Mirror Hand Deformity

Winge, Mona I.; Bye, Kjell

doi:10.2106/jbjs.cc.m.00150

Cited by 4 publications

(11 citation statements)

References 7 publications

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“…Postoperative complications included singles cases of growth arrest after pseudo-centralization, fracture of first metacarpal after thumb lengthening, displaced K-wire after PLUR and fixation with K-wire, the regrowth of the PLU, an early loss of passive mobility after PLUR and reduced extension in three first pre-axial rays with spontaneous radial nerve recovery after 4 months (Winge and Bye, 2013).…”

Section: Resultsmentioning

confidence: 99%

“…CT scans of the affected arm as well as US and MRI imaging are helpful, again using the unaffected side for comparison. US has the added bonus of not requiring anaesthesia, but is technically difficult and requires an experienced radiologist (Winge and Bye, 2013). An assessment of vascular supply is recommended in any case of arterial anatomical uncertainty (Askari et al., 2016; Schmit et al., 2000).…”

Section: Discussionmentioning

confidence: 99%

“…The wrist presents most often in a flexed resting position with very limited wrist extension. The efficient stretching and splinting will increase passive extension, thus permitting the stimulation of hypoplastic extensor muscles (Irani et al., 2007; Winge and Bye, 2013). The continuous night splinting during growth can limit refractory stiffness and potentially further increase ROM (King and Hoyes, 1982).…”

Section: Discussionmentioning

confidence: 99%

“…Other techniques, such as shortening metacarpal osteotomies, have also been done (Al-Qattan et al., 2013; King and Hoyes, 1982). Postoperative splinting can improve functional results (Pintilie et al., 1964; Winge and Bye, 2013).…”

Section: Discussionmentioning

confidence: 99%

“…Postoperatively, bow string and bone regrowth were observed. Takagi et al (2014) sutured the biceps to the PLU, whereas Winge (Winge and Bye, 2013) inserted the brachialis tendon to the PMU, thus also changing the direction of the force vectors. Harpf and Hussl (1999) reported on partial pectoralis transfer.…”

Section: Radiographs Of Both Upper Limbs For Radiological Comparisons...mentioning

confidence: 99%

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Ulnar dimelia – a review of 24 cases

Winge,

Guéro,

Zavarukhin

et al. 2023

J Hand Surg Eur Vol

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Ulnar dimelia is a very rare unilateral congenital upper limb anomaly (CULA) affecting the whole extremity. Treatment remains difficult because of the complexity and multi-level involvement. Twenty-four cases with duplicated ulna, absent radius and polydactyly from seven European centres were reviewed according to a structured list of parameters. At first consultation, median age 8 months (1–178), the shoulder movement was good in 17 patients or poor in six, and the median passive elbow range of motion was 20° (0°–90°). The resting wrist position was flexed in 22/24 patients. Following stretching and splinting, elbow surgery included resection of the lateral proximal ulna in 11 patients and muscle transfers in six to improve passive movement and increase active elbow motion, respectively. Tendon transfers were performed in eight wrists and a pollicization or pseudo-pollicization in 23 patients. Overall, patients demonstrate acceptable function postoperatively. Guidelines for treatment of this severe CULA are presented. Level of evidence: IV

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Radiographs Of Both Upper Limbs For Radiological Comparisons...mentioning

confidence: 99%

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Ulnar dimelia – a review of 24 cases

Winge,

Guéro,

Zavarukhin

et al. 2023

J Hand Surg Eur Vol

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A rare variant of mirror hand deformity

Alwatari,

Araji,

Khalaf

et al. 2023

Journal of Surgical Case Reports

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Congenital hand and forearm anomalies pose a unique challenge in plastic and pediatric surgery. We present a case report of an 8-months-old girl with a congenital left sided hand and forearm anomaly, provisionally diagnosed as atypical left mirror hand anomaly. Classically there is absence of radius and duplication of ulna; however, our case had normal radius and ulna and a hand with seven digits arranged in two groups. We did a surgery which involved a ray amputation of the finger ulnar to the most radial digit, aiming to preserve an adequate first web space to reconstruct the thumb. The result of the surgical treatment in both functional and cosmetic aspects was, in authors’ opinion, good.

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Successful surgical reconstruction of atypical variant mirror hand anomaly in a 2-year-old female child: a unique case report

Arab,

Almousa,

Salemah

et al. 2024

Annals of Medicine &Amp; Surgery

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Introduction: Mirror hand is an extremely rare congenital abnormality characterized by polydactyly and duplication of the ulna, with the absence of the radius and thumb. Atypical presentations of mirror hand were described, including the presence of the radius in a few cases; here the authors report one of the atypical cases of mirror hand that underwent successful management. Case presentation: A 2-year-old and 7-month-old female child presented with 7 well-developed digits, with an absent thumb; the X-ray imaging of the forearm showed a well-formed ulna and radius with proximal fusion. The patient has good shoulder movement, minor limitations in supination and pronation, and elbow flexion restriction. The patient underwent multiple surgical interventions for pollicization. Follow-up revealed a significant improvement of hand function and appearance. Clinical discussion: In the literature review, mirror hand is a rare congenital malformation and has many varieties. The management of this deformity is a challenge and differs from case to case; here the authors described a novel variant of this deformity and its successful management. Conclusion: Mirror hand is a rare congenital abnormality and has a wide spectrum of variants. The management challenge, but with early pollicization with appropriate functional considerations, the outcome is promising.

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Mirror Hand Deformity

Cited by 4 publications

References 7 publications

Ulnar dimelia – a review of 24 cases

Ulnar dimelia – a review of 24 cases

A rare variant of mirror hand deformity

Successful surgical reconstruction of atypical variant mirror hand anomaly in a 2-year-old female child: a unique case report

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