A transposition flap from the dorsum is an alternative. Figure 2. Some society journals require you to create a personal profile, then activate your society account, You are adding the following journals to your email alerts, Did you struggle to get access to this article? Therefore, parents mostly seek correction of the deformity for their children because of the appearance of the TPT. Fusion is accomplished with a cerclage wire and a K-wire. The e-mail addresses that you supply to use this service will not be used for any other purpose without your consent. Many transfers are possible of which the abductor digiti minimi muscle is the most used (Huber, 1921). ROAMC: rotation osteotomy and abduction of the metacarpal; DIP: distal interphalangeal; DIPRAD: distal interphalangeal reduction and arthrodesis. Finally, the collateral ligament is adjusted on the concave side and the skin closed. window.figureViewer={doi:'10.1177/1753193418797922',path:'/na101/home/literatum/publisher/sage/journals/content/jhsc/2019/jhsc_44_1/1753193418797922/20190108',figures:[{i:'table1-1753193418797922',type:'table-wrap',g:[{m:'10.1177_1753193418797922-table1.gif',l:'10.1177_1753193418797922-table1.jpeg',size:'103 KB'}]} The aim of this article is to present an overview of the clinical presentation of TPT along with our suggested surgical treatments. However, after encountering an older boy who was much stronger with his long more stable thumb when compared with his more normal looking but hypermobile pollicized thumb, the first author switched to leaving the original CMC1 joint intact. Outcome of two types of surgical correction of the extra phalanx in triphalangeal thumb: is there a difference? Plastic Surgery, 4th edition, Volume 6, Hand and Upper Extremity, Chapter 28. Patients were satisfied with their hand function, but more so with the new appearance of the thumb. Treatment of the triphalangeal thumb. (e-g) Long-term follow-up after shortening at the DIP joint (DIPRAD) and rotation, abduction, and shortening osteotomy at metacarpal level (ROAMC). In young children this can be predicted when the ulnar TPT is more in the plane of the hand and fully developed. If you have access to a journal via a society or association membership, please browse to your society journal, select an article to view, and follow the instructions in this box. In syndromes, cleft hand and longitudinal radial deficiency can occur also. When minor web deepening is indicated a four-flap or five-flap Z-plasty can be used (Glicenstein and Bonnefous, 1975; Woolf and Broadbent, 1972). On appearance however, it was 2.2 (Zuidam et al., 2010). Where deepening as well as lengthening is needed, as for a non-opposable TPT, a large rotation flap from the dorsum of the hand can be used (Tajima et al., 1967; Wood, 1976).
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