Paediatric and Preventive Dentistry, Government Dental College and Hospital, Cuddalore Dist, (Erstwhile Rajah Muthaiah Dental College and Hospital), Annamalai Nagar, Tamil Nadu, India.
Pediatric Dentistry, IGIDS, Pondicherry, Pondicherry, India
BMJ Case Rep. 2023 Aug 11;16(8):e253655. doi: 10.1136/bcr-2022-253655.
The thumb web has a unique anatomy, the integrity of which is vital to both form and function of the hand. Thumb web space adduction contractures are a common consequence of hand burns and are a progressive disabling deformity and prevention or early intervention is advisable. This case describes the use of a customised removable web splint in children with scarring and gradual contracture of the first web space causing pain with movement and significant restriction in the hand function to maintain the thumb web expansion. This inexpensive and effective appliance can be safely applied to an injured hand, maintain web space following surgical release and allows movement at the first carpometacarpal joint and hence obtains a good functional outcome.
拇指球窝有其独特的解剖结构，其完整性对手的外形和功能至关重要。拇指球窝间狭窄是手部烧伤的常见后果，且是一种进行性致残畸形，因此建议预防或早期干预。本病例描述了在手部烧伤瘢痕形成且第一蹼间逐渐挛缩的儿童中使用定制可移动蹼间撑开器的情况，该撑开器可缓解因手部运动引起的疼痛，并显著改善手部功能受限，从而维持拇指球窝张开。这种既经济又有效的装置可安全应用于受伤的手部，在手术松解后维持蹼间空间，并允许第一腕掌关节运动，因此可获得良好的功能结果。
