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ARTICLE |

CONGENITAL MALFORMATIONS OF THE HANDS

ALLEN B. KANAVEL, M.D.
Arch Surg. 1932;25(1):1-53. doi:10.1001/archsurg.1932.01160190004001.
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The difficulties that confront the physician when he attempts to correlate the various congenital deformities of the hand that he has observed are many and perplexing. Since the etiology of some types is still not established, a scientific classification cannot be made at the present time. It may be possible, however, to simplify the picture, coordinate the known facts and marshal the various descriptive terms into some semblance of order.

Lobster-claw hand, ectrodactylism, club hand, brachydactylism, gigantism, hypodactylism and other descriptive terms have a place in the classification, but as knowledge of the etiology and pathologic processes increases, other terms more definitely descriptive and more clarifying in their relation to other lesions should supplant them.

The material used for this statistical study consists of sixty private patients, studied in the hospital. The patients were on the common service of my associates, Dr. Sumner Koch and Dr. Michael Mason, and myself.

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January 1, 2010
Maa John, MD
Arch Surg. 2010;145(1):103. doi:10.1001/archsurg.2009.231.
January 1, 2010
Cryer H. Gill, MD, PhD
Arch Surg. 2010;145(1):103. doi:10.1001/archsurg.2009.232.
January 1, 2010
Naguib Nader, MS, MD, MRCS; Gupta Vivek, MRCS; Mekhail Peter, MRCS; Izzidien Asal, FRCS; Masoud Ashraf, FRCS
Arch Surg. 2010;145(1):103-104. doi:10.1001/archsurg.2009.233.
January 1, 2010
Conrad Claudius, MD, PhD, PhD
Arch Surg. 2010;145(1):104. doi:10.1001/archsurg.2009.234.
January 1, 2010
Latts Lisa, MD, MSPH, MBA; Singer Joseph, MD
Arch Surg. 2010;145(1):106-107. doi:10.1001/archsurg.2009.256.
January 1, 2010
Livingston Edward H., MD
Arch Surg. 2010;145(1):107-108. doi:10.1001/archsurg.2009.257.
February 1, 2010
Andrea Mingoli, MD; Gioia Brachini, MD; Giovanna Sgarzini, MD; Barbara Binda, MD; Paolo Sapienza, MD; Claudio Modini, MD
Arch Surg. 2010;145(2):210-211. doi:10.1001/archsurg.2009.283.
February 1, 2010
Walter P. Weber, MD; Walter R. Marti, MD
Arch Surg. 2010;145(2):211. doi:10.1001/archsurg.2009.284.
February 1, 2010
David A. Edelman, MD; Scott Laker, MD; Matthew Weiner, MD; John D. Webber, MD
Arch Surg. 2010;145(2):211-212. doi:10.1001/archsurg.2009.274.
February 1, 2010
Eldo E. Frezza, MD, MBA
Arch Surg. 2010;145(2):212. doi:10.1001/archsurg.2009.275.
April 1, 2010
Tetsuji Fujita, MD
Author Affiliation: Department of Surgery, Jikei University of School of Medicine, Tokyo, Japan.
Arch Surg. 2010;145(4):400-401. doi:10.1001/archsurg.2010.47.
April 1, 2010
Edward H. Livingston, MD; Alan C. Elliot, MS; Linda S. Hynan, PhD; Jing Cao, PhD
Arch Surg. 2010;145(4):401. doi:10.1001/archsurg.2010.48.
April 1, 2010
Alexander Julianov, MD, PhD; Anatoli Karashmalakov, MD
Arch Surg. 2010;145(4):402. doi:10.1001/archsurg.2010.31.
April 1, 2010
Kyle Dunning, MD
Author Affiliation: Department of Surgery, Easton Hospital, Easton, Pennsylvania.
Arch Surg. 2010;145(4):402-403. doi:10.1001/archsurg.2010.32.
April 1, 2010
Chris Paul Bourdeaux, MA, MB, BChir; Aidan J. Marsh, MRCP, FRCA
Arch Surg. 2010;145(4):403. doi:10.1001/archsurg.2010.25.
April 1, 2010
Ali Salim, MD; Eric Ley, MD
Arch Surg. 2010;145(4):403. doi:10.1001/archsurg.2010.26.
April 1, 2010
James H. Tabibian, MD
Author Affiliation: Johns Hopkins Hospital, Baltimore, Maryland.
Arch Surg. 2010;145(4):404. doi:10.1001/archsurg.2010.36.
April 1, 2010
Flavio G. Rocha, MD; Michael J. Zinner, MD; Stephen J. Ferzoco, MD
Arch Surg. 2010;145(4):404-405. doi:10.1001/archsurg.2010.37.
May 1, 2010
Stefan Sauerland, MD, MPH; Michael Korenkov, MD
Arch Surg. 2010;145(5):501. doi:10.1001/archsurg.2010.56.
May 1, 2010
Hou Shan Yao, MD; Qiang Wang, MD; Wei Jun Wang, MD
Arch Surg. 2010;145(5):501-502. doi:10.1001/archsurg.2010.57.
June 1, 2010
Joris J. Harlaar, MSc; Gabrielle H. van Ramshorst, MD; Hans Jeekel, MD, PhD; Johan F. Lange, MD, PhD
Arch Surg. 2010;145(6):599. doi:10.1001/archsurg.2010.78.
June 1, 2010
Daniel Millbourn, MD; Yucel Cengiz, MD, PhD; Leif A. Israelsson, MD, PhD
Arch Surg. 2010;145(6):599-600. doi:10.1001/archsurg.2010.79.
June 1, 2010
Mark Hardin, MD; John S. Oh, MD; Christopher E. White, MD; Stephen M. Cohn, MD
Arch Surg. 2010;145(6):600. doi:10.1001/archsurg.2010.95.
June 1, 2010
Daniel Millbourn, MD; Yucel Cengiz, MD, PhD; Leif A. Israelsson, MD, PhD
Arch Surg. 2010;145(6):600-601. doi:10.1001/archsurg.2010.96.
June 1, 2010
Karem Slim, MD; Isabelle Pirlet, MD; Bertrand Millat, MD, PhD
Arch Surg. 2010;145(6):601. doi:10.1001/archsurg.2010.86.
June 1, 2010
Hester Y. S. Cheung, FRACS; Cliff C. C. Chung, FRCSEd; Michael K. W. Li, FRCS, FRCSEd
Arch Surg. 2010;145(6):601-602. doi:10.1001/archsurg.2010.87.
June 1, 2010
Silvio A. Ñamendys-Silva, MD, MSc; Marisol Hernández-Garay, MD; Eduardo Rivero-Sigarroa, MD; Angel Herrera-Gómez, MD
Arch Surg. 2010;145(6):602. doi:10.1001/archsurg.2010.73.
June 1, 2010
Edward A. McGillicuddy, MD; Kevin M. Schuster, MD; Kimberly A. Davis, MD; Walter E. Longo, MD
Arch Surg. 2010;145(6):602-603. doi:10.1001/archsurg.2010.74.
June 1, 2010
Ellen Meara, PhD
Arch Surg. 2010;145(6):604. doi:10.1001/archsurg.2010.100.
June 1, 2010
Heather Rosen, MD, MPH; Fady Saleh, MD, MPH; Stuart R. Lipsitz, ScD; Selwyn O. Rogers, Jr; Atul A. Gawande, MD, MPH
Arch Surg. 2010;145(6):604-605. doi:10.1001/archsurg.2010.101.
August 1, 2010
Patrick Yachimski, MD, MPH; Benjamin K. Poulose, MD, MPH
Arch Surg. 2010;145(8):795. doi:10.1001/archsurg.2010.126.
August 1, 2010
Stanley J. Rogers, MD; John P. Cello, MD
Arch Surg. 2010;145(8):795-796. doi:10.1001/archsurg.2010.127.
August 1, 2010
Vikesh K. Singh, MD, MSc; Mouen A. Khashab, MD; Patrick I. Okolo III, MD, MPH; Anthony N. Kalloo, MD
Arch Surg. 2010;145(8):796. doi:10.1001/archsurg.2010.128.
August 1, 2010
Stanley J. Rogers, MD; John P. Cello, MD
Arch Surg. 2010;145(8):796. doi:10.1001/archsurg.2010.129.
August 1, 2010
Tetsuji Fujita, MD
Arch Surg. 2010;145(8):797-798. doi:10.1001/archsurg.2010.135.
August 1, 2010
Jai Young Cho, MD, PhD; Ho-Seong Han, MD, PhD; Yoo-Seok Yoon, MD, PhD; Keun Soo Ahn, MD; Young-Hoon Kim, MD, PhD; Kyoung-Ho Lee, MD, PhD
Arch Surg. 2010;145(8):798-799. doi:10.1001/archsurg.2010.136.
August 1, 2010
Kjetil Søreide, MD, PhD; Bjørn S. Nedrebø, MD; Jon Arne Søreide, MD, PhD; Hartwig Kørner, MD, PhD
Arch Surg. 2010;145(8):799. doi:10.1001/archsurg.2010.146.
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Clarisse Eveno, MD; Judith Nemeth, MD; Hany Soliman, MD; Françoise Praz, MD, PhD; Hugues de The, MD, PhD; Patrice Valleur, MD; Ian C. Talbot, MD, PhD; Marc Pocard, MD, PhD
Arch Surg. 2010;145(8):799-800. doi:10.1001/archsurg.2010.147.
August 1, 2010
Stephen R. Grossbart, PhD
Author Affiliation: Catholic Healthcare Partners, Cincinnati, Ohio.
Arch Surg. 2010;145(8):800-801. doi:10.1001/archsurg.2010.139.
August 1, 2010
Donald E. Fry, MD; Michael Pine, MD
Arch Surg. 2010;145(8):801-802. doi:10.1001/archsurg.2010.140.
October 1, 2010
Brij B. Agarwal, MBBS, MS, Dip Yoga, FIMSA
Author Affiliation: Dr Agarwal's Surgery & Yoga, Delhi, India.
Arch Surg. 2010;145(10):1021. doi:10.1001/archsurg.2010.198.
October 1, 2010
David J. Humes, PhD, MRCS; Dileep N. Lobo, DM, FRCS
Arch Surg. 2010;145(10):1021. doi:10.1001/archsurg.2010.199.
October 1, 2010
Bijan Mohammadhosseini, MD
Author Affiliation: Department of Surgery, Ayatollah Kashani Social Security Hospital, Tehran, Iran.
Arch Surg. 2010;145(10):1021-1022. doi:10.1001/archsurg.2010.200.
October 1, 2010
Kamal M. F. Itani, MD
Author Affiliation: Boston VA Health Care System, West Roxbury, Massachusetts; and Department of Surgery, Boston University and Harvard Medical School, Boston, Massachusetts.
Arch Surg. 2010;145(10):1022. doi:10.1001/archsurg.2010.201.
October 1, 2010
M. Badruddoja, MD, MS, FRCS, FRACS
Arch Surg. 2010;145(10):1022-1023. doi:10.1001/archsurg.2010.214.
October 1, 2010
Nabil Wasif, MD; Armando Giuliano, MD
Arch Surg. 2010;145(10):1023. doi:10.1001/archsurg.2010.215.
October 1, 2010
Donal B. O’Connor, MD; Desmond C. Winter, MD
Arch Surg. 2010;145(10):1023-1024. doi:10.1001/archsurg.2010.196.
October 1, 2010
Jean Nicolas Vauthey, MD; Antoine Brouquet, MD; Peter W. Pisters, MD
Arch Surg. 2010;145(10):1024. doi:10.1001/archsurg.2010.197.
October 1, 2010
Edward H. Livingston, MD
Author Affiliation: Department of Gastrointestinal and Endocrine Surgery, University of Texas Southwestern Medical Center, Dallas, Texas.
Arch Surg. 2010;145(10):1025. doi:10.1001/archsurg.2010.209.
October 1, 2010
Awori Hayanga, MD, MPH; Heather Kaiser, MD, MPH
Arch Surg. 2010;145(10):1025-1026. doi:10.1001/archsurg.2010.210.
October 1, 2010
Andreas Machens, MD; Henning Dralle, MD
Arch Surg. 2010;145(10):1026-1027. doi:10.1001/archsurg.2010.202.
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Wen T. Shen, MD; Quan-Yang Duh, MD; Orlo H. Clark, MD
Arch Surg. 2010;145(10):1027. doi:10.1001/archsurg.2010.203.
January 1, 2011
Gennaro Nuzzo, MD; Felice Giuliante, MD; Ivo Giovannini, MD
Arch Surg. 2011;146(1):117. doi:10.1001/archsurg.2010.290.
January 1, 2011
Alice C. Wei, MD, MSc, FRCSC
Arch Surg. 2011;146(1):117-118. doi:10.1001/archsurg.2010.291.
February 1, 2011
Tetsuji Fujita, MD
Arch Surg. 2011;146(2):239. doi:10.1001/archsurg.2010.320.
February 1, 2011
Richard C. Thirlby, MD
Arch Surg. 2011;146(2):239-240. doi:10.1001/archsurg.2010.321.
February 1, 2011
Emad Kandil, MD; Mohamed Abdel Khalek, MD; Michael Thomas, MD, PhD; Charles F. Bellows, MD
Arch Surg. 2011;146(2):240-241. doi:10.1001/archsurg.2010.323.
February 1, 2011
Nancy D. Perrier, MD
Arch Surg. 2011;146(2):241. doi:10.1001/archsurg.2010.324.
March 1, 2011
Kazuhiro Hanazaki, MD, PhD; Takehiro Okabayashi, MD, PhD
Arch Surg. 2011;146(3):368-369. doi:10.1001/archsurg.2011.16.
March 1, 2011
Nikolaos P. Karidis, MD; Leonidas Lekakos, MD; Dimitrios Dimitroulis, PhD
Arch Surg. 2011;146(3):369. doi:10.1001/archsurg.2011.17.
March 1, 2011
Andrew D. Pitkin, MD; Douglas Coursin, MD; Mark J. Rice, MD
Arch Surg. 2011;146(3):369-370. doi:10.1001/archsurg.2011.18.
March 1, 2011
Ashar Ata, MBBS, MPH; Steven C. Stain, MD
Arch Surg. 2011;146(3):370. doi:10.1001/archsurg.2011.19.
April 1, 2011
Jason Adelman, MD, MS; Johanna Chelcun, MHS, PA-C
Arch Surg. 2011;146(4):489. doi:10.1001/archsurg.2011.62.
April 1, 2011
Philip F. Stahel, MD; Philip S. Mehler, MD; Ted J. Clarke, MD
Arch Surg. 2011;146(4):489-490. doi:10.1001/archsurg.2011.63.
May 1, 2011
Alain Braillon, MD, PhD
Arch Surg. 2011;146(5):633. doi:10.1001/archsurg.2011.82.
May 1, 2011
Elie Oussoultzoglou, MD; Daniel Jaeck, MD, PhD, FRCS; Pietro Addeo, MD; Pascal Fuchshuber, MD, PhD; Ettore Marzano, MD; Edoardo Rosso, MD; Patrick Pessaux, MD, PhD; Philippe Bachellier, MD, PhD
Arch Surg. 2011;146(5):633-634. doi:10.1001/archsurg.2011.83.
June 1, 2011
Suzanne B. Evans, MD, MPH
Arch Surg. 2011;146(6):764-765. doi:10.1001/archsurg.2011.131.
June 1, 2011
J. David Beatty, MD
Arch Surg. 2011;146(6):765. doi:10.1001/archsurg.2011.132.
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