Unusual case of cleft hand
We present a case of a six-year-old male child with cleft hand deformity involving the dominant right hand. It was a rare case of atypical cleft hand with no missing tissue but cleft extending to metacarpal level and associated hypoplasia of thumb and index finger. As per Manske′s classif...
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Thieme Medical Publishers, Inc.
2007-01-01
|
| Series: | Indian Journal of Plastic Surgery |
| Subjects: | |
| Online Access: | http://www.ijps.org/article.asp?issn=0970-0358;year=2007;volume=40;issue=2;spage=205;epage=208;aulast=Sahasrabudhe |
| _version_ | 1818112205145505792 |
|---|---|
| author | Sahasrabudhe Parag Kulkarni Madhuri |
| author_facet | Sahasrabudhe Parag Kulkarni Madhuri |
| author_sort | Sahasrabudhe Parag |
| collection | DOAJ |
| description | We present a case of a six-year-old male child with cleft hand deformity involving the dominant right hand. It was a rare case of atypical cleft hand with no missing tissue but cleft extending to metacarpal level and associated hypoplasia of thumb and index finger. As per Manske′s classification of cleft hand our patient belongs to the Class III variety. There was associated malposition of the index finger with absence of first web space and syndactly of thumb and index finger at the metacarpal level. A modified Snow-Littler procedure was planned. The surgical plan involved closure of cleft, release of thumb and index finger syndactly and reconstruction of the first web space. The functional outcome was good considering hypoplasia of the index finger and thumb. Depending upon the function of the thumb tendon transfers can be planned to augment thumb function at a later date along with correction of rotational deformities of the index and middle finger. |
| first_indexed | 2024-12-11T03:15:14Z |
| format | Article |
| id | doaj.art-50c4fc5e93f64ddf82afae3cac8b6da4 |
| institution | Directory Open Access Journal |
| issn | 0970-0358 |
| language | English |
| last_indexed | 2024-12-11T03:15:14Z |
| publishDate | 2007-01-01 |
| publisher | Thieme Medical Publishers, Inc. |
| record_format | Article |
| series | Indian Journal of Plastic Surgery |
| spelling | doaj.art-50c4fc5e93f64ddf82afae3cac8b6da42022-12-22T01:22:46ZengThieme Medical Publishers, Inc.Indian Journal of Plastic Surgery0970-03582007-01-01402205208Unusual case of cleft handSahasrabudhe ParagKulkarni MadhuriWe present a case of a six-year-old male child with cleft hand deformity involving the dominant right hand. It was a rare case of atypical cleft hand with no missing tissue but cleft extending to metacarpal level and associated hypoplasia of thumb and index finger. As per Manske′s classification of cleft hand our patient belongs to the Class III variety. There was associated malposition of the index finger with absence of first web space and syndactly of thumb and index finger at the metacarpal level. A modified Snow-Littler procedure was planned. The surgical plan involved closure of cleft, release of thumb and index finger syndactly and reconstruction of the first web space. The functional outcome was good considering hypoplasia of the index finger and thumb. Depending upon the function of the thumb tendon transfers can be planned to augment thumb function at a later date along with correction of rotational deformities of the index and middle finger.http://www.ijps.org/article.asp?issn=0970-0358;year=2007;volume=40;issue=2;spage=205;epage=208;aulast=SahasrabudheCentral hand deficitcleft handsplit hand |
| spellingShingle | Sahasrabudhe Parag Kulkarni Madhuri Unusual case of cleft hand Indian Journal of Plastic Surgery Central hand deficit cleft hand split hand |
| title | Unusual case of cleft hand |
| title_full | Unusual case of cleft hand |
| title_fullStr | Unusual case of cleft hand |
| title_full_unstemmed | Unusual case of cleft hand |
| title_short | Unusual case of cleft hand |
| title_sort | unusual case of cleft hand |
| topic | Central hand deficit cleft hand split hand |
| url | http://www.ijps.org/article.asp?issn=0970-0358;year=2007;volume=40;issue=2;spage=205;epage=208;aulast=Sahasrabudhe |
| work_keys_str_mv | AT sahasrabudheparag unusualcaseofclefthand AT kulkarnimadhuri unusualcaseofclefthand |