MyMedR

Simultaneous dislocations of the carpometacarpal and metacarpophalangeal joints of the thumb

Ibrahim S, Noor MA

Injury, 1993 May;24(5):343-4.

PMID: 8349349

Matched MeSH terms: Thumb/injuries*

Fulltext Aeromonas hydrophila hand infection complicating an open Rolando fracture: a case report

Sambandan S

Med J Malaysia, 1985 Mar;40(1):38-40.

PMID: 3831733

A case of Aeromonas hydrophila infection complicating an open Rolando's fracture of the hand is reported. Only two cases, both complicating open tibial fractures have been reported in the literature previously.' ,2 The organism was resistant to the usual antimicrobial (ampicillin and cloxacillin) used in the management of open fractures at University Hospital, Kuala Lumpur. The severity of the infection is largely dependent on the resistance of the host, and could vary from a locally spreading necrotizing cellulitis without systemic signs to a frank septicaemia with serious consequences. Early diagnosis with adequate debridement of the wound and appropriate antimicrobial to which the organisms are sensitive, are essential for effective control.

Matched MeSH terms: Thumb/injuries*

Fulltext Injury to ulnar collateral ligament of thumb

Madan SS, Pai DR, Kaur A, Dixit R

Orthop Surg, 2014 Feb;6(1):1-7.

PMID: 24590986 DOI: 10.1111/os.12084

Injury of the ulnar collateral ligament (UCL) of thumb can be incapacitating if untreated or not treated properly. This injury is notorious for frequently being missed by inexperienced health care personnel in emergency departments. It has frequently been described in skiers, but also occurs in other sports such as rugby, soccer, handball, basketball, volleyball and even after a handshake. The UCL of the thumb acts as a primary restraint to valgus stress and is injured if hyperabduction and hyperextension forces are applied to the first metacarpophalangeal joint. The diagnosis is best established clinically, though MRI is the imaging modality of choice. Many treatment options exist, surgical treatment being offered depending on various factors, including timing of presentation (acute or chronic), grade (severity of injury), displacement (Stener lesion), location of tear (mid-substance or peripheral), associated or concomitant surrounding tissue injury (bone, volar plate, etc.), and patient-related factors (occupational demands, etc.). This review aims to identify the optimal diagnostic techniques and management options for UCL injury available thus far.

Matched MeSH terms: Thumb/injuries*

Flexor pollicis longus rupture following acupuncture for trigger thumb: a case report

Liew SK, Teh KK

Acupunct Med, 2021 08;39(4):398-399.

PMID: 33256436 DOI: 10.1177/0964528420959085

Matched MeSH terms: Thumb/injuries

Aesthetic refinements in second toe-to-thumb transfer surgery

Zhao J, Tien HY, Abdullah S, Zhang Z

Plast Reconstr Surg, 2010 Dec;126(6):2052-2059.

PMID: 21124145 DOI: 10.1097/PRS.0b013e3181f44994

BACKGROUND: Second toe-to-thumb transfer is a good alternative to using the great toe for reconstruction of the thumb. It achieves excellent function and reduces morbidity to the donor foot. However, cosmesis is often poor. The second toe has three unattractive features, a narrow "neck," a bulbous tip, and a short nail.

METHODS: The authors describe a modified second toe transfer that addresses cosmesis in six patients. These include (1) harvesting a flap from the adjacent side of the great toe and insetting it into the volar aspect of the second toe to give more bulk, (2) making skin excisions on each side of the tip to reduce the bulbous appearance, and (3) excising the eponychium to produce apparent lengthening of the nail.

RESULTS: The mean follow-up period was 18 months (range, 6 to 36 months). The procedure resulted in good function and improved cosmesis in all six cases. Part of the great toe flap was lost in one case. The mean two-point discrimination in the transferred toes was 10.1 mm, with protective sensation present in the flaps. The range of motion of the transferred toe was 14 to 38 degrees at the metatarsophalangeal joint, 16 to 55 degrees at the proximal interphalangeal joints, and 20 to 36 degrees in the distal interphalangeal joints. All patients except one were happy with the appearance of the transferred toe.

CONCLUSION: This novel approach will allow patients to take advantage of the lower morbidity to the donor site afforded by second toe-to-thumb transfer and provide the patients with a more aesthetic appearance of the new thumb.

Matched MeSH terms: Thumb/injuries*

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