Abstract
Metacarpal shortening is a rare condition. This report presents a 10-year-old patient with a shortened middle metacarpal that had become increasingly obvious with growth. The patient and his parents were embarrassed about the appearance of his hand which was psychologically disturbing him. At the age of 11, a single stage lengthening of the metacarpal was done using a fibular intercalary bone graft. Surgery was done for cosmetic reason, adequate length was achieved, and the patient and his parents were satisfied. The principle advantage of a single stage lengthening is the relative simplicity, low morbidity and predictable success rate. According to our report, the single stage lengthening by fibular intercalary bone graft appears to be a successful procedure in young patients with modest shortening of digital rays.
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Fultz CW, Lester DK, Hunter JM (1986) Single stage lengthening by intercalary bone graft in patients with congenital hand deformities. J Hand Surg Br 11:40–46
Hierner R, Wilhelm K, Brehl B (1998) Callus distraction for lengthening of mid-hand and finger stumps in congenital hand abnormalities-personal results and review of the literature. Handchir Mikrochir Plast Chir 30:196–202
Kessler I, Baruch A, Hecht O (1977) Experience with distraction lengthening of digital rays in congenital anomalies. J Hand Surg Am 2:394–401
Matsuno T, Ishida O, Sunagawa T, Ichikawa M, Ikuta Y, Ochi M (2004) Bone lengthening for congenital differences of the hand and digits in children. J Hand Surg Am 29:712–719
Minguella J, Cabrera M, Escolá J (2001) Techniques for small-bone lengthening in congenital anomalies of the hand and foot. J Pediatr Orthop B 10:355–359
Ogino T, Kato H, Ishii S, Usui M (1994) Digital lengthening in congenital hand deformities. J Hand Surg Br 19:120–129
Paneva-Holevich E, Yankou E (1980) A distraction method for lengthening of the finger metacarpals. a preliminary report. J Hand Surg Am 5:160–167
Southgate GW, Holms W (1985) Metacarpal lengthening. J Hand Surg Br 10:391–392
Wackenheim A, Kehr P (1987) Cheirolumbar dysostosis: a mono-osseous form (monovertebral and monophalangeal). Neuroradiology 29:589
Wackenheim A (1994) Le Thesaurus de l’Image Médicale de Strasbourg. Eur J Orthop Surg Traumatol 4:63–64
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No funds were received in support of this study. No benefits in any form have been or will be received from a commercial party related directly or indirectly to the subject of this manuscript.
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The authors declare that they have no conflict of interest. No financial support was provided for this report.
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Šponer, P., Mathew, P.G. Single stage lengthening by fibular intercalary bone graft in a patient with metacarpal shortening. Eur J Orthop Surg Traumatol 20, 55–57 (2010). https://doi.org/10.1007/s00590-009-0487-x
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DOI: https://doi.org/10.1007/s00590-009-0487-x