Treatment of finger dysplasia with metacarpal base defect
The hypoplastic finger with metacarpal base defect is a rare anomaly. Metacarpal lengthening is not a reasonable treatment option because of severe hypoplasia of the metacarpal. Complete amputation with closure of the interdigital space is effective but most parents want to save any digit of their c...
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| Veröffentlicht in: | The Journal of hand surgery (American ed.) 1994-07, Vol.19 (4), p.681-685 |
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| container_title | The Journal of hand surgery (American ed.) |
| container_volume | 19 |
| creator | Wood, Virchel E. Adams, James W. |
| description | The hypoplastic finger with metacarpal base defect is a rare anomaly. Metacarpal lengthening is not a reasonable treatment option because of severe hypoplasia of the metacarpal. Complete amputation with closure of the interdigital space is effective but most parents want to save any digit of their child. We prefer to release the syndactyly and save the finger, with its shortened three phalanges, during childhood. Our parents and patients have been satisfied with the short digit. At a later age the metacarpal of the hypoplastic finger can be fused to one or the other adjacent metacarpals. Alternative methods to increase function and improve appearance are presented. |
| doi_str_mv | 10.1016/0363-5023(94)90282-8 |
| format | Article |
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Metacarpal lengthening is not a reasonable treatment option because of severe hypoplasia of the metacarpal. Complete amputation with closure of the interdigital space is effective but most parents want to save any digit of their child. We prefer to release the syndactyly and save the finger, with its shortened three phalanges, during childhood. Our parents and patients have been satisfied with the short digit. At a later age the metacarpal of the hypoplastic finger can be fused to one or the other adjacent metacarpals. Alternative methods to increase function and improve appearance are presented.</description><identifier>ISSN: 0363-5023</identifier><identifier>EISSN: 1531-6564</identifier><identifier>DOI: 10.1016/0363-5023(94)90282-8</identifier><identifier>PMID: 7963333</identifier><identifier>CODEN: JHSUDV</identifier><language>eng</language><publisher>New york, NY: Elsevier Inc</publisher><subject>Biological and medical sciences ; Diseases of the osteoarticular system ; Female ; Fingers - abnormalities ; Fingers - surgery ; Humans ; Male ; Malformations and congenital and or hereditary diseases involving bones. 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Metacarpal lengthening is not a reasonable treatment option because of severe hypoplasia of the metacarpal. Complete amputation with closure of the interdigital space is effective but most parents want to save any digit of their child. We prefer to release the syndactyly and save the finger, with its shortened three phalanges, during childhood. Our parents and patients have been satisfied with the short digit. At a later age the metacarpal of the hypoplastic finger can be fused to one or the other adjacent metacarpals. Alternative methods to increase function and improve appearance are presented.</description><subject>Biological and medical sciences</subject><subject>Diseases of the osteoarticular system</subject><subject>Female</subject><subject>Fingers - abnormalities</subject><subject>Fingers - surgery</subject><subject>Humans</subject><subject>Male</subject><subject>Malformations and congenital and or hereditary diseases involving bones. 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Joint deformations</topic><topic>Medical sciences</topic><topic>Metacarpus - abnormalities</topic><topic>Metacarpus - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wood, Virchel E.</creatorcontrib><creatorcontrib>Adams, James W.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of hand surgery (American ed.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wood, Virchel E.</au><au>Adams, James W.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Treatment of finger dysplasia with metacarpal base defect</atitle><jtitle>The Journal of hand surgery (American ed.)</jtitle><addtitle>J Hand Surg Am</addtitle><date>1994-07-01</date><risdate>1994</risdate><volume>19</volume><issue>4</issue><spage>681</spage><epage>685</epage><pages>681-685</pages><issn>0363-5023</issn><eissn>1531-6564</eissn><coden>JHSUDV</coden><abstract>The hypoplastic finger with metacarpal base defect is a rare anomaly. Metacarpal lengthening is not a reasonable treatment option because of severe hypoplasia of the metacarpal. Complete amputation with closure of the interdigital space is effective but most parents want to save any digit of their child. We prefer to release the syndactyly and save the finger, with its shortened three phalanges, during childhood. Our parents and patients have been satisfied with the short digit. At a later age the metacarpal of the hypoplastic finger can be fused to one or the other adjacent metacarpals. Alternative methods to increase function and improve appearance are presented.</abstract><cop>New york, NY</cop><pub>Elsevier Inc</pub><pmid>7963333</pmid><doi>10.1016/0363-5023(94)90282-8</doi><tpages>5</tpages></addata></record> |
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| ispartof | The Journal of hand surgery (American ed.), 1994-07, Vol.19 (4), p.681-685 |
| issn | 0363-5023 1531-6564 |
| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Biological and medical sciences Diseases of the osteoarticular system Female Fingers - abnormalities Fingers - surgery Humans Male Malformations and congenital and or hereditary diseases involving bones. Joint deformations Medical sciences Metacarpus - abnormalities Metacarpus - surgery |
| title | Treatment of finger dysplasia with metacarpal base defect |
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