Congenital malformations of the hand and forearm

Buck-Gramcko, D

doi:10.1016/s1297-3203(02)00103-8

Cited by 86 publications

(99 citation statements)

References 252 publications

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“…With congenital anomalies, a stable CMC joint is the defining characteristic of a functioning thumb; in fact, an unstable and incomplete basal joint in the hypoplastic thumb is the primary reason to remove the thumb and proceed with pollicization [14,20,68]. The pollicized index finger performs well with a rotated metacarpal head as its new trapezium.…”

Section: Functional Morphologymentioning

confidence: 99%

The 2014 ABJS Nicolas Andry Award: The Puzzle of the Thumb: Mobility, Stability, and Demands in Opposition

Ladd

Crisco

Hagert

et al. 2014

Clin Orthop Relat Res

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Section: Functional Morphologymentioning

confidence: 99%

The 2014 ABJS Nicolas Andry Award: The Puzzle of the Thumb: Mobility, Stability, and Demands in Opposition

Ladd

Crisco

Hagert

et al. 2014

Clin Orthop Relat Res

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“…Although the previously reported length measurements related thumb length to both the length of the proximal phalanx and the length of the entire adjacent digit, in the current study, we utilized only length relative to the proximal phalanx because our surgical technique adjusts the length of the pollicized digit equal to the proximal interphalangeal (PIP) joint of the adjacent finger. 11 The hand therapist performed three, objective measurements in a standardized fashion 7 : (1) the relative length of the adducted pollicized digit to the long finger proximal phalanx (expressed as a percentage), (2) the relative girth of the pollicized digit compared with the long finger (expressed as a percentage), and (3) the relative nail width of the pollicized digit compared with the long fingernail width (expressed as a percentage).…”

Section: Objective Measurementsmentioning

confidence: 99%

Objective Features and Aesthetic Outcome of Pollicized Digits Compared With Normal Thumbs

Goldfarb

Deardorff

Chia

et al. 2007

The Journal of Hand Surgery

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“…Surgery aims at widening the narrow first web space, including the skin and deep tight structures. Skin widening was done through either simple Z-plasty, four-flap Z-plasty [4], butterfly flap [5], dorsal rotational advancement flap [6] and modified dorsal rotational advancement flap [7]. The choice of the technique is variable according to the degree of narrowing.…”

Section: Methodsmentioning

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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Congenital malformations of the hand and forearm

Cited by 86 publications

References 252 publications

The 2014 ABJS Nicolas Andry Award: The Puzzle of the Thumb: Mobility, Stability, and Demands in Opposition

The 2014 ABJS Nicolas Andry Award: The Puzzle of the Thumb: Mobility, Stability, and Demands in Opposition

Objective Features and Aesthetic Outcome of Pollicized Digits Compared With Normal Thumbs

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

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