Abstract
Manifested as twin thumb or radial and ulnar hyperdactylia of the thumb, duplication of the thumb falls into the category of deformity of hyperdactylia and is a relatively common kind of congenital hand deformity. It is classified as twin deformity or polydactylism. The twin thumb suffers dysplasia to varying extents in most cases.
References
Cetik O, Uslu M, Cirpar M, et al. Experience with the surgical treatment of radial polydactyly in adults. Ann Plast Surg. 2005;55:363–6.
Dobyns JH, Lipscomb PR, Cooney WP. Management of thumb duplication. Clin Orthop Relat Res. 1985;195:26–49.
Herring JA. Tachdjian’s pediatric orthopaedics. Philadelphia: WB Saunders; 2002. p. 379–512.
Wang W. Plastic surgery science. Hangzhou: Zhejiang Science and Technology Press; 1999. p. 1249–933.
Hong G, Wang W. Congenital hand deformitis. Beijing: People’s Medical Publishing House; 2004. p. 164–95.
Wassel HD. The results of surgery for polydactyly of the thumb. Clin Orthop Relat Res. 1969;64:175–93.
Wood VE. Polydactyly and the triphalangeal thumb. J Hand Surg Am. 1978;3(5):436–44.
Lu L, Xuan Z, Zhang X, et al. Analysis of clinical treatment of 391 cases of duplication of the thumb. Chin J Hand Surg. 2007;23(5):258–60.
Kocer U, Aksoy HM, Tiftikcioglu YO, et al. Polydactyly: a study of four generations of a Turkish family including an affected member with bilateral cleft lip and palate. Scand J Plast Reconstr Surg Hand Surg. 2002;36:284–8.
Goldfarb CA. Reconstruction of radial polydactyly. Tech Hand Up Extrem Surg. 2006;10(4):265–70.
Ezaki M. Radial polydactyly. Hand Clin. 1990;6:577–88.
Flatt AE. Extra thumbs. The care of congenital hand anomalies. St. Louis: Quality Medical Publishing; 1994. p. 120–45.
Elliott AM, Reed MH, Evans JA. Triphalangeal thumb in association with split hand/foot: a phenotypic marker for SHFM3? Birth Defects Res A Clin Mol Teratol. 2007;79:58–61.
Wang ZQ, Tian SH, Shi YZ, et al. A single C to T transition in intron 5 of LMBR1 gene is associated with triphalangeal thumb–polysyndactyly syndrome in a Chinese family. Biochem Biophys Res Commun. 2007;355:312–7.
Merolli A, Tranquilli Leali P, et al. Autosomal dominant transmission of bilateral “opposable” triphalangeal thumb. Chir Organi Mov. 1999;84:381–6.
Wood VE. Treatment of the triphalangeal thumb. Clin Orthop Relat Res. 1976;120:188–200.
Shiono H, Ogino T. Triphalangeal thumb and dermatoglyphics. J Hand Surg [Br]. 1984;9:151–2.
Dobbs MB, Dietz FR, Gurnett CA, et al. Localization of dominantly inherited isolated triphalangeal thumb to chromosomal region 7q36. J Orthop Res. 2000;18:340–4.
Gurnett CA, Bowcock AM, Dietz FR, et al. Two novel point mutations in the long-range SHH enhancer in three families with triphalangeal thumb and preaxial polydactyly. Am J Med Genet A. 2007;143:27–32.
Ogino T, Ishii S, Kato H. Opposable triphalangeal thumb: clinical features and results of treatment. J Hand Surg [Am]. 1994;19:39–47.
Horii E, Nakamura R, Makino H. Triphalangeal thumb without associated abnormalities: clinical characteristics and surgical outcomes. Plast Reconstr Surg. 2001;108:902–7.
Hovius SE, Zuidam JM, de Wit T. Treatment of the triphalangeal thumb. Tech Hand Up Extrem Surg. 2004;8:247–56.
Woolf RM, Broadbent TR. The four-flap Z-plasty. Plast Reconstr Surg. 1972;49:48–51.
Buck-Gramcko D. Pollicization of the index finger. Method and results in aplasia and hypoplasia of the thumb. J Bone Joint Surg Am. 1971;53:1605–17.
El-Karef E. The non-opposable triphalangeal thumb: a new technique of management. J Hand Surg [Br]. 2004;29:544–51.
Kozin SH. Syndactyly. J Am Soc Surg Hand. 2001;1:1–13.
Snow J, Littler J: Surgical treatment of cleft hand. In: Transactions of the Society of Plastic and Reconstructive Surgery: 4th Congress in Rome, Amsterdam: Excerpta Medica Foundation; 1967. p. 888–93.
Blauth W, Olason AT. Classification of polydactyly of the hands and feet. Arch Ortho Trauma Surg. 1988;107:334–44.
Lee HS, Park SS, Yoon JO, Kim JS, Youm YS. Classification of post axial polydactyly of the foot. Foot Ankle Int. 2006;27:356–62.
Temtamy SA, McKusick VA. The genetics of hand malformations. New York: Liss; 1978. p. 364.
Rayan GM, Frey B. Ulnar polydactyly. Plast Reconstr Surg. 2001;107(6):1449–54.
Satake H, Ogino T, Takahara M, et al. Occurrence of centralpolydactyly, syndactyly, and cleft hand in a single family: report of five hands in three cases. J Hand Surg Am. 2009;34(9):1700–3.
Naruse T, Takahara M, Takagi M, Ogino T. Early morphological changes leading to central polydactyly, syndactyly, and central deficiencies: an experimental study in rats. J Hand Surg. 2007;32A(9):1413–7.
Muragaki Y, Mundlos S, Upton J, et al. Altered growth and branching patterns in synpolydactyly caused by mutations in HOXD13. Science. 1996;272:548–51.
Tada K, Kurisaki E, Yonenobu K, et al. Central polydactyly—a review of 12 cases and their surgical treatment. J Hand Surg. 1982;7A(5):460–5.
Wood VE. Treatment of central polydactyly. Clin Orthop Relat Res. 1971;74:196–205.
Al-Qattan MM, Al-Thunayan M, De Cordier M, et al. Classification of the mirror hand–multiple hand spectrum. J Hand Surg [Br]. 1998;23:534–6.
Barton NJ, Buck-Gramcko D, Evans DM. Soft-tissue anatomy of mirror hand. J Hand Surg [Br]. 1986;11:307–19.
Daluiski A, Yi SE, Lyons KM. The molecular control of upper extremity development: implications for congenital hand anomalies. J Hand Surg [Am]. 2001;26:8–22.
Harpf H, Hussl H. A case of mirror hand deformity with a 17-year postoperative follow up. Case report. Scand J Plast Reconstr Hand Surg. 1999;33:329–33.
Gorritz G. Ulnar dimelia. A limb without anterior-posterior differentiation. J Hand Surg. 1982;7A:466–9.
Minssen A. Ein weiterer Fall von angeborener Doppelbildung der Ulna. Orthopädie. 1949;78:570–4.
Innis JW, Hedera P. Clinical report two patients with monomelic ulnar duplication with mirror hand polydactyly: segmental Laurin–Sandrow syndrome. Am J Med Genet. 2004;131A:77–81.
Upton J. Congenital anomalies of the hand and forearm. In: McCarthy JG, editor. Plastic surgery. Philadelphia: WB Saunders; 1990. p. 5356–62.
Bhaskaranand K, Bhaskaranand N, Bhat AK, et al. Variant of mirror hand: a case report. J Hand Surg. 2003;28A:678–80.
Barton NJ, Buck-Gramcko D, Evans DM, et al. Mirror hand treated by true pollicization. J Hand Surg [Br]. 1986;11:320–36.
Tsuyuguchi Y, Tada K, Yonenobu K. Mirror hand anomaly: reconstruction of the thumb, wrist, forearm, and elbow. Plast Reconstr Surg. 1982;70(3):384–7.
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Wang, W. et al. (2017). Twin Deformity. In: Wang, W., Yao, J. (eds) Congenital Deformities of the Hand and Upper Limb. Plastic and Reconstructive Surgery. Springer, Singapore. https://doi.org/10.1007/978-981-10-5101-2_7
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