Modified method for reconstruction of thumb abduction function in children undergoing surgical treatment of thumb duplication

The treatment of trigger thumb in children: conservative or surgical?

The trigger thumb is an uncommon condition in infants and children which occurs due to pathology of flexor pollicis longus or A1 pulley. The objectives in our study were to determine the treatment outcome of trigger thumb. The study included total of 45 patients (24 males and 21 females) with trigger thumb. The mean age of onset was 28.5 months (3 months -7 years). There was overall success rat...

Unclassified Bilateral Thumb Duplication

Polydactyly being most common congenital digital anomaly of the hand and needs special consideration. Surgical treatment is warranted in most of the cases because of cosmetic and functional reasons. In this article, we describe a 5-year-old female child who was having bilateral thumb duplication. The diagnosis was clinical, and it does not fit into any mentioned classification systems in litera...

Reconstruction of the thumb.

Thumb Duplication: Concepts and Techniques

Within the Oberg, Manske, Tonkin (OMT) classification, thumb duplications are a failure of formation and/or differentiation affecting the radial-ulnar axis of the hand plate. The Wassel description of seven types of thumb duplication provides a good structure from which an approach to management is based. The aim of surgical reconstruction is to obtain a stable, mobile thumb of adequate size an...

Dermatoglyphs in duplication of the thumb.

The dermatoglyphs of 13 Japanese (eight males and five females) with duplication of the thumb were studied. The dermal patterns on the thumb were compared with those on the extra digit. A whorl on the thumb was associated with a whorl on the extra digit in two cases, a radial loop in four cases, and an arch in two cases. Where the thumb pattern was a loop the pattern on the extra digit was a lo...