STUDY DESIGN Retrospective Cohort INTRODUCTION Important outcomes of polliciation to treat thumb hypoplasia/aplasia include strength, function, dexterity, and quality of life. PURPOSE OF THE STUDY To evaluate outcomes and examine predictors of outcome after early childhood pollicization. METHODS 8 children (10 hands) were evaluated 3-15 years after surgery. Physical examination, questionn...

Triphalangeal thumb is characterized by the interposition of an extra-phalanx between two normal ones. In this article the authors present the case of a 24-year-old man with bilateral triphalangeal thumb of opposable type, without any other associated anomaly or genetic syndrome. The patient had triangular delta extra-phalanxes that caused ulnar deviation of both thumbs. Surgical procedure for ...

The ability to direct forces between the thumb and fingers is important to secure objects in the hand. We compared the coordination of thumb musculature in key and opposition pinch postures between stable and unstable tasks. The unstable task (producing thumb-tip force wearing a beaded thimble) required well-directed forces; the stable task (producing thumb-tip force against a pinch meter) did ...

Spastic thumb deformity is the result of imbalance between intrinsic and extrinsic forces acting across unstable joints. This paper presents a classification of spastic thumb deformity based on the accurate assessment of the deforming forces, outlines methods for their correction and reviews the results of our surgery. Thumb reconstruction procedures were performed in 32 patients with 33 spasti...

objectives: nowadays, snap-fits are used in the automotive industry as a proper alternative for mechanical joints, cabling joints, and car interior lining joints. due to the special form of these joints, which are assembled manually, the contact area between snap-fits and the worker's fingertips can be too small. this can cause skin pain on the worker's fingertips. therefore, an ergonomic study...

BACKGROUND Congenital longitudinal deficiencies of the radius and thumb are known to be associated with one another; however, the details of their relationship are unknown. The purpose of this study was to determine whether increased severity of radial deficiencies is associated with increased severity of thumb deficiencies and to review the relationship between radial deficiency and reconstruc...

Congenital absence or traumatic amputation of the thumb is a major disability profoundly disturbing the function of the hand, as the thumb represents an estimated 50% of total hand function. The methods for thumb reconstruction utilizing the index finger were developed some twenty years ago, and progress has been made in the last several years with emphasis on intrinsic muscle reconstruction as...

INTRODUCTION Thumb-push manual pipettes are commonly used tools in many medical, biological, and chemical laboratories. Epidemiological studies [1] indicate that the use of pipettes is strongly associated with musculoskeletal disorders (MSDs) in the hand and shoulder. Almost 90% of pipette users, who continuously used the pipettes for more than an hour on a daily basis, reported hand and/or elb...

This reports documents work undertaken in optimising a kinematic model of the human thumb. It is motivated by the high rejection rate observed with myoelectric hand prostheses, which increases with the period of wear and can reach 50% after 5 years. We find that the most commonly-cited reasons for rejecting a prosthesis are its weight, slow actuation speed, and poor durability, whereas the cosm...

Many operations have been described to restore active opposition of the thumb, but all are dependent on the transplant of tendons and their rerouting to fulfil their new function. When there is no motor available for transplant-quite a common problem-the accepted procedure is to unite the first metacarpal bone to the second in the position of opposition. In 193 1 von Baeyer described a method o...