Meirizal, Meirizal and Muhammad, Hilmi and Guntoro, Brahmantyo Danang and Magetsari, Rahadyan (2024) Neglected bilateral triphalangeal of the thumb delta type in adult case: A case report. International Journal of Surgery Case Reports, 114: 109087. ISSN 22102612
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Abstract
Introduction: In rare case, thumb has extra phalanges known as triphalangeal of the thumb (TPT). Patients with TPT can have difficulty doing work/activities that require high precision. Therefore, surgical intervention is essential. This report provides an approach for a patient with TPT. Presentation of case: A patient with TPT who underwent removal of extra phalanges and arthrodesis of interphalangeal (IP) joints is presented. The left thumb deviated 25o to ulnar while the contralateral part deviated 15o to radial. X-ray revealed both thumbs had extra delta-shaped middle phalanges. Complete excision of extra phalanges and simple arthrodesis of IP joints with two K-wires in 10° to 15° flexion was performed. Healing process ended without any complications and the patient had an improvement. Discussion: Productive-age patients with TPT can have difficulty doing work and activities that require high precision, especially in the non-opposable type of the right hand. Furthermore, the female patient is highly emphasizing the cosmetics of her hand to increase her self-confidence. Therefore, surgical intervention is essential for this patient. We performed complete excision of extra phalanges and simple arthrodesis of IP joints with two K-wires in 10° to 20° flexion. The first K-wire is introduced intramedullary as a primary fixator for longitudinal alignment, and the second wire is inserted obliquely as an anti-rotation wire. Functional outcome was assessed after 6 months post-removal of the wire which gave a satisfying result. Conclusion: TPT is a rare anomaly which surgical intervention can improve the appearance and the precision of the hand. © 2023 The Authors
Item Type: | Article |
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Additional Information: | Cited by: 0; All Open Access, Gold Open Access, Green Open Access |
Uncontrolled Keywords: | adult; arthrodesis; Article; bilateral triphalangeal of the thumb delta type; case report; clinical article; clinical observation; clinical outcome; daily life activity; device removal; Disabilities of the Arm, Shoulder and Hand (score); disability; distal phalanx; excision; female; follow up; fracture healing; general anesthesia; hand radiography; human; incision; interphalangeal joint of the hand; joint stability; ligament surgery; Michigan hand outcomes questionnaire; middle phalanx; musculoskeletal disease assessment; neglected disease; patient satisfaction; physical examination; postoperative period; proximal phalanx; range of motion; Sollerman Hand Function score; task performance; tendon reconstruction; thumb malformation; thumb reconstruction; treatment response; young adult |
Subjects: | R Medicine > RD Surgical Divisions |
Divisions: | Faculty of Medicine, Public Health and Nursing > Surgical Divisions |
Depositing User: | Mukhotib Mukhotib |
Date Deposited: | 12 Mar 2025 02:00 |
Last Modified: | 12 Mar 2025 02:00 |
URI: | https://ir.lib.ugm.ac.id/id/eprint/15703 |