Document Detail


Radial longitudinal deficiencies with hypoplastic/absent thumbs and cutaneous syndactyly of the most radial digits.
MedLine Citation:
PMID:  20807627     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Hiroshi Satake; Toshihiko Ogino; Masatoshi Takahara; Tadayoshi Watanabe; Kousuke Iba
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of hand surgery     Volume:  35     ISSN:  1531-6564     ISO Abbreviation:  J Hand Surg Am     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-09-02     Completed Date:  2011-01-07     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7609631     Medline TA:  J Hand Surg Am     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1497-501     Citation Subset:  IM    
Copyright Information:
Copyright 2010 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.
Affiliation:
Department of Orthopaedic Surgery, Yamagata University School of Medicine, Iida-Nishi, Yamagata, Japan.
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MeSH Terms
Descriptor/Qualifier:
Abnormalities, Multiple / 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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