PMID: 16518099Mar 7, 2006Paper

Treatment of the triphalangeal thumb

Techniques in Hand & Upper Extremity Surgery
S E HoviusThijs de Wit

Abstract

Triphalangeal thumb is a thumb with 3 phalanges and has an estimated incidence of 1 in 25,000 live births. Clinical presentation of triphalangeal thumb can vary considerably. Most strikingly is the long finger-like thumb with clinodactyly, in the same plane as the fingers and may or may not present with an extra thumb. Anatomically, the extra phalanx can have different shapes, from wedge to rectangular. Furthermore, the involved joints, ligaments, muscles, and tendons of the first ray, from distal interphalangeal joint to radiocarpal joint, can be hypoplastic, malformed, or absent with varying degrees of stiffness or instability. Also, the first web can be insufficient, and radial polydactyly as well as other hand deformities can be present. The aim of surgical treatment is to try to reconstruct or correct the anatomic difference and at the same time provide a more acceptable appearance. In our series, depending on the malformation, operations varied from removal of the delta phalanx with ligament reconstruction to multiple osteotomies and rebalancing as well as pollicization. Complications are mostly related to structures that have not been reconstructed or corrected during operation. Results in these often complex cases can b...Continue Reading

References

Sep 1, 1978·The Journal of Hand Surgery·V E Wood
Nov 1, 1976·Plastic and Reconstructive Surgery·T Miura
May 1, 1985·The Journal of Hand Surgery·C A Peimer
Jan 1, 1965·Archiv Für Orthopädische Und Unfall-Chirurgie·H Cotta, M Jäger
Jun 1, 1994·Journal of Medical Genetics·J ZguricasD Lindhout
Sep 3, 1998·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·J ZguricasS E Hovius

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Citations

Jan 16, 2014·Journal of Hand and Microsurgery·Muhammed Besir OzturkI Mithat Akan
Feb 1, 2011·The Journal of Hand Surgery·Ahmadreza Afshar
Jun 22, 2010·The Journal of Hand Surgery·J Michiel ZuidamSteven E R Hovius
Nov 10, 2009·The Journal of Hand Surgery·Jakub S LangerCharles Goldfarb
Sep 8, 2007·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·J M ZuidamS E R Hovius
Sep 2, 2006·The Journal of Hand Surgery·J Michiel ZuidamSteven E R Hovius
Feb 24, 2012·The Journal of Hand Surgery, European Volume·J M ZuidamS E R Hovius
Jan 27, 2010·The Journal of Hand Surgery, European Volume·J M ZuidamS E R Hovius
Mar 22, 2015·The Journal of Hand Surgery, European Volume·J M ZuidamS E R Hovius
Sep 19, 2018·The Journal of Hand Surgery, European Volume·Steven E R HoviusChristianne A van Nieuwenhoven
Oct 16, 2018·The Journal of Hand Surgery, European Volume·Jacob W P PotuijtSteven E R Hovius
Sep 30, 2014·Journal of Pediatric Orthopedics·Angela A Wang, Douglas T Hutchinson
Mar 2, 2016·Techniques in Hand & Upper Extremity Surgery·Hamza M AlrabaiWerner Girsch

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