Scientific articlePollicization for Congenital Thumb Aplasia Using the Second Dorsal Metacarpal Artery as the Vascular Pedicle: Case Report
Section snippets
Case Report
A 6-year-old boy with Rothmund-Thomson syndrome presented for assessment of bilateral radial ray deficiencies. Rothmund-Thomson syndrome is an autosomal recessively inherited disorder associated with mutation in a RECQL-4 helicase gene at the 8q24.3 locus, and it is characterized by small stature, poikiloderma, sparseness of hair formation, and juvenile cataracts. Radial deficiencies, cleft palate, and syndactyly frequently accompany this condition. There is an increased incidence of skin and
Discussion
Germann and colleagues3 described an adult case of pollicization based on the first dorsal metacarpal artery after trauma. It was not possible to replant a crushed thumb. The digital vessels to the index finger had been avulsed from the superficial palmar arch. However, the index finger remained viable through its dorsal vascularity. The authors performed a pollicization based on the first dorsal metacarpal artery. It is not documented whether the second dorsal metacarpal artery also had a role
References (3)
Complications and bad results in pollicization of the index finger (in congenital cases)
Ann Chir Main Memb Super
(1991)
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