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Thumb hypoplasia is a spectrum of congenital abnormalities of the thumb varying from small defects to complete absence of the thumb. [1] It can be isolated, when only the thumb is affected, and in 60% of the cases [ 2 ] it is associated with radial dysplasia [ 1 ] (or radial club, radius dysplasia, longitudinal radial deficiency).
Radial club hand with thumb missing (ectrodactyly) Radial dysplasia , also known as radial club hand or radial longitudinal deficiency , is a congenital difference occurring in a longitudinal direction resulting in radial deviation of the wrist and shortening of the forearm.
Ulnar dysplasia also known as ulnar longitudinal deficiency, ulnar club hand or ulnar aplasia/hypoplasia is a rare congenital malformation which consists of an underdeveloped or missing ulnae bone, causing an ulnar deviation of the entire wrist. The muscles and nerves in the hand may be missing or unbalanced.
With gamekeeper's thumb, where the ulnar collateral ligament (UCL) is damaged, thumb functional abilities may be diminished. [4] For fingertip deformities, such as in mallet finger, pain and fingernail disruption may also be observed. [13] Rheumatoid arthritis of the hands may cause hand deformities.
The deformity varies in degree from a slight protrusion of the lower end of the ulna, to complete dislocation of the inferior radio-ulnar joint with marked ulnar deviation of the hand. Severe deformities are associated with congenital absence or hypoplasia of the radius. [citation needed] The male:female rate of this disorder is 1:4.
Trapeziometacarpal osteoarthritis (TMC OA) is, also known as osteoarthritis at the base of the thumb, thumb carpometacarpal osteoarthritis, basilar (or basal) joint arthritis, or as rhizarthrosis. [ 3 ] [ 1 ] [ 2 ] This joint is formed by the trapezium bone of the wrist and the metacarpal bone of the thumb.
Symbrachydactyly is a congenital abnormality, characterized by limb anomalies consisting of brachydactyly, cutaneous syndactyly and global hypoplasia of the hand or foot. [1] In many cases, bones will be missing from the fingers and some fingers or toes may be missing altogether.
For the thumb to adequately grip, certain thumb criteria must be met (e.g. suitable position and length, stable joints and good thenar muscle strength). [4] Because triphalangeal thumbs cannot easily oppose and do not possess many of the optimal qualities found in most opposable thumbs, they tend to cause the hand to be less effective in use ...