| Radial longitudinal deficiencies with hypoplastic/absent thumbs and cutaneous syndactyly of the most radial digits. | |
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MedLine Citation:
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PMID: 20807627 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: To describe radial longitudinal deficiency with hypoplastic or absent thumb and cutaneous syndactyly between the most radial digits. In addition, to discuss the clinical relevance and unique treatment decisions involved in optimizing functional outcomes in these patients. METHODS: A total of 163 extremities of 122 patients with radial longitudinal deficiencies were reviewed. We reviewed radiographs and clinical images that were available, with most radial hypoplastic digit and cutaneous syndactyly to the adjacent finger. RESULTS: There were 7 hands with this type of deformity. Four cases had a hypoplastic thumb associated with cutaneous syndactyly between the thumb and index finger. Three cases had a deformity in which the thumb was absent and the hypoplastic index finger was syndactylized to the long finger. Proximal and distal radioulnar synostoses were associated with these deformities in 3 patients. CONCLUSIONS: Because the most radial digit is severely hypoplastic in this type of deformity, pollicization is usually indicated. However, the pollicization procedure must be modified due to associated syndactyly with different degrees of hypoplasia or absence of the intrinsic muscles. This type of deformity should be distinguished from hypoplastic thumb without syndactyly. TYPE OF STUDY/LEVEL OF EVIDENCE: Therapeutic IV. |
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Authors:
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Hiroshi Satake; Toshihiko Ogino; Masatoshi Takahara; Tadayoshi Watanabe; Kousuke Iba |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Journal of hand surgery Volume: 35 ISSN: 1531-6564 ISO Abbreviation: J Hand Surg Am Publication Date: 2010 Sep |
Date Detail:
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Created Date: 2010-09-02 Completed Date: 2011-01-07 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7609631 Medline TA: J Hand Surg Am Country: United States |
Other Details:
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Languages: eng Pagination: 1497-501 Citation Subset: IM |
Copyright Information:
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Copyright 2010 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved. |
Affiliation:
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Department of Orthopaedic Surgery, Yamagata University School of Medicine, Iida-Nishi, Yamagata, Japan. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Abnormalities, Multiple
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diagnosis*,
epidemiology,
surgery Child, Preschool Cohort Studies Female Follow-Up Studies Hand Deformities, Congenital / epidemiology*, radiography, surgery Humans Incidence Infant Male Radius / abnormalities* Reconstructive Surgical Procedures / methods Retrospective Studies Risk Assessment Syndactyly / diagnosis*, epidemiology, surgery Synostosis / epidemiology, radiography, surgery Thumb / abnormalities*, radiography, surgery Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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