Variation of Extrinsic Tendons of the Thumb in Type IIIA Hypoplastic Thumbs

Bessho, Yuki; Takagi, Tasuku; Seki, Atsuhito; Takayama, Seiji

doi:10.1016/j.jhsa.2019.11.004

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Anatomy2

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2021

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“…Interconnections between the flexor pollicis longus (FPL) and the extensor pollicis longus (EPL) tendons and a duplicated FPL are observed frequently. 5 Absence or hypoplasia of the extrinsic extensors (EPL and extensor pollicis brevis) or flexors (FPL) requires an observant examination of the active movement at the MCP and interphalangeal joints. Type III hypoplasia is divided into subtypes IIIA with a stable CMC joint and IIIB with an unstable CMC joint, 2 which is a crucial differentiation for the treatment paradigm.…”

Section: Anatomymentioning

confidence: 99%

“…In addition, extrinsic muscle and tendon deficiencies are present. Interconnections between the flexor pollicis longus (FPL) and the extensor pollicis longus (EPL) tendons and a duplicated FPL are observed frequently 5. Absence or hypoplasia of the extrinsic extensors (EPL and extensor pollicis brevis) or flexors (FPL) requires an observant examination of the active movement at the MCP and interphalangeal joints.…”

Section: Anatomymentioning

confidence: 99%

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