital in Jordan
          Omar Q. Samarah, Ayham M. Odeh, Zaid M. Alkhadire, Roaa H. Abu Hejleh, Yazeed Y. Diab, Leen N. Yousef, Yazan S. Hammad, Mohamad S. Yasin, Ahmad A. Abu Halaweh
          Saudi Medical Journal Nov 2024, 45 (11) 1265-1269; DOI: 10.15537/smj.2024.45.11.20240602
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          Keywords

          • upper extremity deformities
          • prevalence
          • OMT classification
          • malformation
          • polydactyly

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