Congenital Clasped Thumb That Is Forgetten a Syndrome in Clinical Practice

Serbest, Sancar; Tosun, Hacı Bayram; Tiftikçi, Uğur; Gümüştaş, Seyit Ali; Uludağ, Abuzer

doi:10.1097/md.0000000000001630

Cited by 8 publications

(18 citation statements)

References 13 publications

(25 reference statements)

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“…In most cases it is diagnosed after third month of life, due to natural for infants to this age position of thumb within the hand but it can also be diagnosed via radiological imaging or the autopsy. [8,11,13]. It is usually observed as an accompanying syndrome in serious genetic dysfunctions.…”

Section: Discussionmentioning

confidence: 99%

“…There is also an option of conservative treatment of splinting followed by manual therapy. Unfortunately, it is considered applicable only in very mild cases and with the youngest of patients -Al Smail in his case report described a five year old girl as too old for conservative treatment -it is also considered ineffective in cases of complete agenesis of EPB [1,8].…”

Section: Discussionmentioning

confidence: 99%

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A fully capable pianist with a congenital bilateral agenesis of extensor pollicis brevis muscle

et al. 2023

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

A fully capable pianist with a congenital bilateral agenesis of extensor pollicis brevis muscle

et al. 2023

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“…Representative conditions that can cause flexion deformity of the pediatric thumb are congenital clasped thumb and trigger thumb. Trigger thumb and clasped thumb are characterized by flexion of the IPJ and MPJ, respectively ( 3 , 4 , 7 – 9 ). However, newborns hold the thumb in their palm until 3–4 months of age ( 10 ), and it is not easy to differentiate between these two conditions until the appropriate age to check the thumb's function is reached.…”

Section: Discussionmentioning

confidence: 99%

“…The patient in this report was misdiagnosed with a trigger thumb, and after receiving the A1 pulley release, the flexion deformity gradually progressed. We attempted to evaluate the characteristics of the clasped thumb and review the literature ( 3 – 5 , 7 , 11 – 15 ).…”

Section: Discussionmentioning

confidence: 99%

Characteristics of Congenital Clasped Thumb: A Case Report and Literature Review

2021

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Congenital clasped thumb is a progressive flexion and adduction deformity presenting with heterogeneous congenital abnormalities and syndromes. This deformity is usually accompanied by first web space narrowing and metacarpophalangeal joint (MPJ) laxity. Understanding the various features of the clasped thumb and making an accurate diagnosis is essential for treatment. Depending on the classification, treatment can vary from conservative to surgical. We describe the case of a bilateral clasped thumb with various characteristics, which were treated differently according to the disease type. The deformity of the clasped thumb was bilateral, and the patient had MPJ flexion deformity, flexor pollicis longus shortening, first web space narrowing, and MPJ instability, which were confirmed through a stress test. The left thumb was a complex type and was surgically treated, whereas, the right thumb was a flexible type, which was treated with splinting; the treatment showed promising results at 2 years post surgery. Diagnosis of the clasped thumb through thorough history taking, physical examination and considering its characteristics, and appropriate classification of the disease is essential for treatment. Furthermore, a stress test can identify MPJ instability in the congenital clasped thumb.

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“…Serbest et al 26 reported a 4-year-old girl with congenital clasped thumb anomaly as a result of the absence of extensor pollicis brevis tendon with treatment such as extensor indicis proprius (EIP) transfer and z-plasty reconstruction to first web space. The deformity related to the absence of tendon in cases of isolated clasped thumb deformity with treatment attempts such as splinting and physical treatment have not been successful, EIP tendon transfer and reconstruction of contracture in first web space with Z-plasty are a simple and yet effective method to obtain functional improvement.…”

Section: Discussionmentioning

confidence: 99%

Mermaid Syndrome: A Case Report of a Rare Congenital Anomaly in Full-Term Neonate with Thumb Deformity

Taee

Tarhani

Goodarzi

et al. 2018

AJP Rep

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The mermaid syndrome (sirenomelia) is an extremely rare anomaly, an incidence of 1 in 100,000 births, in which a newborn born with legs joined together featuring a mermaid-like appearance (head and trunk like humans and tail like fish), and in most cases die shortly after birth. Gastrointestinal and urogenital anomalies and single umbilical artery are clinical outcome of this syndrome. There are two important hypotheses for pathogenesis of mermaid syndrome: vitelline artery steal hypothesis and defective blastogenesis hypothesis. The cause of the mermaid syndrome is unknown, but there are some possible factors such as age younger than 20 years and older than 40 years in mother and exposure of fetus to teratogenics. Here, we introduced 19-year-old mother's first neonate with mermaid syndrome. The mother had gestational diabetes mellitus and neonate was born with single lower limb, ambiguous genitalia, and thumb anomalies, and 4 days after birth, the neonate died due to multiple anomalies and imperforated anus.

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Congenital Clasped Thumb That Is Forgetten a Syndrome in Clinical Practice

Cited by 8 publications

References 13 publications

A fully capable pianist with a congenital bilateral agenesis of extensor pollicis brevis muscle

A fully capable pianist with a congenital bilateral agenesis of extensor pollicis brevis muscle

Characteristics of Congenital Clasped Thumb: A Case Report and Literature Review

Mermaid Syndrome: A Case Report of a Rare Congenital Anomaly in Full-Term Neonate with Thumb Deformity

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