Triphalangeal thumb: clinical features and treatment
| Autor: | Christianne A. van Nieuwenhoven, Steven E.R. Hovius, Jacob W P Potuijt |
|---|---|
| Přispěvatelé: | Plastic and Reconstructive Surgery and Hand Surgery |
| Rok vydání: | 2018 |
| Předmět: |
musculoskeletal diseases
Clinodactyly reconstruction Delta phalanx Triphalangeal thumb 030230 surgery Thumb Congenital hand 03 medical and health sciences 0302 clinical medicine All institutes and research themes of the Radboud University Medical Center Full Length Article medicine Humans Orthopedic Procedures Muscle Skeletal Orthodontics Postoperative Care 030222 orthopedics business.industry fungi Age Factors Soft tissue food and beverages Phalanx medicine.disease musculoskeletal system triphalangeal thumb Reconstructive and regenerative medicine Radboud Institute for Health Sciences [Radboudumc 10] body regions medicine.anatomical_structure Ligament Surgery medicine.symptom Presentation (obstetrics) business Hand Deformities Congenital |
| Zdroj: | The Journal of Hand Surgery, European Volume Journal of Hand Surgery. European Volume, 44, 1, pp. 69-79 Journal of Hand Surgery-European Volume, 44(1), 69-79. SAGE Publications Ltd Journal of Hand Surgery. European Volume, 44, 69-79 |
| ISSN: | 2043-6289 1753-1934 |
| Popis: | Triphalangeal thumb is a rare congenital anomaly in which the thumb has three phalanges. Clinical presentation of triphalangeal thumb can vary considerably and can be present in both hands or unilateral. The thumb can be long with a finger-like appearance. The presence of clinodactyly depends on the shape of the extra phalanx varying from wedge-shaped to rectangular. Various joints, ligaments, muscles, and tendons of the first ray can be hypoplastic or absent, with varying degrees of stiffness or instability. The aim of surgical treatment is to reconstruct or correct the anatomic anomalies to obtain greater function and a more acceptable appearance. In our series, operations varied from removal of the delta phalanx with ligament reconstruction to multiple osteotomies and rebalancing of soft tissues. Results in these often complex cases can be rewarding if the surgeon has sufficient knowledge of the underlying anatomic differences. This review summarizes our current concepts of presentation and management of the triphalangeal thumb. |
| Databáze: | OpenAIRE |
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