simultaneous dislocation of both interphalangeal (ip) joints of same finger is a highly uncommon finding. and dislocation of metacarpophalangeal (mcp) joint along with interphalangeal joints of thumb are reported in literatures if, scarcely. here we are reporting the three cases, comprising of double dislocation of ip joints in little finger in two patients and simultaneous mcp and ip joint dis...

Thumb polydactyly is reported to be the most common congenital anomaly of the hand in Japan. The floating type is not particularly rare, accounting for 0.9 to 15% of all cases of thumb polydactyly. However, to the best of our knowledge, there has been only one case of thumb polydactyly with a floating ulnar thumb, reported by Onizuka. Herein, we report a case very similar to that reported by On...

OBJECTIVES The aim of this study was to investigate: (i) the frequency and patterns of radiographic OA (ROA) in the thumb joints; and (ii) associations between thumb ROA and the clinical characteristics of thumb OA in older adults with hand pain or problems. METHODS Participants were 592 community-dwelling older adults with hand pain or hand problems who attended a research clinic. Hand X-ray...

CONTEXT Mosaic trisomy 9 is considered to be a rare chromosomal abnormality with limited survival. Our objective was to report on two patients with mosaic trisomy 9 presenting unusual findings and prolonged survival. CASE REPORTS The first patient was a boy aged six years and five months presenting weight of 14.5 kg (< P3), height of 112 cm (P10), head circumference of 49 cm (P2), prominent f...

osteoid osteomata are rarely found in the distal phalanges of the hand. the usual presenting features are chronic pain, nail enlargement and increase in size of the terminal part of the digit. diagnosis is difficult but surgical excision is effective for treating the patients’pain. we reported this tumor in distal phalanx of the middle finger.

In traumatic amputations in the upper extremities, replantation has been commonly attempted with high success rates. However, successful implies both maintenance of length and good functional outcomes restored hand. Since thumb accounts for 40% to 50% hand function, utmost priority is on salvage thumb. cases when not feasible, various efforts have made replace thumb, including pollicization ind...

Measurement of the pressure applied to the anterior region of the palate and incisor region of the mandible during thumb-sucking was carried out 3 female children. A polyethylene bag embedded with a high-sensitivity small pressure sensor was fixed on the ventral side of the thumb so that the baroreceptor could be interposed between the thumb and palate during thumb-sucking. The children were al...

BACKGROUND Townes-Brocks syndrome (TBS) is a rare autosomal dominant disease, resulting from mutation in the developmental gene SALL1. The phenotype encompasses malformations of limbs (triphalangeal thumbs and pre-axial polydactyly), intestine (anal stenosis) and ears (dysplastic ear with perception hearing loss). Renal involvement (hypo-dysplasia, multicystic kidneys or unilateral absence) is ...

During limb development, the spatio-temporal expression of sonic hedgehog (SHH) is driven by the Zone of polarizing activity Regulatory Sequence (ZRS), located 1 megabase upstream from SHH. Gain-of-function mutations of this enhancer, which cause ectopic expression of SHH, are known to be responsible for congenital limb malformations with variable expressivity, ranging from preaxial polydactyly...