Wood V E, Slutsky D J
Department of Orthopaedic Surgery, Loma Linda University Medical Center, Calif.
J Hand Surg Am. 1991 Sep;16(5):810-3. doi: 10.1016/s0363-5023(10)80140-6.
We present a case of a child born with metacarpal synostosis of the index, long, and ring fingers associated with a simple syndactyly of the small finger and an absent thumb. At age 7 months, a syndactyly release with skin grafting to the small finger was accomplished so that it became the new thumb. At age 4 years, one of the muscles on the radical border of the hand was transferred to the small finger to act as an opposition transfer. At follow-up, the transfer contracted well and the functional capability of the hand was improved. This operation will not often be used but should be considered for the occasional patient with congenital anomalies.
我们报告一例患儿，出生时示指、中指和环指掌骨融合，并伴有小指单纯并指及拇指缺如。7个月大时，对小指进行了并指松解及植皮手术，使其成为新的拇指。4岁时，将手部桡侧缘的一块肌肉转移至小指，进行对掌功能重建。随访时，转移的肌肉收缩良好，手部功能得到改善。这种手术并不常用，但对于偶尔出现的先天性畸形患者应予以考虑。
