Angular deformity of the thumb is most often caused by a delta phalanx or a longitudinally bracheted diaphysis in a triphalangeal thumb. In some angled thumb, however, triangular-shaped secondary ossification center can cause the deformity, which can be called “abnormal triangular epiphysis” of the thumb. A few clinicians have reported this entity, but they do that utilise this term instead cla...

Resently the authors had the opportunity of performing surgery of a trifurcated thumb, an extremely rare morphological polydactylous condition of the thumb. Trifurcated thumb had not been included under classification of polydactylous thumb heretofore. Comments were made on this entity from the standpoint of its morphology and consideration was given to its developmental mechanism. Also as surg...

Purpose. This study was conducted to identify the surface projection of the interosseous foramen and associated structures of the proximal leg using the average clinician's thumb width as a quick measurement to assist in differential diagnosis and treatment. Methods. Twelve cadavers (5 males and 7 females, age range = 51-91 years, and mean age = 76.9) were dissected for analysis. Location and s...

In patients with radial club hand (RCH), there is absence of the radius and severe hypoplasia of the thumb, so both wrist stabilization and thumb reconstruction are essential. When wrist stabilization is performed, recurrence of angulation is a problem. When thumb reconstruction is done, preservation of at least one major dorsal vein is important to prevent necrosis of the reconstructed thumb. ...

Thumb has a critical role in the hand function. It is the most important digit for pinching and grasping. Therefore, thumb amputation demands its replantation or reconstruction to restore the hand functions. A case of hand injury which involved multiple digits along with amputation of thumb is reported. The thumb had amputation level just distal to Metacarpophalangeal joint (MPj) along with amp...

A prospective study was undertaken of fifty-one patients who were randomly assigned to treatment with either a long or a short thumb-spica cast for a non-displaced fracture of the carpal scaphoid. The duration of follow-up was at least until union; the average follow-up was twelve months. Twenty-eight fractures were treated with a long thumb-spica cast and twenty-three, with a short thumb-spica...

The aim of this study was to determine whether differences exist between physiotherapists with work-related thumb pain and physiotherapists without thumb pain. Twenty-four physiotherapists with work-related thumb pain (Pain Group) and 20 physiotherapists without thumb or wrist pain (Non-pain Group), who were working at least 20 hours per week in an outpatient musculoskeletal setting, were compa...

A case is presented of arteriovenous malformation of the thumb, requiring thumb amputation and free fap coverage for curative treatment. The thumb was reconstructed by pollicization of the index finger as a secondary operation. The patient remains free of recurrence after 2 years and uses the pollicized thumb for daily activities.

Thumb hypoplasia is a component of radial longitudinal deficiency. The severity can range from slightly smaller thumb to complete absence. They are often categorised using Blauth classification recommend appropriate treatment. Type II characterised by the first web-space narrowing, underdeveloped or absence thenar muscles, extrinsic and metacarpophalangeal joint instability. author reviews 7-ye...

The importance of the thumb can be gauged from ancient Indian mythology where it is mentioned in the Mahabharatha. Drona poignantly demands the thumb as a gift for his gurudakshina from Ekalavya. As mentioned by Napier, the absence of the thumb, whether congenital or post-traumatic, significantly impairs hand function. Although technical advances have led to changes in surgical methods, the gen...