Flexion contracture of the thumb: A malignant etiology
A patient was first seen with a flexion deformity of the thumb interphalangeal joint that was initially diagnosed and treated as traumatic in origin. A painful forearm soft tissue mass was ultimately discovered; biopsy of the flexor pollicis longus tendon showed metastatic adenocarcinoma. Extensive...
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Veröffentlicht in: | The Journal of hand surgery (American ed.) 1989-07, Vol.14 (4), p.736-738 |
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description | A patient was first seen with a flexion deformity of the thumb interphalangeal joint that was initially diagnosed and treated as traumatic in origin. A painful forearm soft tissue mass was ultimately discovered; biopsy of the flexor pollicis longus tendon showed metastatic adenocarcinoma. Extensive evaluation failed to locate the origin of the primary tumor. Treatment consisted of local radiation and systemic chemotherapy. After 1 year, the patient is alive and well, has no evidence of disease, and refuses correction of the thumb interphalangeal flexion contracture. |
doi_str_mv | 10.1016/0363-5023(89)90202-5 |
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A painful forearm soft tissue mass was ultimately discovered; biopsy of the flexor pollicis longus tendon showed metastatic adenocarcinoma. Extensive evaluation failed to locate the origin of the primary tumor. Treatment consisted of local radiation and systemic chemotherapy. After 1 year, the patient is alive and well, has no evidence of disease, and refuses correction of the thumb interphalangeal flexion contracture.</description><identifier>ISSN: 0363-5023</identifier><identifier>EISSN: 1531-6564</identifier><identifier>DOI: 10.1016/0363-5023(89)90202-5</identifier><identifier>PMID: 2754210</identifier><identifier>CODEN: JHSUDV</identifier><language>eng</language><publisher>New york, NY: Elsevier Inc</publisher><subject>Adenocarcinoma - complications ; Adenocarcinoma - secondary ; Biological and medical sciences ; Breast Neoplasms ; Contracture - etiology ; Diseases of the osteoarticular system ; Female ; Finger Joint ; Forearm ; Humans ; Medical sciences ; Middle Aged ; Muscular Diseases - complications ; Thumb ; Tumors of striated muscle and skeleton</subject><ispartof>The Journal of hand surgery (American ed.), 1989-07, Vol.14 (4), p.736-738</ispartof><rights>1989 American Society for Surgery of the Hand</rights><rights>1991 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c336t-ee7cb094758c0753b0a1c941ee8870ca08fe079c40d6d09991f2f4a8666038493</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/0363502389902025$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3536,27903,27904,65309</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=19274863$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/2754210$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>McGraw, Joseph M.</creatorcontrib><creatorcontrib>Stern, Peter J.</creatorcontrib><title>Flexion contracture of the thumb: A malignant etiology</title><title>The Journal of hand surgery (American ed.)</title><addtitle>J Hand Surg Am</addtitle><description>A patient was first seen with a flexion deformity of the thumb interphalangeal joint that was initially diagnosed and treated as traumatic in origin. A painful forearm soft tissue mass was ultimately discovered; biopsy of the flexor pollicis longus tendon showed metastatic adenocarcinoma. Extensive evaluation failed to locate the origin of the primary tumor. Treatment consisted of local radiation and systemic chemotherapy. After 1 year, the patient is alive and well, has no evidence of disease, and refuses correction of the thumb interphalangeal flexion contracture.</description><subject>Adenocarcinoma - complications</subject><subject>Adenocarcinoma - secondary</subject><subject>Biological and medical sciences</subject><subject>Breast Neoplasms</subject><subject>Contracture - etiology</subject><subject>Diseases of the osteoarticular system</subject><subject>Female</subject><subject>Finger Joint</subject><subject>Forearm</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Muscular Diseases - complications</subject><subject>Thumb</subject><subject>Tumors of striated muscle and skeleton</subject><issn>0363-5023</issn><issn>1531-6564</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1989</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kEtLxDAQx4Mo6_r4Bgq9KHqoTppHEw-CLL5gwYueQzadaqRtNGlFv71dd9Gbh2EO_8cMP0IOKJxRoPIcmGS5gIKdKH2qoYAiFxtkSgWjuRSSb5Lpr2Wb7KT0CjDmmJiQSVEKXlCYEnnT4KcPXeZC10fr-iFiFuqsf8FxhnZxkV1lrW38c2e7PsPehyY8f-2Rrdo2CffXe5c83Vw_zu7y-cPt_exqnjvGZJ8jlm4BmpdCOSgFW4ClTnOKqFQJzoKqEUrtOFSyAq01rYuaWyWlBKa4ZrvkeNX7FsP7gKk3rU8Om8Z2GIZkSk0pZZSNRr4yuhhSilibt-hbG78MBbPEZZYszJKFUdr84DJijB2u-4dFi9VvaM1n1I_Wuk3ONnW0nfPpr1sXJVdyef5y5cMRxofHaJLz2DmsfETXmyr4_x_5BsN0hAc</recordid><startdate>19890701</startdate><enddate>19890701</enddate><creator>McGraw, Joseph M.</creator><creator>Stern, Peter J.</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19890701</creationdate><title>Flexion contracture of the thumb: A malignant etiology</title><author>McGraw, Joseph M. ; Stern, Peter J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c336t-ee7cb094758c0753b0a1c941ee8870ca08fe079c40d6d09991f2f4a8666038493</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1989</creationdate><topic>Adenocarcinoma - complications</topic><topic>Adenocarcinoma - secondary</topic><topic>Biological and medical sciences</topic><topic>Breast Neoplasms</topic><topic>Contracture - etiology</topic><topic>Diseases of the osteoarticular system</topic><topic>Female</topic><topic>Finger Joint</topic><topic>Forearm</topic><topic>Humans</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Muscular Diseases - complications</topic><topic>Thumb</topic><topic>Tumors of striated muscle and skeleton</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>McGraw, Joseph M.</creatorcontrib><creatorcontrib>Stern, Peter J.</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>McGraw, Joseph M.</au><au>Stern, Peter J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Flexion contracture of the thumb: A malignant etiology</atitle><jtitle>The Journal of hand surgery (American ed.)</jtitle><addtitle>J Hand Surg Am</addtitle><date>1989-07-01</date><risdate>1989</risdate><volume>14</volume><issue>4</issue><spage>736</spage><epage>738</epage><pages>736-738</pages><issn>0363-5023</issn><eissn>1531-6564</eissn><coden>JHSUDV</coden><abstract>A patient was first seen with a flexion deformity of the thumb interphalangeal joint that was initially diagnosed and treated as traumatic in origin. A painful forearm soft tissue mass was ultimately discovered; biopsy of the flexor pollicis longus tendon showed metastatic adenocarcinoma. Extensive evaluation failed to locate the origin of the primary tumor. Treatment consisted of local radiation and systemic chemotherapy. After 1 year, the patient is alive and well, has no evidence of disease, and refuses correction of the thumb interphalangeal flexion contracture.</abstract><cop>New york, NY</cop><pub>Elsevier Inc</pub><pmid>2754210</pmid><doi>10.1016/0363-5023(89)90202-5</doi><tpages>3</tpages></addata></record> |
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subjects | Adenocarcinoma - complications Adenocarcinoma - secondary Biological and medical sciences Breast Neoplasms Contracture - etiology Diseases of the osteoarticular system Female Finger Joint Forearm Humans Medical sciences Middle Aged Muscular Diseases - complications Thumb Tumors of striated muscle and skeleton |
title | Flexion contracture of the thumb: A malignant etiology |
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