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Metacarpophalangeal thumb joint contracture

MedGen UID:
853622
•Concept ID:
C2108151
•
Acquired Abnormality; Finding
Synonym: Contractures of the metacarpophalangeal joint of the thumb
 
HPO: HP:0009625

Definition

Chronic loss of joint motion of the metacarpophalangeal joint of the thumb due to structural changes in non-bony tissue. This joint is also called Articulatio metacarpophalangealis pollicis. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVMetacarpophalangeal thumb joint contracture

Professional guidelines

PubMed

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
The psychoflexed hand: new perspectives in diagnosis, classification and treatment.
Petrella L, Belkheyar Z, Oberlin C
Chir Main 2013 Sep;32(4):245-50. Epub 2013 May 9 doi: 10.1016/j.main.2013.04.005. PMID: 23712089
Incidence and treatment of complications, suboptimal outcomes, and functional deficiencies after pollicization.
Goldfarb CA, Monroe E, Steffen J, Manske PR
J Hand Surg Am 2009 Sep;34(7):1291-7. Epub 2009 Jun 18 doi: 10.1016/j.jhsa.2009.04.001. PMID: 19540079

Recent clinical studies

Etiology

Management of a Thumb-In-Palm Deformity in Adult Patients With Upper Motor Neuron Syndrome.
Fahrenkopf MP, Rhee PC
J Hand Surg Am 2023 Jan;48(1):91.e1-91.e11. Epub 2022 Sep 2 doi: 10.1016/j.jhsa.2022.07.011. PMID: 36058766
Does trapeziectomy with ligament reconstruction and tendon interposition arthroplasty correct the metacarpophalangeal joint hyperextension associated with trapeziometacarpal osteoarthritis?
Komura S, Hirakawa A, Masuda T, Nohara M, Kimura A, Matsushita Y, Akiyama H
Arch Orthop Trauma Surg 2021 Jul;141(7):1261-1268. Epub 2021 Mar 1 doi: 10.1007/s00402-021-03838-8. PMID: 33649913
The Natural History of Pediatric Trigger Thumb in the United States.
Hutchinson DT, Rane AA, Montanez A
J Hand Surg Am 2021 May;46(5):424.e1-424.e7. Epub 2021 Jan 9 doi: 10.1016/j.jhsa.2020.10.016. PMID: 33436280
Tenosynovitis of the Hand and Wrist: A Critical Analysis Review.
Blood TD, Morrell NT, Weiss AC
JBJS Rev 2016 Mar 29;4(3) doi: 10.2106/JBJS.RVW.O.00061. PMID: 27500430
The windblown hand - diagnosis, clinical picture and pathogenesis.
Grünert J, Jakubietz M, Polykandriotis E, Langer M
Handchir Mikrochir Plast Chir 2004 Apr-Jun;36(2-3):117-25. doi: 10.1055/s-2004-817873. PMID: 15162309

Diagnosis

Acupotomy treatment for finger joint contracture after immobilization: Case report.
Yoon SH, Cha J, Lee E, Kwon B, Cho K, Kim S
Medicine (Baltimore) 2021 Mar 12;100(10):e24988. doi: 10.1097/MD.0000000000024988. PMID: 33725871Free PMC Article
The Natural History of Pediatric Trigger Thumb in the United States.
Hutchinson DT, Rane AA, Montanez A
J Hand Surg Am 2021 May;46(5):424.e1-424.e7. Epub 2021 Jan 9 doi: 10.1016/j.jhsa.2020.10.016. PMID: 33436280
The windblown hand - diagnosis, clinical picture and pathogenesis.
Grünert J, Jakubietz M, Polykandriotis E, Langer M
Handchir Mikrochir Plast Chir 2004 Apr-Jun;36(2-3):117-25. doi: 10.1055/s-2004-817873. PMID: 15162309
Metacarpophalangeal arthroscopy.
Rozmaryn LM, Wei N
Arthroscopy 1999 Apr;15(3):333-7. doi: 10.1016/s0749-8063(99)70046-0. PMID: 10231117
Congenital thumb deformities.
Wood VE
Clin Orthop Relat Res 1985 May;(195):7-25. PMID: 2983921

Therapy

Acupotomy treatment for finger joint contracture after immobilization: Case report.
Yoon SH, Cha J, Lee E, Kwon B, Cho K, Kim S
Medicine (Baltimore) 2021 Mar 12;100(10):e24988. doi: 10.1097/MD.0000000000024988. PMID: 33725871Free PMC Article
Durability of Collagenase Treatment for Dupuytren Disease of the Thumb and First Web After at Least 2 Years' Follow-Up.
Steenbeek LM, Dreise MM, Werker PMN
J Hand Surg Am 2019 Aug;44(8):694.e1-694.e5. Epub 2018 Nov 9 doi: 10.1016/j.jhsa.2018.10.002. PMID: 30420196
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
One-year results of needle fasciotomy and collagenase injection in treatment of Dupuytren's contracture: A two-centre prospective randomized clinical trial.
Scherman P, Jenmalm P, Dahlin LB
J Hand Surg Eur Vol 2016 Jul;41(6):577-82. Epub 2015 Dec 1 doi: 10.1177/1753193415617385. PMID: 26631343
Enzyme injection as nonsurgical treatment of Dupuytren's disease.
Badalamente MA, Hurst LC
J Hand Surg Am 2000 Jul;25(4):629-36. doi: 10.1053/jhsu.2000.6918. PMID: 10913202

Prognosis

The Natural History of Pediatric Trigger Thumb in the United States.
Hutchinson DT, Rane AA, Montanez A
J Hand Surg Am 2021 May;46(5):424.e1-424.e7. Epub 2021 Jan 9 doi: 10.1016/j.jhsa.2020.10.016. PMID: 33436280
Idiopathic multicentric osteolysis: upper extremity manifestations and surgical considerations during childhood.
Goldfarb CA, Steffen JA, Whyte MP
J Hand Surg Am 2012 Aug;37(8):1677-83. Epub 2012 Jul 2 doi: 10.1016/j.jhsa.2012.05.001. PMID: 22763050
Percutaneous trigger thumb release in children.
Ruiz-Iban MA, Gonzalez-Herranz P, Mondejar JA
J Pediatr Orthop 2006 Jan-Feb;26(1):67-70. doi: 10.1097/01.bpo.0000187996.02140.1c. PMID: 16439905
Assessment of results of opponensplasty.
Schwarz RJ, Macdonald M
J Hand Surg Br 2003 Dec;28(6):593-6. doi: 10.1016/j.jhsb.2003.07.001. PMID: 14599836
The windblown hand: correction of the complex clasped thumb deformity.
McCarroll HR Jr, Manske PR
Hand Clin 1992 Feb;8(1):147-59. PMID: 1572919

Clinical prediction guides

Paediatric Trigger-Locked Thumb.
Fernandes C, Dong K, Rayan G
J Hand Surg Asian Pac Vol 2022 Feb;27(1):2-9. Epub 2022 Feb 23 doi: 10.1142/S2424835522300018. PMID: 35193463
Does trapeziectomy with ligament reconstruction and tendon interposition arthroplasty correct the metacarpophalangeal joint hyperextension associated with trapeziometacarpal osteoarthritis?
Komura S, Hirakawa A, Masuda T, Nohara M, Kimura A, Matsushita Y, Akiyama H
Arch Orthop Trauma Surg 2021 Jul;141(7):1261-1268. Epub 2021 Mar 1 doi: 10.1007/s00402-021-03838-8. PMID: 33649913
The Natural History of Pediatric Trigger Thumb in the United States.
Hutchinson DT, Rane AA, Montanez A
J Hand Surg Am 2021 May;46(5):424.e1-424.e7. Epub 2021 Jan 9 doi: 10.1016/j.jhsa.2020.10.016. PMID: 33436280
Extensor Pollicis Brevis Spiral Tenodesis for Combined Metacarpophalangeal Instability and Trapeziometacarpal Arthritis.
Henry M
Hand (N Y) 2018 Mar;13(2):190-193. Epub 2017 Mar 8 doi: 10.1177/1558944717695753. PMID: 28720007Free PMC Article
Reconstruction of the rheumatoid thumb.
Toledano B, Terrono AL, Millender LH
Hand Clin 1992 Feb;8(1):121-9. PMID: 1572917

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