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Abnormality of thumb epiphysis

MedGen UID:: 867071
•Concept ID:: C4021429
•: Anatomical Abnormality

Synonyms:	Abnormality of end part of thumb long bone; Abnormality of the epiphyses of the thumb; Abnormality of thumb epiphyses

HPO:	HP:0009599

Definition

Abnormality of one or all of the epiphyses of the proximal, and distal phalanges of the thumb and/or the 1st metacarpal. [from HPO]

Term Hierarchy

GTR
MeSH

CClinical test, RResearch test, OOMIM, GGeneReviews, VClinVar

CROGVAbnormality of thumb epiphysis

Abnormality of limbs
- Abnormality of the upper limb
  - Abnormality of the hand
    - Abnormal hand morphology
      - Abnormal hand epiphysis morphology
        Abnormal epiphysis morphology of the phalanges of the hand
        Abnormality of thumb epiphysis

Recent clinical studies

Etiology

Radiographic features and subtypes of congenital thumb duplication type C3 according to Wu et al. and their potential implications for surgical management: new classification and preliminary results.

Wu J, Hong K, Zhao H, Liao S, Chu J, Xu C, Zhu Y, Gong M, Zhao X, Zhu M, Li J, Li Y, Liu Y, Canavese F, Xu H
BMC Musculoskelet Disord 2024 Oct 11;25(1):802. doi: 10.1186/s12891-024-07916-x. PMID: 39394581 Free PMC Article

Reoperation after primary operation for pre-axial polydactyly of the hand: A 12-year experience at a single institute.

Shin YH, Yoon JO, Kim SS, Joo HS, Al-Dhafer BAA, Kim JK
J Plast Reconstr Aesthet Surg 2022 Aug;75(8):2658-2663. Epub 2022 Apr 22 doi: 10.1016/j.bjps.2022.04.015. PMID: 35570116

Radial Polydactyly and the Incidence of Reoperation Using A New Classification System.

Evanson BJ, Hosseinzadeh P, Riley SA, Burgess RC
J Pediatr Orthop 2016 Mar;36(2):158-60. doi: 10.1097/BPO.0000000000000395. PMID: 25633612

The effect of the epiphyseal growth plate on the length of the first metacarpal in triphalangeal thumb.

Zuidam JM, Dees EE, Lequin MH, Hovius SE
J Hand Surg Am 2006 Sep;31(7):1183-8. doi: 10.1016/j.jhsa.2006.03.025. PMID: 16945724

Contrast arthrography in thumb polydactyly with variable morphological patterns.

Islam S, Watanabe H, Fujita S
J Hand Surg Br 1992 Apr;17(2):178-84. doi: 10.1016/0266-7681(92)90084-f. PMID: 1588199

See all (14)

Diagnosis

Radiographic features and subtypes of congenital thumb duplication type C3 according to Wu et al. and their potential implications for surgical management: new classification and preliminary results.

Clinical Characteristics and Surgical Outcomes of Congenital Ulnar-deviated Thumbs: Delta Triphalangeal Thumbs and Irregular Epiphyses.

Han B, Shen K, Wang Z, Xu Y
J Pediatr Orthop 2021 Jan;41(1):28-32. doi: 10.1097/BPO.0000000000001679. PMID: 33086366 Free PMC Article

Analysis of Causes for Congenital Ulnar Deviated Thumbs at the Distal Phalanx Level in 157 Thumbs.

Tian X, Chan P, Li A, Xiao J, Chen W, Chim H
J Hand Surg Am 2019 Oct;44(10):860-867. Epub 2019 Jun 17 doi: 10.1016/j.jhsa.2019.04.013. PMID: 31221518

Radial Polydactyly. What's New?

Perez-Lopez LM, la Iglesia DG, Cabrera-Gonzalez M
Curr Pediatr Rev 2018;14(2):91-96. doi: 10.2174/1573396314666180124102012. PMID: 29366421

Radial polydactyly: proposal for a new classification system based on the 159 duplicated thumbs.

Chung MS, Baek GH, Gong HS, Lee HJ, Kim J, Rhee SH
J Pediatr Orthop 2013 Mar;33(2):190-6. doi: 10.1097/BPO.0b013e3182648ca8. PMID: 23389575

See all (11)

Therapy

Clinical Characteristics and Surgical Outcomes of Congenital Ulnar-deviated Thumbs: Delta Triphalangeal Thumbs and Irregular Epiphyses.

Han B, Shen K, Wang Z, Xu Y
J Pediatr Orthop 2021 Jan;41(1):28-32. doi: 10.1097/BPO.0000000000001679. PMID: 33086366 Free PMC Article

Metacarpal lengthening by distraction osteogenesis in childhood brachydactyly.

Arslan H
Acta Orthop Belg 2001 Jun;67(3):242-7. PMID: 11486686

See all (2)

Prognosis

Hypertrophy Associated With Vascular Malformations: Analysis of Growth and Results of Epiphysiodesis.

Borowski A, Bajelidze G, Bowen JR
Orthopedics 2018 Jul 1;41(4):e574-e579. Epub 2017 Dec 19 doi: 10.3928/01477447-20171213-07. PMID: 29257190

Radial Polydactyly and the Incidence of Reoperation Using A New Classification System.

Evanson BJ, Hosseinzadeh P, Riley SA, Burgess RC
J Pediatr Orthop 2016 Mar;36(2):158-60. doi: 10.1097/BPO.0000000000000395. PMID: 25633612

Radial polydactyly: proposal for a new classification system based on the 159 duplicated thumbs.

Chung MS, Baek GH, Gong HS, Lee HJ, Kim J, Rhee SH
J Pediatr Orthop 2013 Mar;33(2):190-6. doi: 10.1097/BPO.0b013e3182648ca8. PMID: 23389575

Advances in microsurgical reconstruction of the congenitally adactylous hand.

Vilkki SK
Clin Orthop Relat Res 1995 May;(314):45-58. PMID: 7634651

Duplication of the thumb. A 20-year retrospective review.

Naasan A, Page RE
J Hand Surg Br 1994 Jun;19(3):355-60. doi: 10.1016/0266-7681(94)90089-2. PMID: 8077828

See all (7)

Clinical prediction guides

Modified Bilhaut-Cloquet procedure for Wassel type III-IV polydactyly.

Guo X, Wei Y, Wang F, Zhou X, Zhao S
J Orthop Surg Res 2024 Jan 16;19(1):71. doi: 10.1186/s13018-024-04553-x. PMID: 38229071 Free PMC Article

Reoperation after primary operation for pre-axial polydactyly of the hand: A 12-year experience at a single institute.

Shin YH, Yoon JO, Kim SS, Joo HS, Al-Dhafer BAA, Kim JK
J Plast Reconstr Aesthet Surg 2022 Aug;75(8):2658-2663. Epub 2022 Apr 22 doi: 10.1016/j.bjps.2022.04.015. PMID: 35570116

Clinical Characteristics and Surgical Outcomes of Congenital Ulnar-deviated Thumbs: Delta Triphalangeal Thumbs and Irregular Epiphyses.

Han B, Shen K, Wang Z, Xu Y
J Pediatr Orthop 2021 Jan;41(1):28-32. doi: 10.1097/BPO.0000000000001679. PMID: 33086366 Free PMC Article

Radial Polydactyly. What's New?

Perez-Lopez LM, la Iglesia DG, Cabrera-Gonzalez M
Curr Pediatr Rev 2018;14(2):91-96. doi: 10.2174/1573396314666180124102012. PMID: 29366421

Hypertrophy Associated With Vascular Malformations: Analysis of Growth and Results of Epiphysiodesis.

Borowski A, Bajelidze G, Bowen JR
Orthopedics 2018 Jul 1;41(4):e574-e579. Epub 2017 Dec 19 doi: 10.3928/01477447-20171213-07. PMID: 29257190

See all (13)