Our Summary

This paper is about the Oberg, Manske and Tonkin (OMT) Classification, a system used to categorize birth defects of the hand and upper limb. This system sorts these conditions into three groups: Malformations, Deformations and Dysplasias. Malformations, the main group, is further split based on whether the entire limb or just the hand is affected, and whether the root cause impacts one of the three axes of limb development or is non-axial. Common surgical conditions like thumb duplication and thumb hypoplasia are then sorted within this structure. Recently, the International Federation of Societies for Surgery of the Hand Scientific Committee for Congenital Conditions endorsed the OMT Classification as a good replacement for the previously accepted Swanson Classification. The paper traces the evolution and adjustments to the OMT Classification and its current standing.

FAQs

  1. What is the Oberg, Manske and Tonkin (OMT) Classification system used for?
  2. How does the OMT Classification system categorize birth defects of the hand and upper limb?
  3. Has the OMT Classification system been endorsed by any major scientific committees or organizations?

Doctor’s Tip

A doctor might tell a patient undergoing hand surgery to follow post-operative care instructions closely, including keeping the hand elevated, avoiding strenuous activities, and attending follow-up appointments for proper monitoring of the healing process. It is also important for the patient to communicate any concerns or changes in symptoms to their healthcare provider promptly.

Suitable For

Patients who are typically recommended hand surgery include those with congenital hand and upper limb abnormalities, traumatic injuries, arthritis, tumors, nerve compressions, tendon injuries, and other conditions that affect the function and appearance of the hand. Hand surgery can help improve hand function, reduce pain, and enhance the overall quality of life for patients with these conditions.

Timeline

Before hand surgery:

  • Patient may experience pain, swelling, stiffness, or limited range of motion in the affected hand
  • Patient may undergo imaging tests such as x-rays or MRIs to assess the condition of the hand
  • Patient may receive conservative treatments such as physical therapy, medications, or splinting to manage symptoms

After hand surgery:

  • Patient will undergo the surgical procedure, which may involve repairing damaged tissues, reconstructing bones or joints, or correcting deformities
  • Patient will go through a period of post-operative recovery, which may include pain management, wound care, and physical therapy to regain strength and function in the hand
  • Patient will follow up with their surgeon for monitoring and potential additional treatments or adjustments as needed
  • Patient may experience improvements in pain, function, and appearance of the hand following successful surgery.

What to Ask Your Doctor

  1. What specific type of hand surgery do I need based on my condition?
  2. What are the potential risks and complications associated with the surgery?
  3. What is the expected outcome of the surgery in terms of function and appearance?
  4. What is the recovery process like, and how long will it take before I can resume normal activities?
  5. Are there any alternative treatment options to surgery that I should consider?
  6. How many times have you performed this type of surgery, and what is your success rate?
  7. Will I need physical therapy or rehabilitation after the surgery?
  8. Will I need any special accommodations or modifications to my daily routine after the surgery?
  9. Are there any long-term effects or considerations I should be aware of following the surgery?
  10. How can I best prepare for the surgery, both physically and mentally?

Reference

Authors: Tonkin MA, Oberg KC. Journal: Hand Surg. 2015 Oct;20(3):336-42. doi: 10.1142/S0218810415400055. PMID: 26387992