Congenital Contracture

Prevalence of little finger brachymesophalangia (BMP-V) in the Chinese population

“…In this study, clinodactyly is determined if angle of axis between distal phalanx and proximal phalanx is more than 10°. 7,8 All subjects with bilateral hand radiographs showed symmetrical findings concerning the presence of BMP-V (Figure 3).…”

Congenital deformities of the upper limbs. Part II: failure of formation and duplications

“…For type IIIB, there are surgical options consisting of creation of bone bridges between the first and second metacarpals, with the aim of stabilizing the thumb. Microsurgical transfers for reconstruction of the thumb have been described in case reports, but there is still room for discussion because of the inconstancy of the vessels and receptor structures [15], [30], [31], [33]…”

Simple Syndactyly Release With Dental Roll Dressing

“…There are multiple published techniques to create flaps for syndactyly,3–7 but very few articles provide guidance on dressing selection 8–12. Ezaki et al13 described a dressing consisting of cotton balls soaked in saline and wrapped in xeroform as a bolster to prevent distal advancement of the commissure with healing. We began placing a “dental roll” (Robinson Dental Rolls, Robinson Healthcare, Charlotte, NC) between the newly separated digits, seated deep in the commissure, to help not only with graft take and to seat the dorsal flap well into the web space, but also to prevent the newly separated digits from touching each other.…”

“…The use of the dental roll in the web space is novel and has the potential to enhance healing and perhaps prevent web creep. Although web creep is typically considered a long-term complication, the use of a bolster-type dressing after syndactyly release is advisable to serve as an early barrier to creep during the healing of the commissure closure 13. Nonetheless, the creation of a well-designed dorsal flap remains the most important technique to prevent web creep in the future.…”