OBJECTIVE The management of triphalangism provides the age-old problem of marrying maximal functional benefit with acceptable cosmesis. The objective was to discuss the rare abnormality of bilateral triphalangeal thumb, the surgical existing surgical approaches, and to present a case in a pediatric patient who had a good result with a relatively simple and straightforward method of surgically m...

This article reports a systematic research effort aimed at establishing a normative database of thumb circumduction range of motion (ROM) and related kinematic characteristics in vivo while examining the effects of anthropometry, gender, and direction of rotation. Twenty-eight (14 men, 14 women) anthropometrically diverse participants performed maximum voluntary thumb circumductions as the traj...

Holt-Oram syndrome is an autosomal dominant disorder characterised by radial ray and congenital heart defects. Recently, a gene for this disorder has been identified on chromosome 12q24.1, encoding a T box transcription factor. However, the functional role of the gene product is not completely understood. We present results of neurological, radiological, and muscle magnetic resonance imaging (M...

We present a male infant with a giant omphalocele, diaphragmatic hernia, hepatic cyst, bilateral radioulnarsynostosis, absent leftthumb, and triphalangeal right thumb. History Prenatal. Polyhydramnios. Giant omphalocele shown by ultrasonography. Division of Clinical Genetics, Department of Paediatrics A, Rambam Medical Centre, PO Box 9602, 31096 Haifa, Israel. R Gershoni-Baruch Department of Ne...

F syndrome (acropectorovertebral syndrome) is a dominantly inherited skeletal dysplasia affecting the hands, feet, sternum, and lumbosacral spine, which has previously been described in only two families. Here we report a six generation Turkish family with a related but distinct dominantly inherited acropectoral syndrome. All 22 affected subjects have soft tissue syndactyly of all fingers and a...

A29-year-old woman presented with dizziness. Physical and radiographic examinations showed skeletal hand malformations, ie, digitalized triphalangeal thumbs and dystrophy of the carpal bones. When she was 15 years old, an atrial septal defect had been repaired. ECG recordings showed abnormalities of atrial excitation such as a wandering pacemaker, atrial ectopic activity, AV-nodal block, and si...