Pollicisation of the index finger

Clark, David; Chell, J.; Davis, T. R. C.

doi:10.1302/0301-620x.80b4.0800631

Cited by 35 publications

(14 citation statements)

References 9 publications

(9 reference statements)

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“…The index finger may also be slightly involved, leading to poorer results with the new thumb. There is more stiffness of the index finger in radial deficiency compared to ulnar-sided fingers (Clark et al, 1998;Vekris et al, 2011). Vekris et al (2011) noted that pollicization without prior soft tissue distraction could lead to poorer outcomes.…”

Section: Discussionmentioning

confidence: 99%

“…Hand function in terms of grasping, lateral pinching, tip pinching and strength was reported in six studies and further quantified in five of them (Aliu et al, 2008;Bachy et al, 2021;Clark et al, 1998;Tan and Tu, 2013;Va ´zquez Rueda et al, 2001;Vekris et al, 2011). Bachy et al (2021) reported the integration of the new thumb into the hand function.…”

Section: Hand Function and Strengthmentioning

confidence: 99%

“…Patient satisfaction scores or ratings were reported in six studies (Aliu et al, 2008;Bachy et al, 2021;Clark et al, 1998;Tan and Tu, 2013;Va ´zquez Rueda et al, 2001;Vekris et al, 2011). Bachy et al (2021) obtained results based on a questionnaire in which patients with isolated thumb deficiency (n ¼ 79.3/100) performed better than those with radial deficiency (n ¼ 75.5/100).…”

Section: Patient and Parent Satisfactionmentioning

confidence: 99%

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Long-term results of index finger pollicization for congenital thumb anomalies: a systematic review

Barik,

Matic,

Farr

2023

J Hand Surg Eur Vol

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This systematic review analyses the literature for long-term outcomes of index finger pollicization. This review includes all seven studies that reported outcomes of index finger pollicization for congenital thumb aplasia or hypoplasia for qualitative review. The seven studies included 108 index finger pollicizations with 54% male children. The studies did not describe the preoperative quality and function of the transposed index finger. Grip strength was in the range of 52%–76% of the contralateral hand. Lateral pinch and key grip strength were also approximately 50% of the contralateral hand. The main drawback of the collective literature is the lack of homogeneity of results and a standardized protocol for reporting postoperative outcomes. These factors need to be addressed to compare the long-term results of pollicizations accurately.

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Section: Discussionmentioning

confidence: 99%

Section: Hand Function and Strengthmentioning

confidence: 99%

Section: Patient and Parent Satisfactionmentioning

confidence: 99%

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Long-term results of index finger pollicization for congenital thumb anomalies: a systematic review

Barik,

Matic,

Farr

2023

J Hand Surg Eur Vol

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“…40 Other known long-term complications after pollicization include malrotation, failure to grow, excessive length, and stiffness. 17 41…”

Section: Hypoplastic Thumbmentioning

confidence: 99%

Common Pediatric Hand Anomalies

McCarter,

Zeledon,

Cole

et al. 2023

Semin Plast Surg

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Upper extremity congenital anomalies in the newborn are second only to congenital heart anomalies. Some of the more commonly encountered upper extremity anomalies are trigger thumb, thumb hypoplasia, polydactyly, syndactyly, and amniotic band syndrome. While some conditions occur in isolation, others are known to commonly occur in association with syndromes. Familiarity with these conditions is important not only to provide adequate evaluation and workup of these patients but also to deliver appropriate surgical intervention and prepare parents with appropriate expectations. In this article, we outline the etiology, classification, surgical management, and outcomes of these five commonly encountered upper extremity congenital anomalies.

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“…Twenty-six patients required an additional surgical procedure for functional deficits; these 34 additional procedures were performed: 19 for poor opposition and 15 for limited extension 80 . Other cited long-term postoperative complications are stiffness, malrotation, excessive length, failure to grow, and less consistent results in the setting of radial longitudinal deficiency 14,81 .…”

Section: Thumb Hypoplasiamentioning

confidence: 99%

Congenital Disorders of the Pediatric Thumb

Nguyen

2022

JBJS Reviews

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» Surgical timing for pediatric trigger thumb treatment is controversial for numerous reasons including the potential for spontaneous resolution, the possibility of bilateral involvement, and anesthesia concerns regarding the developing brain. Hence, a reasonable approach is to delay the surgical procedure until the patient is ≥3 years of age.» Preaxial polydactyly is usually unilateral and sporadic, with the most common reconstruction method consisting of excision of the diminutive thumb with preservation and soft-tissue reconstruction of the dominant thumb. The surgical procedure is typically performed around the patient age of 1 year to decrease the risks of anesthesia but allow reconstruction prior to the development of a tip-to-tip pinch.» Triphalangeal thumb and thumb hypoplasia are often found in the setting of systemic anomalies such as Holt-Oram syndrome, thrombocytopenia absent radius syndrome, Fanconi anemia, VACTERL (vertebral anomalies, anal atresia, cardiac anomalies, tracheoesophageal fistula, renal defects, and limb anomalies), and/or Blackfan-Diamond anemia. As such, patients should receive adequate workup for these entities. A surgical procedure should be performed only once patients have been medically cleared.» The status of the carpometacarpal joint in thumb hypoplasia determines whether reconstruction with first web space deepening, collateral ligament stabilization, and opponensplasty compared with index pollicization is performed.

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Pollicisation of the index finger

Cited by 35 publications

References 9 publications

Long-term results of index finger pollicization for congenital thumb anomalies: a systematic review

Long-term results of index finger pollicization for congenital thumb anomalies: a systematic review

Common Pediatric Hand Anomalies

Congenital Disorders of the Pediatric Thumb

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