Evidence map›Paper›PMID 34210017›Full record

ArticleChildren (Basel, Switzerland)2021

Radial Club Hand Treated by Paley Ulnarization Generation 3: Is this the New Centralization?

Jaroslaw M Deszczynski, Tomasz Albrewczynski, Claire Shannon, Dror Paley

Open access · goldAbstract read
In one paragraph

Article in Children (Basel, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.5field-weighted citation impact, top 38% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. Trial
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Jaroslaw M DeszczynskiDepartment of Orthopedics and Rehabilitation, Warsaw Medical University, 02-091 Warsaw, Poland.
Tomasz AlbrewczynskiPaley European Institute, 02-972 Warsaw, Poland.
Claire ShannonPaley Orthopedic and Spine Institute, 901 45th St. Kimmel Building, West Palm Beach, FL 33407, USA.ORCID 0000-0002-3958-7764
Dror PaleyPaley Orthopedic and Spine Institute, 901 45th St. Kimmel Building, West Palm Beach, FL 33407, USA.ORCID 0000-0001-8249-3459
Medical University of Warsaw · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

(1) Background: Patients treated with the two previous generations of ulnarization developed a bump related to the ulnar head becoming prominent on the radial side of the hand. To finally remedy this problem, a third generation of ulnarization was developed to keep the ulnar head contained. While still ulnar to the wrist center, the center of the wrist remains ulnar to the ulnar head, with the ulnar head articulating directly with the trapezoid and when present the trapezium. (2) Methods: Between 2019 and 2021, 22 radial club hands in 17 patients were surgically corrected with this modified version of ulnarization. (3) Results: In all 17 patients, the mean HFA (hand-forearm-angle) correction was 68.5° (range 12.2°-88.7°). The mean ulna growth was 1.3 cm per year (range 0.2-2 cm). There were no recurrent radial deviation deformities more than 15° of the HFA. (4) Conclusions: This new version of ulnarization may solve the problem of the ulna growing past the carpus creating a prominent ulnar bump. The results presented are preliminary but promising. Longer-term follow-up is needed to fully evaluate this procedure.

Indexed as

centralizationradial aplasiaradial club handradializationradial longitudinal defectulnarization

Identifiers

PMID34210017
PMCPMC8307657
OpenAlexW3176802404

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.