With lumbar epidural anaesthesia, big toe skin temperature increases and is associated with a compensatory decrease of thumb temperature. The purpose of the present study was to examine whether thumb-big toe temperature differences were affected by age. Following the attachment of temperature probes at the digital pad of the right big toe and the right thumb, lumbar epidural anaesthesia at L2/3...

The use of the abductor digiti minimi transfer to restore opposition in patients with hypoplasia of the thumb has been widely described in the literature. It has been found to be effective in restoring abduction, but less so in restoring the rotational component of opposition. In cases where there is concomitant supination of the thumb, abductor digiti minimi transfer alone would not result in ...

Gamekeeper’s thumb is used to describe an acut or chronic injury to Ulnar Collateral Ligament (UCL) of thumb. We present the Magnetic Rezonance İmaging (MRI) findings of a rare case with gamekeeper’s thumb. MRI allows optimal detection and evaluation of most soft-tissue and bone lesions in the traumatic finger, including injuries the collateral ligaments.

The effects of cannulation of the radial artery were studied in 23 patients. Distal arterial pressure on the thumb, measured during radial or ulnar artery compression, was compared with the result of a modified Allen test performed before operation. Distal arterial pressure on the thumb was monitored for approximately 10 days after removal of the cannula. It was found that radial artery thrombo...

Raoultella species are Gram-negative, non-motile bacilli primarily considered to be environmental bacteria. Raoultella planticola is a rare cause of human infections. We report a case of serious soft-tissue infection in a young male tiler who presented with cellulitis of his left thumb. He had sustained a crush injury to his left thumb 10 days earlier in a soiled environment. He noted a minor b...

QUESTION What is the effectiveness of 12 weeks of nightly stretch in reducing thumb web-space contracture in people with neurological conditions? DESIGN Assessor-blinded, randomised controlled trial. PARTICIPANTS Forty-four (one dropout)community-dwelling patients with a neurological condition (14 stroke, 7 traumatic brain injury, 23 spinal cord injury) who had uni or bilateral thumb web-sp...

1. Batra S, Kanvinde R. Osteoarthritis of the thumb trapeziometacarpal joint. Orthopaedics and Trauma 2007; 21:135-44. 2. Cook GS, Lalonde DH. MOC-PSSM CME article: Management of thumb carpometacarpal joint arth ritis. Plast Reconstr Surg 2008;121:1-9. 3. Merritt MM, Roddey TS, Costello C, et al. Diagnostic value of clinical grind test for carpo meta carpal osteoarthritis of the thumb. J Hand T...

We present a simple kinematic model of the thumb for the animation of virtual characters. The animation is made through a pure kinematics approach, thus needing very precise limitations on the rotations of the thumb to be realistic. The thumb is made opposable thanks to the addition of two bones simulating the carpometacarpal complex.

BACKGROUND For surgical reconstruction of lateral pinch following tetraplegia, the function of the paralyzed flexor pollicis longus is commonly restored. The purpose of this study was to investigate if one of the intrinsic muscles could generate a more suitably directed thumb-tip force during lateral pinch than that of flexor pollicis longus. METHODS Endpoint force resulting from 10 N applied...

Finger-thumb coordination is crucial to manual dexterity but remains incompletely understood, particularly following neurological injury such as stroke. While being controlled independently, the index finger and thumb especially must work in concert to perform a variety of tasks requiring lateral or palmar pinch. The impact of stroke on this functionally critical sensorimotor control during dyn...