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Thumb adduction contracture

MedGen UID:
1841831
•Concept ID:
C5826817
•
Acquired Abnormality
HPO: HP:0034992

Definition

A type of thumb contracture characterized by a chronic reduction in active and passive ability of the metacarpal-phalangeal and/or interphalangeal joints of the thumb to bring from medial side to neutral position, where the neutral position for the thumb is when the distal and proximal segments of the thumb joint are in linear alignment. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVThumb adduction contracture

Professional guidelines

PubMed

Development of an integrative algorithm for the treatment of various stages of full-thickness burns of the first commissure of the hand.
Yuste V, Delgado J, Agullo A, Sampietro JM
Burns 2017 Jun;43(4):812-818. Epub 2017 Apr 14 doi: 10.1016/j.burns.2017.01.002. PMID: 28413109
Collagenase Treatment for Dupuytren Disease of the Thumb and First Web.
Dreise MM, Stenekes MW, Werker PM
J Hand Surg Am 2016 Mar;41(3):348-53.e1. Epub 2016 Jan 21 doi: 10.1016/j.jhsa.2015.12.003. PMID: 26803569
Hand assessment and management of arthrogryposis multiplex congenita.
Bayne LG
Clin Orthop Relat Res 1985 Apr;(194):68-73. PMID: 3978937

Recent clinical studies

Etiology

Reconstruction of the first web in congenital thumb anomalies.
Morisawa Y, Takayama S, Seki A, Nakamura T, Ikegami H
Hand Surg 2011;16(1):63-7. doi: 10.1142/S0218810411005084. PMID: 21348033

Diagnosis

Thumb carpometacarpal palmar and radial abduction in adults with thumb carpometacarpal joint pain: Inter-rater reliability and precision of the inter-metacarpal distance method.
McGee C, O'Brien V, Johnson J, Wall K
J Hand Ther 2022 Jul-Sep;35(3):454-460. Epub 2021 Mar 6 doi: 10.1016/j.jht.2021.03.001. PMID: 33947615

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