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Semin Plast Surg 2016; 30(04): 181-188
DOI: 10.1055/s-0036-1593736
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

The Duplicated Thumb: A Review

Renae D. Van Wyhe
1   Division of Plastic Surgery, Baylor College of Medicine, Houston, Texas
,
Jeffrey G. Trost
1   Division of Plastic Surgery, Baylor College of Medicine, Houston, Texas
,
John C. Koshy
1   Division of Plastic Surgery, Baylor College of Medicine, Houston, Texas
,
William C. Pederson
1   Division of Plastic Surgery, Baylor College of Medicine, Houston, Texas
› Institutsangaben
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Publikationsdatum:
18. November 2016 (online)

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Abstract

Preaxial polydactyly is a common, often sporadic, congenital anomaly that must be addressed surgically early in life. Ideally, the surgeon seeks to accomplish three goals: construction of a thumb that is adequate in size, preservation of pinch function, and reconstruction of all components in one procedure. Although each case is unique, several classification systems attempt to describe the various types.

In this article, the authors discuss the various classification systems, procedures, and outcomes after surgery for pediatric thumb duplication.

Keywords

thumb duplication - wassel classification - preaxial polydactyly - Bilhaut-Cloquet procedure - ablation - reconstruction
 

  • References

  • 1 Chong AKS. Common congenital hand conditions. Singapore Med J 2010; 51 (12) 965-971
    PubMedSuche in Google Scholar
  • 2 Dobyns JH, Lipscomb PR, Cooney WP. Management of thumb duplication. Clin Orthop Relat Res 1985; (195) 26-44
    PubMedSuche in Google Scholar
  • 3 Ogino T, Ishii S, Takahata S, Kato H. Long-term results of surgical treatment of thumb polydactyly. J Hand Surg Am 1996; 21 (3) 478-486
    CrossrefPubMedSuche in Google Scholar
  • 4 Tada K, Yonenobu K, Tsuyuguchi Y, Kawai H, Egawa T. Duplication of the thumb. A retrospective review of two hundred and thirty-seven cases. J Bone Joint Surg Am 1983; 65 (5) 584-598
    CrossrefPubMedSuche in Google Scholar
  • 5 Townsend DJ, Lipp Jr EB, Chun K, Reinker K, Tuch B. Thumb duplication, 66 years' experience--a review of surgical complications. J Hand Surg Am 1994; 19 (6) 973-976
    CrossrefPubMedSuche in Google Scholar
  • 6 Tonkin MA. Thumb duplication: concepts and techniques. Clin Orthop Surg 2012; 4 (1) 1-17
    PubMedSuche in Google Scholar
  • 7 Graham TJ, Ress AM. Finger polydactyly. Hand Clin 1998; 14 (1) 49-64
    PubMedSuche in Google Scholar
  • 8 Oberg KC, Greer LF, Naruse T. Embryology of the upper limb: the molecular orchestration of morphogenesis. Handchir Mikrochir Plast Chir 2004; 36 (2–3) 98-107
    Thieme ConnectPubMedSuche in Google Scholar
  • 9 Lee CC, Park HY, Yoon JO, Lee KW. Correction of Wassel type IV thumb duplication with zigzag deformity: results of a new method of flexor pollicis longus tendon relocation. J Hand Surg Eur Vol 2013; 38 (3) 272-280
    CrossrefPubMedSuche in Google Scholar
  • 10 Engelhardt TO, Baur EM, Pedross F, Piza-Katzer H. Supporting the collateral ligament complex in radial polydactyly type Wassel IV. J Plast Reconstr Aesthet Surg 2013; 66 (1) 104-112
    CrossrefPubMedSuche in Google Scholar
  • 11 Samson P, Salazard B, Magalon G. The “Bilhaut-Cloquet” technique for treatment of thumb duplication. Handchir Mikrochir Plast Chir 2004; 36 (2–3) 141-145
    Thieme ConnectPubMedSuche in Google Scholar
  • 12 Patel AU, Tonkin MA, Smith BJ, Alshehri AH, Lawson RD. Factors affecting surgical results of Wassel type IV thumb duplications. J Hand Surg Eur Vol 2014; 39 (9) 934-943
    CrossrefPubMedSuche in Google Scholar
  • 13 Chung MS, Baek GH, Gong HS, Lee HJ, Kim J, Rhee SH. Radial polydactyly: proposal for a new classification system based on the 159 duplicated thumbs. J Pediatr Orthop 2013; 33 (2) 190-196
    CrossrefPubMedSuche in Google Scholar
  • 14 Stutz C, Mills J, Wheeler L, Ezaki M, Oishi S. Long-term outcomes following radial polydactyly reconstruction. J Hand Surg Am 2014; 39 (8) 1549-1552
    CrossrefPubMedSuche in Google Scholar
  • 15 Flatt AE. The Care of Congenital Hand Anomalies. St. Louis, MO: Mosby; 1977: 99-117
    Suche in Google Scholar
  • 16 Buck-Gramcko D, Behrens P. [Classification of polydactyly of the hand and foot]. Handchir Mikrochir Plast Chir 1989; 21 (4) 195-204
    PubMedSuche in Google Scholar
  • 17 Dijkman RR, van Nieuwenhoven CA, Hovius SE, Hülsemann W. Clinical presentation, surgical treatment, and outcome in radial polydactyly. Handchir Mikrochir Plast Chir 2016; 48 (1) 10-17
    Thieme ConnectPubMedSuche in Google Scholar
  • 18 Zuidam JM, Selles RW, Ananta M, Runia J, Hovius SER. A classification system of radial polydactyly: inclusion of triphalangeal thumb and triplication. J Hand Surg Am 2008; 33 (3) 373-377
    PubMedSuche in Google Scholar
  • 19 Dijkman RR, van Nieuwenhoven CA, Selles RW, Habenicht R, Hovius SE. A multicenter comparative study of two classification systems for radial polydactyly. Plast Reconstr Surg 2014; 134 (5) 991-1001
    CrossrefPubMedSuche in Google Scholar
  • 20 Hamosh A, Scott AF, Amberger J, Valle D, McKusick VA. Online Mendelian inheritance in man (OMIM). Hum Mutat 2000; 15 (1) 57-61
    CrossrefPubMedSuche in Google Scholar
  • 21 Gerety EL, Grant I, Hopper MA. Radiological imaging of congenital hand anomalies--a 6-year single-centre experience and what the hand surgeons want to know. Skeletal Radiol 2015; 44 (4) 549-556
    CrossrefPubMedSuche in Google Scholar
  • 22 Wolfe SW, Hotchkiss RN, Pederson WC, Kozin SH, Cohen MS , eds. Green's Operative Hand Surgery. 7th ed. Philadelphia, PA: Elsevier; 2017: 1304-1315
    Suche in Google Scholar
  • 23 Ezaki M. Radial polydactyly. Hand Clin 1990; 6 (4) 577-588
    PubMedSuche in Google Scholar
  • 24 Lister G. Pollex abductus in hypoplasia and duplication of the thumb. J Hand Surg Am 1991; 16 (4) 626-633
    CrossrefPubMedSuche in Google Scholar
  • 25 Coombs CJ, Richardson PW, Johnstone BR, Tan SC. The “U-ligament” for collateral ligament reconstruction in duplicate thumb. Hand Surg 2005; 10 (2–3) 237-241
    CrossrefPubMedSuche in Google Scholar
  • 26 Marks TW, Bayne LG. Polydactyly of the thumb: abnormal anatomy and treatment. J Hand Surg Am 1978; 3 (2) 107-116
    CrossrefPubMedSuche in Google Scholar
  • 27 Manske PR. Treatment of duplicated thumb using a ligamentous/periosteal flap. J Hand Surg Am 1989; 14 (4) 728-733
    CrossrefPubMedSuche in Google Scholar
  • 28 Ikuta Y. Thumb duplication. In: Buck-Gramcko D, , ed. Congenital Malformations of the Hand and Forearm. London: Churchill Livingstone; 1998: 225-236
    Suche in Google Scholar
  • 29 Baek GH, Gong HS, Chung MS, Oh JH, Lee YH, Lee SK. Modified Bilhaut-Cloquet procedure for Wassel type-II and III polydactyly of the thumb. J Bone Joint Surg Am 2007; 89 (3) 534-541
    CrossrefPubMedSuche in Google Scholar
  • 30 Ogino T, Ishii S, Kato H. Opposable triphalangeal thumb: clinical features and results of treatment. J Hand Surg Am 1994; 19 (1) 39-47
    PubMedSuche in Google Scholar
  • 31 Wood VE. Polydactyly and the triphalangeal thumb. J Hand Surg Am 1978; 3 (5) 436-444
    CrossrefPubMedSuche in Google Scholar
  • 32 Horii E, Nakamura R, Sakuma M, Miura T. Duplicated thumb bifurcation at the metacarpophalangeal joint level: factors affecting surgical outcome. J Hand Surg Am 1997; 22 (4) 671-679
    CrossrefPubMedSuche in Google Scholar
  • 33 Ogino T, Ishii S, Minami M. Radially deviated type of thumb polydactyly. J Hand Surg [Br] 1988; 13 (3) 315-319
    CrossrefPubMedSuche in Google Scholar
  • 34 Tonkin MA, Bulstrode NW. The Bilhaut-Cloquet procedure for Wassel types III, IV and VII thumb duplication. J Hand Surg Eur Vol 2007; 32 (6) 684-693
    CrossrefPubMedSuche in Google Scholar
  • 35 Naasan A, Page RE. Duplication of the thumb. A 20-year retrospective review. J Hand Surg [Br] 1994; 19 (3) 355-360
    CrossrefPubMedSuche in Google Scholar
  • 36 Hogan CJ, Ruland RT, Levin LS. Reconstruction of the ulnar collateral ligament of the thumb metacarpophalangeal joint: a cadaver study. J Hand Surg Am 2005; 30 (2) 394-399
    CrossrefPubMedSuche in Google Scholar
  • 37 Larsen M, Nicolai JPA. Long-term follow-up of surgical treatment for thumb duplication. J Hand Surg [Br] 2005; 30 (3) 276-281
    CrossrefPubMedSuche in Google Scholar
  • 38 Cohen MS. Thumb duplication. Hand Clin 1998; 14 (1) 17-27
    PubMedSuche in Google Scholar
  • 39 Goldfarb CA, Patterson JM, Maender A, Manske PR. Thumb size and appearance following reconstruction of radial polydactyly. J Hand Surg Am 2008; 33 (8) 1348-1353
    CrossrefPubMedSuche in Google Scholar