TY - JOUR
T1 - Classification of congenital upper limb anomalies
T2 - towards improved communication, diagnosis, and discovery
AU - Oberg, Kerby C.
N1 - Publisher Copyright:
© The Author(s) 2018.
PY - 2019/1/1
Y1 - 2019/1/1
N2 - Recently the International Federation of Societies for Surgery of the Hand replaced the Swanson scheme for classifying congenital upper limb anomalies with the Oberg, Manske, Tonkin (OMT) classification. This review explores the reasons for this change after nearly 50 years of using the Swanson classification. In particular, it documents the state of our understanding regarding genetics and limb development at the time Swanson generated his classification. It also describes the continued progress in clinical genetics and developmental biology. Such progress drives the need to embrace and incorporate these changes within a new classification scheme; one that will improve communication, diagnosis, and support further discovery of the pathogenesis of congenital hand anomalies.
AB - Recently the International Federation of Societies for Surgery of the Hand replaced the Swanson scheme for classifying congenital upper limb anomalies with the Oberg, Manske, Tonkin (OMT) classification. This review explores the reasons for this change after nearly 50 years of using the Swanson classification. In particular, it documents the state of our understanding regarding genetics and limb development at the time Swanson generated his classification. It also describes the continued progress in clinical genetics and developmental biology. Such progress drives the need to embrace and incorporate these changes within a new classification scheme; one that will improve communication, diagnosis, and support further discovery of the pathogenesis of congenital hand anomalies.
KW - Congenital upper limb anomalies
KW - classification
KW - genetics
KW - limb development
KW - mechanisms
UR - http://www.scopus.com/inward/record.url?scp=85058798511&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85058798511&partnerID=8YFLogxK
U2 - 10.1177/1753193418801280
DO - 10.1177/1753193418801280
M3 - Review article
C2 - 30269619
SN - 1753-1934
VL - 44
SP - 4
EP - 14
JO - The Journal of hand surgery, European volume
JF - The Journal of hand surgery, European volume
IS - 1
ER -