Three-dimensional CT angiography for surgical planning in congenital hand malformations: a case series presentation. (December 2020)

• Record Type: Journal Article
• Authors: Morandi, Evi M.; Rieger, Michael; Baur, Eva-Maria; Piza-Katzer, Hildegunde
• Is Part Of: Journal of hand surgery. Volume 45:Number 10(2020)
• Page Start: 1017
• Page End: 1022
• Publication Date: 2020-12
• Subjects: CT -- three-dimensional -- CT angiography -- paediatric -- hand -- congenital malformation -- preoperative planning; 617.575059
• DOI: 10.1177/1753193420954357
• Languages: English
• ISSNs: 1753-1934

Abstract

Between January 2000 and December 2019, three-dimensional computer tomographic (CT) angiography was used in a total of 140 hands (116 patients, mean age 6.8 years) with congenital hand malformation to assess the vascular and bony structures. Analysis showed overall satisfactory three-dimensional CT images for operative planning, including detailed abnormal vascular patterns and bony malformations. Among the 116 patients, six patients with typical findings of a few malformations are reported in detail. Pitfalls in interpretation of the images and the use of three-dimensional CT angiography in surgical planning are discussed. We conclude that three-dimensional CT angiography is useful for preoperative planning of complex congenital hand malformations. Level of evidence: IV