Mih A D
Department of Orthopaedic Surgery, Indiana University School of Medicine, Indianapolis, USA.
Hand Clin. 1998 Feb;14(1):77-84.
Congenital clasped thumb is a disorder characterized by flexion posture of the thumb secondary to extensor side underdevelopment, flexor side tightness, or both. Mild cases may be treated by splintage whereas more advanced cases require tendon transfer or a combination of tendon transfer and flexor side releases. Clasped thumb can be seen in conjunction with syndromes such as arthrogryposis and, in these cases, recognition of the abnormal anatomic structures is required to effect satisfactory reconstruction.
先天性拇指内收畸形是一种以拇指屈曲姿势为特征的疾病,继发于伸肌侧发育不全、屈肌侧紧张或两者皆有。轻症病例可通过夹板治疗,而病情较重的病例则需要肌腱转移或肌腱转移与屈肌侧松解术联合治疗。拇指内收畸形可与先天性多发性关节挛缩症等综合征同时出现,在这些病例中,需要识别异常的解剖结构才能实现满意的重建。