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Short phalanx of the thumb

MedGen UID:
867053
•Concept ID:
C4021411
•
Anatomical Abnormality
Synonyms: Hypoplastic thumb phalanges; Hypoplastic/small phalanges of the thumb; Short thumb bone; Short thumb phalanges
 
HPO: HP:0009660

Definition

Hypoplastic (short) thumb phalanx. [from HPO]

Professional guidelines

PubMed

Physeal and periphyseal injuries of the hand. Patterns of injury and results of treatment.
Fischer MD, McElfresh EC
Hand Clin 1994 May;10(2):287-301. PMID: 8040207

Recent clinical studies

Etiology

Open-wedge osteotomy for thumb radial angulation in Apert syndrome using a bone-graft substitute.
Shintani K, Kazuki K, Nakagawa K, Hosomi R, Kitano T
J Pediatr Orthop B 2022 Sep 1;31(5):500-504. Epub 2021 Dec 2 doi: 10.1097/BPB.0000000000000938. PMID: 35438886
Distraction Lengthening of the Apert Thumb.
Upton J, McNamara CT, Ali B, Nuzzi LC, Taghinia AH, Labow BI
Plast Reconstr Surg 2022 Apr 1;149(4):691e-699e. doi: 10.1097/PRS.0000000000008929. PMID: 35157629
Distraction lengthening by callotasis of traumatically shortened bones of the hand.
Hosny GA, Kandel WA
J Trauma Acute Care Surg 2012 Jun;72(6):1676-80. doi: 10.1097/TA.0b013e31824b177a. PMID: 22695440
Evaluation of function and appearance of adults with untreated triphalangeal thumbs.
Zuidam JM, de Kraker M, Selles RW, Hovius SE
J Hand Surg Am 2010 Jul;35(7):1146-52. Epub 2010 Jun 19 doi: 10.1016/j.jhsa.2010.03.033. PMID: 20561755
The anatomy and management of the thumb in Apert syndrome.
Fereshetian S, Upton J
Clin Plast Surg 1991 Apr;18(2):365-80. PMID: 2065494

Diagnosis

Thumb Metacarpophalangeal Joint Ulnar Collateral Ligament Injuries: Management and Biomechanical Evaluation.
Chang AL, Merkow DB, Bookman JS, Glickel SZ
J Am Acad Orthop Surg 2023 Jan 1;31(1):7-16. doi: 10.5435/JAAOS-D-22-00112. PMID: 36548149
Hypothesis: Symbrachydactyly.
Holmes LB, Nasri HZ
Am J Med Genet A 2022 Nov;188(11):3236-3241. Epub 2022 Sep 8 doi: 10.1002/ajmg.a.62941. PMID: 36073773
Acrometastases to the Hand: A Systematic Review.
Umana GE, Scalia G, Palmisciano P, Passanisi M, Da Ros V, Pompili G, Barone F, Amico P, Tomasi SO, Graziano F, Patti IV, Mele S, Maugeri R, Raffa G, Giammalva GR, Iacopino GD, Germanò A, Nicoletti GF, Ippolito M, Sabini MG, Cicero S, Strigari L, Cuttone G
Medicina (Kaunas) 2021 Sep 9;57(9) doi: 10.3390/medicina57090950. PMID: 34577873Free PMC Article
Contribution of different somatosensory afferent input to subcortical somatosensory evoked potentials in humans.
Insola A, Mazzone P, Scarnati E, Restuccia D, Valeriani M
Clin Neurophysiol 2021 Oct;132(10):2357-2364. Epub 2021 Aug 8 doi: 10.1016/j.clinph.2021.06.033. PMID: 34454262
Evaluation of function and appearance of adults with untreated triphalangeal thumbs.
Zuidam JM, de Kraker M, Selles RW, Hovius SE
J Hand Surg Am 2010 Jul;35(7):1146-52. Epub 2010 Jun 19 doi: 10.1016/j.jhsa.2010.03.033. PMID: 20561755

Therapy

Debris of carbon-fibers originated from a CFRP (pEEK) wrist-plate triggered a destruent synovitis in human.
Merolli A, Rocchi L, De Spirito M, Federico F, Morini A, Mingarelli L, Fanfani F
J Mater Sci Mater Med 2016 Mar;27(3):50. Epub 2016 Jan 12 doi: 10.1007/s10856-015-5664-3. PMID: 26758897
Percutaneous Distraction Pinning for Metacarpophalangeal Joint Stabilization After Blast or Crush Injuries of the Hand.
Langford MA, Cheung K, Li Z
Clin Orthop Relat Res 2015 Sep;473(9):2785-9. doi: 10.1007/s11999-015-4233-x. PMID: 25754757Free PMC Article
A molecular and clinical study of Larsen syndrome caused by mutations in FLNB.
Bicknell LS, Farrington-Rock C, Shafeghati Y, Rump P, Alanay Y, Alembik Y, Al-Madani N, Firth H, Karimi-Nejad MH, Kim CA, Leask K, Maisenbacher M, Moran E, Pappas JG, Prontera P, de Ravel T, Fryns JP, Sweeney E, Fryer A, Unger S, Wilson LC, Lachman RS, Rimoin DL, Cohn DH, Krakow D, Robertson SP
J Med Genet 2007 Feb;44(2):89-98. Epub 2006 Jun 26 doi: 10.1136/jmg.2006.043687. PMID: 16801345Free PMC Article
Biomechanical evaluation of thumb opposition transfer insertion sites.
Roach SS, Short WH, Werner FW, Fortino MD
J Hand Surg Am 2001 Mar;26(2):354-61. doi: 10.1053/jhsu.2001.20965. PMID: 11279584

Prognosis

Acrometastases to the Hand: A Systematic Review.
Umana GE, Scalia G, Palmisciano P, Passanisi M, Da Ros V, Pompili G, Barone F, Amico P, Tomasi SO, Graziano F, Patti IV, Mele S, Maugeri R, Raffa G, Giammalva GR, Iacopino GD, Germanò A, Nicoletti GF, Ippolito M, Sabini MG, Cicero S, Strigari L, Cuttone G
Medicina (Kaunas) 2021 Sep 9;57(9) doi: 10.3390/medicina57090950. PMID: 34577873Free PMC Article
Application of C-Shaped Osteotomy and Distraction Osteogenesis for Correction of Radial Angulation Deformities of the Hand in Children With Apert Syndrome: Review of 10 Years of Experience.
Vargel I, Calis M, Cavusoglu T, Ekin O, Oznur A
Ann Plast Surg 2015 Nov;75(5):513-7. doi: 10.1097/SAP.0000000000000353. PMID: 25275478
Distraction lengthening by callotasis of traumatically shortened bones of the hand.
Hosny GA, Kandel WA
J Trauma Acute Care Surg 2012 Jun;72(6):1676-80. doi: 10.1097/TA.0b013e31824b177a. PMID: 22695440
The use of dental implants to retain thumb prostheses: a short-term evaluation of 2 cases.
Aydin C, Karakoca S, Yilmaz H, Yilmaz C, Yamalik K
Int J Prosthodont 2008 Mar-Apr;21(2):138-40. PMID: 18546768
Evidence from the use of vibration that the human long-latency stretch reflex depends upon spindle secondary afferents.
Matthews PB
J Physiol 1984 Mar;348:383-415. doi: 10.1113/jphysiol.1984.sp015116. PMID: 6232375Free PMC Article

Clinical prediction guides

Back to basics with distal thumb reconstruction. Easy management of the incomplete amputation.
Losco L, Kaciulyte J, Delia G, Bolletta A, Lo Torto F, Di Taranto G, Ribuffo D, Cigna E
J Invest Surg 2021 Jun;34(6):595-600. Epub 2019 Oct 7 doi: 10.1080/08941939.2019.1672840. PMID: 31590590
New Developments Are Improving Flexor Tendon Repair.
Tang JB
Plast Reconstr Surg 2018 Jun;141(6):1427-1437. doi: 10.1097/PRS.0000000000004416. PMID: 29579022
Evaluation of function and appearance of adults with untreated triphalangeal thumbs.
Zuidam JM, de Kraker M, Selles RW, Hovius SE
J Hand Surg Am 2010 Jul;35(7):1146-52. Epub 2010 Jun 19 doi: 10.1016/j.jhsa.2010.03.033. PMID: 20561755
A molecular and clinical study of Larsen syndrome caused by mutations in FLNB.
Bicknell LS, Farrington-Rock C, Shafeghati Y, Rump P, Alanay Y, Alembik Y, Al-Madani N, Firth H, Karimi-Nejad MH, Kim CA, Leask K, Maisenbacher M, Moran E, Pappas JG, Prontera P, de Ravel T, Fryns JP, Sweeney E, Fryer A, Unger S, Wilson LC, Lachman RS, Rimoin DL, Cohn DH, Krakow D, Robertson SP
J Med Genet 2007 Feb;44(2):89-98. Epub 2006 Jun 26 doi: 10.1136/jmg.2006.043687. PMID: 16801345Free PMC Article
The anatomy and management of the thumb in Apert syndrome.
Fereshetian S, Upton J
Clin Plast Surg 1991 Apr;18(2):365-80. PMID: 2065494

Recent systematic reviews

Acrometastases to the Hand: A Systematic Review.
Umana GE, Scalia G, Palmisciano P, Passanisi M, Da Ros V, Pompili G, Barone F, Amico P, Tomasi SO, Graziano F, Patti IV, Mele S, Maugeri R, Raffa G, Giammalva GR, Iacopino GD, Germanò A, Nicoletti GF, Ippolito M, Sabini MG, Cicero S, Strigari L, Cuttone G
Medicina (Kaunas) 2021 Sep 9;57(9) doi: 10.3390/medicina57090950. PMID: 34577873Free PMC Article

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