Atypical Wassel type VI thumb duplication treated with on-top plasty
Congenital thumb duplication is estimated to occur between 0.08 and 7.6 times per 1,000 live births; however its cause is still undetermined. In this report, we present a case of Wassel type VI thumb polydactyly. clinical examination revealed an optimal functional position and an aesthetically pleas...
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2024-03-01
|
| Series: | JPRAS Open |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S235258782300102X |
| _version_ | 1797291754798448640 |
|---|---|
| author | Krešimir Bulić Goran Tintor |
| author_facet | Krešimir Bulić Goran Tintor |
| author_sort | Krešimir Bulić |
| collection | DOAJ |
| description | Congenital thumb duplication is estimated to occur between 0.08 and 7.6 times per 1,000 live births; however its cause is still undetermined. In this report, we present a case of Wassel type VI thumb polydactyly. clinical examination revealed an optimal functional position and an aesthetically pleasing shape of the ulnar thumb as well as a superior nail and pulp. However, preoperative X-ray indicated a well formed carpometacarpal joint of the radial thumb compared to an underdeveloped CMC joint of the ulnar thumb. Through surgical procedure we combined the best parts of both thumbs with on-top plasty to achieve the most optimal outcome. In conclusion, it is important to determine an adequate treatment strategy for a patient based on both clinical and radiological assessments. |
| first_indexed | 2024-03-07T19:41:21Z |
| format | Article |
| id | doaj.art-2e2618d6c57d407999ce62c24bf2cc1e |
| institution | Directory Open Access Journal |
| issn | 2352-5878 |
| language | English |
| last_indexed | 2024-03-07T19:41:21Z |
| publishDate | 2024-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | JPRAS Open |
| spelling | doaj.art-2e2618d6c57d407999ce62c24bf2cc1e2024-02-29T05:19:35ZengElsevierJPRAS Open2352-58782024-03-0139207211Atypical Wassel type VI thumb duplication treated with on-top plastyKrešimir Bulić0Goran Tintor1Department of Surgery, University Hospital Centre Zagreb, University of Zagreb School of Medicine, Zagreb, Croatia, Kišpatićeva 12, 10000 Zagreb, CroatiaDeparment of Surgery, University Hospital Centre Split, Spinčićeva 1, 21000 Split, Croatia; Corresponding author.Congenital thumb duplication is estimated to occur between 0.08 and 7.6 times per 1,000 live births; however its cause is still undetermined. In this report, we present a case of Wassel type VI thumb polydactyly. clinical examination revealed an optimal functional position and an aesthetically pleasing shape of the ulnar thumb as well as a superior nail and pulp. However, preoperative X-ray indicated a well formed carpometacarpal joint of the radial thumb compared to an underdeveloped CMC joint of the ulnar thumb. Through surgical procedure we combined the best parts of both thumbs with on-top plasty to achieve the most optimal outcome. In conclusion, it is important to determine an adequate treatment strategy for a patient based on both clinical and radiological assessments.http://www.sciencedirect.com/science/article/pii/S235258782300102XChildOn-top plastySurgical proceduresThumb duplicationTreatment outcomeWassel type VI |
| spellingShingle | Krešimir Bulić Goran Tintor Atypical Wassel type VI thumb duplication treated with on-top plasty JPRAS Open Child On-top plasty Surgical procedures Thumb duplication Treatment outcome Wassel type VI |
| title | Atypical Wassel type VI thumb duplication treated with on-top plasty |
| title_full | Atypical Wassel type VI thumb duplication treated with on-top plasty |
| title_fullStr | Atypical Wassel type VI thumb duplication treated with on-top plasty |
| title_full_unstemmed | Atypical Wassel type VI thumb duplication treated with on-top plasty |
| title_short | Atypical Wassel type VI thumb duplication treated with on-top plasty |
| title_sort | atypical wassel type vi thumb duplication treated with on top plasty |
| topic | Child On-top plasty Surgical procedures Thumb duplication Treatment outcome Wassel type VI |
| url | http://www.sciencedirect.com/science/article/pii/S235258782300102X |
| work_keys_str_mv | AT kresimirbulic atypicalwasseltypevithumbduplicationtreatedwithontopplasty AT gorantintor atypicalwasseltypevithumbduplicationtreatedwithontopplasty |