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Journal of Hand Surgery (European Volume)· 2026Q1

Poland Syndrome with transverse upper limb deficiency: beyond the vascular disruption hypothesis

Min Kai Chang, Jean Ling Chiew, Darryl Ee Ming Chew

Short summary

A neonate with Poland syndrome presented with pectoral deficiency and carpal-level transverse upper limb deficiency, challenging the vascular disruption hypothesis and supporting a dynamic embryonic capillary plexus model.

AI-generated from the title and abstract; the full text is not read.

Key points

  • Reported a neonate with Poland syndrome featuring unilateral pectoral deficiency and carpal-level transverse upper limb deficiency.
  • The observed phenotype lacked ectodermal elements, which are sometimes associated with Poland syndrome.
  • This case challenges the sole reliance on a single-point vascular interruption as the cause of Poland syndrome.
  • The findings support an alternative hypothesis involving a dynamic embryonic capillary plexus model.

AI-generated from the title and abstract; the full text is not read.

Abstract

Poland syndrome classically presents with unilateral pectoral deficiency and ipsilateral symbrachydactyly. We report a neonate with right pectoral deficiency and carpal-level transverse upper limb deficiency without ectodermal elements. This rare phenotype challenges a single-point vascular interruption and supports a dynamic embryonic capillary plexus model. Level of Evidence: IV

The authors' abstract, as published at the source. Journal of Hand Surgery (European Volume), 2026 · DOI ↗

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Developmental BiologyBiochemistry, Genetics and Molecular Biology