Defining postoperative stability in children with radial polydactyly

Engelhardt, Timm Oliver; Djedovic, Gabriel; Pedross, Florian; Piza‐Katzer, Hildegunde

doi:10.1177/1753193415613583

Cited by 11 publications

(15 citation statements)

References 17 publications

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“…However, we found an inconsistent definition of instability. We agree with the criteria of MCP stability as defined by Engelhardt et al (2016) and would add that stability should be assessed both in extension and 30 of flexion and should account for malalignment at rest. Furthermore, a significant variability in physiological laxity (Engelhardt et al, 2016) must be considered.…”

Section: Discussionsupporting

confidence: 67%

A detailed analysis of long-term outcomes following reconstruction for congenital thumb hypoplasia

Mende

Suurmeijer

Mason

et al. 2021

J Hand Surg Eur Vol

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This retrospective study analyses long-term outcomes of reconstruction for congenital thumb hypoplasia Grades 2 and 3 A. In 22 thumbs (mean follow-up 9 years), instability of the metacarpophalangeal joint was found in 20 thumbs regardless of the method of reconstruction, double breasting of local tissue with or without adductor pollicis advancement or use of a slip of flexor digitorum superficialis to supplement local tissue. There was a trend towards a greater global strength, higher Kapandji score and better subjective function score when the abductor digiti minimi was used as an opposition transfer as compared with the flexor digitorum superficialis. Results for motion and subjective parameters were consistent with comparable studies though these comparisons are compromised by different methods of classification and assessment. Consistent application of an expanded Blauth grading system and a formal hypoplastic thumb score will improve the ability to compare pre- and postoperative status, different techniques and results from different centres. Level of evidence: IV

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Section: Discussionsupporting

confidence: 67%

A detailed analysis of long-term outcomes following reconstruction for congenital thumb hypoplasia

Mende

Suurmeijer

Mason

et al. 2021

J Hand Surg Eur Vol

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“…In our study, all the joint deviations were measured with the hands in a relaxed state rather than a passive one. Engelhardt et al (2015) reported that passive ulnar or radial deviation of 30° or less should be regarded as physiological in children. All of the distal deviation angles were greater than 30° in our study.…”

Section: Discussionmentioning

confidence: 99%

The anatomy of Wassel type IV-D thumb duplication

Liu

Guo

2017

J Hand Surg Eur Vol

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“…All the joints deviations were measured with relaxed hands, rather than a passive state. Engelhardt et al reported that any passive ulnar deviation or radial deviation up to 30° should be regarded as physiological in children (Engelhardt et al, 2016).…”

Section: Discussionmentioning

confidence: 99%