Bulić Krešimir, Tintor Goran
Department of Surgery, University Hospital Centre Zagreb, University of Zagreb School of Medicine, Zagreb, Croatia, Kišpatićeva 12, 10000 Zagreb, Croatia.
Deparment of Surgery, University Hospital Centre Split, Spinčićeva 1, 21000 Split, Croatia.
JPRAS Open. 2023 Dec 12;39:207-211. doi: 10.1016/j.jpra.2023.12.007. eCollection 2024 Mar.
Congenital thumb duplication is estimated to occur between 0.08 and 7.6 times per 1,000 live births; however its cause is still undetermined. In this report, we present a case of Wassel type VI thumb polydactyly. clinical examination revealed an optimal functional position and an aesthetically pleasing shape of the ulnar thumb as well as a superior nail and pulp. However, preoperative X-ray indicated a well formed carpometacarpal joint of the radial thumb compared to an underdeveloped CMC joint of the ulnar thumb. Through surgical procedure we combined the best parts of both thumbs with on-top plasty to achieve the most optimal outcome. In conclusion, it is important to determine an adequate treatment strategy for a patient based on both clinical and radiological assessments.
先天性拇指重复畸形的发生率估计为每1000例活产中有0.08至7.6例；然而，其病因仍未明确。在本报告中，我们介绍了一例瓦塞尔VI型拇指多指畸形病例。临床检查发现尺侧拇指功能位置最佳、外形美观，指甲和指腹也较好。然而，术前X线显示桡侧拇指的腕掌关节发育良好，而尺侧拇指的腕掌关节发育不全。通过手术，我们将两个拇指的最佳部分结合起来进行叠盖成形术，以达到最理想的效果。总之，根据临床和影像学评估为患者确定合适的治疗策略非常重要。
