Upper Limb Congenital Anomalies in Nigeria

David Odoyoh Odatuwa-Omagbemi,1 Emeka Izuagba,2 Roy Efetobor Enemudo,1 Taiwo Olusola Osisanya,3 Cletus Ikechukwu Otene,1 Lukman Olalekan Ajiboye,4

  1. Department of Surgery, Delta State University, Abraka, Nigeria

  2. Department of Orthopedics and Traumatology, National Orthopedic Hospital, Lagos, Nigeria

  3. Department of Plastic and Reconstructive Surgery, National Orthopedic Hospital, Lagos, Nigeria

  4. Department of Orthopedics and Traumatology, Usman Danfodiyo University Teaching Hospital, Sokoto Nigeria

Correspondence to: Dr. David Odoyoh Odatuwa-Omagbemi; email: odatuwa@live.com

Abstract

Background: About 1–2% of neonates have congenital anomalies; of these, 10% affect the upper limbs. Congenital anomalies are structural or metabolic defects present at birth. Objective: To review cases seen over a four-year period in a tertiary specialist hospital in Lagos and share our experience. Methodology: Case notes and theatre records of patients with congenital upper limb anomalies were retrieved and relevant data extracted. Data were analyzed with SPSS version 20. Results: 46 patients with 53 diagnoses of upper extremity congenital anomalies: 28 were males and 18 females between 5 weeks and 14 years. 17 patients (37%) presented within the first 12 months of life. Average ages of mothers and fathers were 34.1 and 37 years respectively. 26% of mothers had febrile illnesses and 28.3% used herbal products during the index pregnancies. Swanson’s group 2 was the commonest (58.4). Syndactyly was the commonest descriptive individual diagnosis (49%). Treatments were individualized according to specific diagnosis. Conclusions: Congenital anomalies of the upper extremities present as various diagnostic entities. Syndactyly was the most frequently encountered here.

Keywords: Upper limbs, Congenital, Anomalies

 

Ann Afr Surg. 2020; 17(3):106–111

DOI: http://dx.doi.org/10.4314/aas.v17i3.4

Conflicts of Interest: None

Funding: None

© 2020 Author. This work is licensed under the Creative Commons Attribution 4.0 International License

Submitted: 15 March 2019

Revised: 21 December 2019

Accepted: 18 February 2020

Online first: 29 May 2020

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