Extensor digiti minimi transfer for thumb extension in a patient with hypoplastic thumb extensor tendons and absent extensor indicis proprius

Gong, Hyun Sik; Kim, Do Hoon; Huh, Jung Kyu; Song, Cheol Ho; Baek, Goo Hyun

doi:10.1007/s00776-011-0111-x

Cited by 2 publications

(1 citation statement)

References 17 publications

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“… 7 Treatment is focused on improving finger MCP extension and mobility ( Table 1 ). 8 9 10 11 12 13 14 15 16 17 Hand bracing has been reported to improve finger function and, similar to management of arthrogryposis, this treatment is most effective in younger patients. Most authors recommend starting with early bracing and therapy and progressing to tendon transfers if these modalities are unsuccessful.…”

Section: Discussionmentioning

confidence: 99%

Bilateral Digital Extensor Hypoplasia Correction: A Case Report and Systematic Review

et al. 2023

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Digital extensor hypoplasia (DEH) is a rare malformation that presents with loss of active finger extension at the metacarpophalangeal (MCP) joints. Descriptions of optimal treatment and outcomes in this population are sparse. We describe successful operative treatment of a child with DEH involving the extensor digitorum communis, extensor digiti minimi, and the extensor indicis proprius tendons. The 5-year-old male patient was referred for severe limitation on bilateral finger extension since birth. He had been previously diagnosed with arthrogryposis and managed conservatively. Due to lack of improvement, magnetic resonance imaging was done evidencing hypoplasia/aplasia of the extensor tendons. The patient underwent successful tendon transfers using extensor carpi radialis longus to the common extensor tendons, and one hand required an additional tenolysis procedure. 2 years postoperatively, his MCP position and finger extension are markedly improved, and he is able to grip objects without limitation or difficulty. The patient returned to full activity without restriction.

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