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Congenital thumb differences- current concepts
Affiliation:1. Charge Plastic Surgery Unit, Department of Surgery NSCB Government Medical College, Jabalpur, MP, 482003, India;2. Department of Surgery NSCB Government Medical College, Jabalpur, MP, 482003, India;1. Clinical Fellow in Trauma and Orthopaedics, University Hospital Llandough, Cardiff and Vale University Health Board, Cardiff, Wales, CF64 2XX, UK;2. Trauma and Orthopaedic Surgeon, Southport and Ormskirk NHS Trust, Southport, PR8 6PN, UK;3. Consultant Hand, Wrist and Orthopaedic Surgeon, Southport and Ormskirk NHS Trust, Southport, PR8 6PN, UK;1. Department of Trauma & Orthopaedics, Royal Free Hospitals London NHS Foundation Trust, The Ridgeway, Enfield, London, UK;2. Consultant Orthopaedic Surgeon, Department of Trauma & Orthopaedics, Burton Hospital NHS Foundation Trust, Burton Upon Trent, UK;1. DY Patil Medical College Pimpri, Pune, 411018, MS, India;2. NSCB Government Medical College, Jabalpur, MP, 482003, India;3. Department of Surgery NSCB Government Medical College, Jabalpur, MP, 482003, India
Abstract:Anomalies of the thumb development are not uncommon and may be associated with a number of syndromes also. These anomalies range from total absence to duplication. Reconstructive surgery for the creation of an opposable thumb is the most rewarding aspect of Hand Surgery and also the most challenging. Classification systems have been modified for better description. A number of procedures have been introduced to improve the functionality of the hand in anomalies and age old concepts are undergoing a metamorphosis to further this. A brief description of the common conditions and their treatment are discussed here and highlighted by selected clinical cases.
Keywords:Thumb anomalies  Thumb duplication  Polydactyly  Hypoplastic thumb  Trigger thumb  Triphalangeal thumb  Congenital
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