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Bilateral Thumb Polydactyly: Case Report

Received: 11 October 2013     Published: 20 November 2013
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Abstract

Polydactyly is the most common congenital digital anomaly of the hand. Surgical treatment is rewarding. In this article, we describe the case of a 15-year-old male who was presenting thumb bilateral polydactyly. The diagnisis was clinic, completed by radiography which has objectified the anomaly type according to Wassel's classification. Operated in our hospital, he received a repair surgery at the level of his right hand by resection of supernumerary hypoplastic thumb, with restoration and anatomical reconstruction of the dominant thumb. He was discharged with no complications. The patient and his family were satisfied with the cosmetic and functional result. We discuss types of duplications, and principle of therapeutic approach of this pathology.

Published in Advances in Surgical Sciences (Volume 1, Issue 3)
DOI 10.11648/j.ass.20130103.12
Page(s) 17-19
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2013. Published by Science Publishing Group

Keywords

Polydactyly, Thumb, Duplication, Supernumerary Digit

References
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[2] Baek GH, Gong HS, Chung MS, Oh JH, Lee YH, Lee SK (2007) Modified Bilhaut–Cloquet procedure for Wassel type-II and III polydactyly of the thumb. J Bone Joint Surg Am 89:534–541
[3] Castilla E, Paz J, Mutchinick O, Mun˜oz E, Giorgiutti E, Gelman Z (1973) Polydactyly: a genetic study in South America. Am J Hum Genet 25:405–412
[4] Blauth W. and Olason A.T.: Classification of polydactyly of the hands and feet. Arch. Orthop. Trauma. Surg., 107: 334-344, 1988.
[5] Wassel HD: The results of surgery for polydactyly of the thumb.Clin Orthop Relat Res 1969, 64:175-93.
[6] Guero S, Haddad R, Glicenstein J (1995) Surgical treatment of duplication of the thumb. Apropos of 106 cases. Ann Chir Main Memb Super 14:272–283
[7] Marie Maillet, Damien Fron, Veronique Martinot-Duquennoy , Bernard Herbaux. Results after surgical treatment of thumb duplication: a retrospective review of 33 thumbs. J Child Orthop (2007) 1:135–141
[8] Nicola Mumoli1*, Daniele Gandini2, Edris Kalanzi. Left hand polydactyly: a case report. Cases Journal 2008, 1:346 doi:10.1186/1757-1626-1-346
[9] Elliott AM, Evans JA: Genotype-phenotype correlations in mapped split hand foot malformation (SHFM) patients.Am J Med Genet A 2006, 140(13):1419.27.
[10] Netscher DT: Congenital hand problems. Terminology, etiology, and management.Clin Plast Surg 1998, 25(4):537-52.
[11] Mustafa Nişancı, Muhitdin Eski, Yakup Çil, Mustafa Şengezer. An atypical thumb duplication: case report. Gulhane Med J. 2005; 47(3): 224-227
[12] Nguyen Ngoc Hung. Bifid thumb type IV in children: transferring an epiphyseal segment of the proximal phalanx with insertion of the abductor pollicis brevis tendon. J Child Orthop (2010) 4:525–537
[13] James MA (2001) Congenital hand malformations. In: Chapman MW (ed) Chapman’s orthopaedic surgery, 3rd edn. Lippincott Williams & Wilkins, Philadelphia, pp 4197–4240
[14] Cohen MS (1998) Thumb duplication. Hand Clin 14:17–27
[15] Samson P, Salazard B, Magalon G (2004) The ‘‘Bilhaut–Cloquet’’ technique for treatment of thumb duplication. Handchir Mikrochir Plast Chir 36:141–145
[16] Netscher DT, Baumholtz MA: Treatment of congenital upper extremity problems.Plast Reconstr Surg 2007, 119(5):101e-129e. PubMed Abstract | Publisher Full Text
[17] Hung L, Cheng JC, Bundoc R, Leung P. Thumb dupli¬cation at the metacarpophalangeal joint: Management and a new classification. Clin Orthop 1996; 323: 31-41
[18] Light TR (1991) Duplication du pouce. Pathologie et traitement. In: Gilbert A, Buck-Gramcko D, Lister G (eds) Les malformations conge´nitales du membre supe´rieur. Monographie du groupe d’etude de la main. Expansion Scientifique Franc¸aise, Paris, pp 130–138
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  • APA Style

    Monsef ELABDI, Majdouline BENCHAFAI, Abdeloihab JAAFAR. (2013). Bilateral Thumb Polydactyly: Case Report. Advances in Surgical Sciences, 1(3), 17-19. https://doi.org/10.11648/j.ass.20130103.12

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    ACS Style

    Monsef ELABDI; Majdouline BENCHAFAI; Abdeloihab JAAFAR. Bilateral Thumb Polydactyly: Case Report. Adv. Surg. Sci. 2013, 1(3), 17-19. doi: 10.11648/j.ass.20130103.12

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    AMA Style

    Monsef ELABDI, Majdouline BENCHAFAI, Abdeloihab JAAFAR. Bilateral Thumb Polydactyly: Case Report. Adv Surg Sci. 2013;1(3):17-19. doi: 10.11648/j.ass.20130103.12

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  • @article{10.11648/j.ass.20130103.12,
      author = {Monsef ELABDI and Majdouline BENCHAFAI and Abdeloihab JAAFAR},
      title = {Bilateral Thumb Polydactyly: Case Report},
      journal = {Advances in Surgical Sciences},
      volume = {1},
      number = {3},
      pages = {17-19},
      doi = {10.11648/j.ass.20130103.12},
      url = {https://doi.org/10.11648/j.ass.20130103.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ass.20130103.12},
      abstract = {Polydactyly is the most common congenital digital anomaly of the hand. Surgical treatment is rewarding. In this article, we describe the case of a 15-year-old male who was presenting thumb bilateral polydactyly. The diagnisis was clinic, completed by radiography which has objectified the anomaly type according to Wassel's classification. Operated in our hospital, he received a repair surgery at the level of his right hand by resection of supernumerary hypoplastic thumb, with restoration and anatomical reconstruction of the dominant thumb. He was discharged with no complications. The patient and his family were satisfied with the cosmetic and functional result. We discuss types of duplications, and principle of therapeutic approach of this pathology.},
     year = {2013}
    }
    

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    T1  - Bilateral Thumb Polydactyly: Case Report
    AU  - Monsef ELABDI
    AU  - Majdouline BENCHAFAI
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    T2  - Advances in Surgical Sciences
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    AB  - Polydactyly is the most common congenital digital anomaly of the hand. Surgical treatment is rewarding. In this article, we describe the case of a 15-year-old male who was presenting thumb bilateral polydactyly. The diagnisis was clinic, completed by radiography which has objectified the anomaly type according to Wassel's classification. Operated in our hospital, he received a repair surgery at the level of his right hand by resection of supernumerary hypoplastic thumb, with restoration and anatomical reconstruction of the dominant thumb. He was discharged with no complications. The patient and his family were satisfied with the cosmetic and functional result. We discuss types of duplications, and principle of therapeutic approach of this pathology.
    VL  - 1
    IS  - 3
    ER  - 

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Author Information
  • Department of Orthopaedic Surgery ?1?, Military Hospital of Instruction Mohammed V, Rabat, Morocco

  • Department of pediatric medical emergencies, university hospital Ibn Sina, Rabat, Morocco

  • Department of Orthopaedic Surgery ?1?, Military Hospital of Instruction Mohammed V, Rabat, Morocco

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