Congenital Clasped Thumb (Congenital Flexion-Adduction Deformity of the Thumb)

Weckesser, Elden C.; REED, JOHN R.; HEIPLE, KINGBURY G.

doi:10.2106/00004623-196850070-00011

Cited by 74 publications

(35 citation statements)

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“…The clasped thumb may be associated with ulnardeviated fingers (i.e., windblown hand) and is often seen in conjunction with arthrogryposis, Freeman-Sheldon syndrome, or other syndromic conditions. This congenital flexionadduction deformity was first classified by Weckesser et al 103 in 1968 into four groups: Group I. Absent or weak function of the thumb extensor Group II.…”

Section: Clasped Thumbmentioning

confidence: 99%

Classification and Developmental Biology of Congenital Anomalies of the Hand and Upper Extremity

Manske

Oberg

2009

Journal of Bone and Joint Surgery

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Section: Clasped Thumbmentioning

confidence: 99%

Classification and Developmental Biology of Congenital Anomalies of the Hand and Upper Extremity

Manske

Oberg

2009

Journal of Bone and Joint Surgery

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“…Some authors used the degree of active extension of first MP joint as the reference for evaluation [8,10]. Tsuyuguchi et al [3] added the degree of active radial abduction of the trapeziometacarpal joint to their system of evaluation.…”

Section: Discussionmentioning

confidence: 99%

Characteristics of patients with congenital clasped thumb: A prospective study of 40 patients with the results of treatment

Abdel-Ghani

El-Naggar

Hegazy

et al. 2007

Journal of Children's Orthopaedics

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Purpose Congenital clasped thumb is a deformity that is associated with heterogeneous congenital anomalies and it has been addressed in many congenital syndromes. The aim of this study was to diagnose and evaluate cases of clasped thumb as regards the associated congenital anomalies and syndromes, and evaluation of the results of treatment of such cases. Methods A prospective study on 40 patients with 73 clasped thumbs was done. All the patients' data regarding their personal, family, pregnancy and developmental histories were recorded. All the patients were exposed to thorough clinical and radiological examination and genetic assessment. The cases were classified using the Tsuyuguchi et al. (J Hand Surg [Am] 10:613-618, 1985) classification into three types. Conservative treatment was adopted in ten hands, and surgical treatment was performed for 28 hands in 17 patients, with an average follow-up of 26 months. Results Positive consanguinity was recorded in 57.5% of cases. Associated anomalies were recorded in 77.5% of cases. Type I was the most common one, followed by type III and then type II. Conservative treatment is effective in type I cases when presented early, and all patients were satisfied with the results of surgical treatment. ConclusionsWe reported associated anomalies which are to our knowledge have not mentioned before in the literature which include; congenital blindness, radial deviation of the index finger and ventricular septal defect. We found that 68% of the patients had associated syndromes, and this has not been mentioned before. In this study, we found that there were no difference between type II and type III clasped thumb as regards the pathological findings, severity, the operative procedures, the treatment protocol and the operative results. Properly planned treatment gives satisfactory results.

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“…Isolated clasped thumb deformity occurs in males and may be an X-linked trait (Broadbent & Woolf, 1964, Crawford et al, 1966Weckesser et al, 1968, Namba et al, 1965. Other deformities such as inguinal hernia, club foot, lack of full flexion at the elbow and dislocated hip are also seen in these cases, These individuals appear mostly in the orthopedic literature, and little mention is made of growth or of mental status.…”

Section: Discussionmentioning

confidence: 99%