TYPE III-A HYPOPLASTIC THUMB

被引：71
作者：
MANSKE, PR
MCCARROLL, FR
JAMES, M
机构：
来源：
JOURNAL OF HAND SURGERY-AMERICAN VOLUME | 1995年 / 20A卷 / 02期
关键词：
D O I：
10.1016/S0363-5023(05)80018-8
中图分类号：
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];
学科分类号：
摘要：
Thirteen type III-A hypoplastic thumbs were reviewed. The abnormalities included those found in type II hypoplasia (narrow thumb-index web space, hypoplastic thenar muscles, unstable metacarpophalangeal joint, as well as extrinsic tendon abnormalities); all had stable carpometacarpal joints. They are differentiated from type III-B hypoplastic thumbs, which have an unstable carpometacarpal joint due to a deficient base of the metacarpal. The extrinsic tendon abnormalities included absent extensor pollicis longus tendon, absent or aberrant flexor poilicis longus tendon, and a tendon interconnection between the flexor pollicis longus and extensor aponeurosis. Twelve of the thumbs had surgical reconstruction. None was treated with ablation and index pollicization.
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页码：246 / 253
页数：8
相关论文
共 29 条
  • [1] Mueller, Die angeborenen Fehlbildungen der Menschlichen, Hand, pp. 38-41, (1937)
  • [2] Blauth, Schneider-Sickert, Numerical variations, Congenital deformities of the hand: an atlas on their surgical treatment, pp. 120-121, (1981)
  • [3] Buck-Gramcko, Hypoplasia and aplasia of the thumb, Hand surgery, pp. 12-93, (1981)
  • [4] Lister, Reconstruction of the hypoplastic thumb, Clin Orthop, 195, pp. 52-65, (1985)
  • [5] Kleinman, Management of the thumb hypoplasia, Hand Clin, 6, pp. 617-641, (1990)
  • [6] Manske, McCarroll, Reconstruction of the congenitally deficient thumb, Hand Clin North Am, 8, pp. 177-196, (1992)
  • [7] Tupper, Pollex abductus due to congenital malposition of the flexor pollicis longus, J Bone Joint Surg, 51 A, pp. 1285-1290, (1969)
  • [8] Strauch, Spinner, Congenital anomaly of the thumb: absent intrinsics and flexor pollicis longus, J Bone Joint Surg, 58 A, pp. 115-118, (1976)
  • [9] Nevaiser, Congenital hypoplasia of the thumb with absence of the extrinsic extensors abductor pollicis and thenar muscles, The Journal of Hand Surgery, 4, pp. 301-303, (1979)
  • [10] Blair, Omer, Anomalous insertion of the flexor pollicis longus, J Hand Surg, 6, pp. 241-244, (1981)
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