Items tagged “thumb”

11 results found
Article

Bennett fracture

A Bennett fracture is a fracture of the base of the thumb resulting from forced abduction of the first metacarpal. It is defined as an intra-articular two-part fracture of the base of the first metacarpal bone. Radiographic features Plain radiograph two piece fracture of the base of the th...
Article

Epibasal fracture of the thumb

Epibasal fractures of the thumb (also called pseudo-Bennett fracture) are extra-articular two-piece fractures of the proximal first metacarpal bone. They are usually stable, depending on the degree of displacement, and often do not require surgery. It is important to distinguish them from intra-...
Article

Rolando fracture

Rolando fracture is a three-part or comminuted intra-articular fracture-dislocation of the base of the thumb (proximal first metacarpal). It can be thought of as a comminuted Bennett fracture. Epidemiology The vast majority of cases occur in men, with a male to female predominance of 10:1. It ...
Article

Fractures of the thumb

Fractures of the thumb are important due to huge impact the thumb has on the overall function of the hand, an understanding of the types of fractures that occur is important, as treatment varies with fracture type. Pathology Types Metacarpal fractures include: intra-articular fractures ...
Article

Stener lesion

Stener lesions are seen in the context of a torn ulnar collateral ligament (UCL) of the thumb's metacarpophalangeal (MCP) joint (gamekeeper's thumb) resulting in an interposition of the adductor pollicis aponeurosis between the ulnar collateral ligament and the MCP joint. Epidemiology Stener l...
Article

Absent thumb

An absent thumb can have many associations. They include: Fanconi anemia (pancytopenia-dysmelia syndrome) Franceschetti syndrome Holt-Oram syndrome phocomelia (e.g. thalidomide embryopathy) Poland syndrome (pectoral muscle aplasia and syndactyly) Rothmund-Thomson syndrome Seckel syndrome ...
Article

Triphalangeal thumb

Triphalangeal thumb is considered a form of pre-axial polydactyly. Epidemiology Triphalangeal thumbs have an incidence of 1 in 25,000 7.  Associations There is a long list of associations 1-6:  Aase syndrome anatomic variant: isolated anomaly Diamond-Blackfan syndrome DOOR syndrome Duan...
Article

Abductor pollicis brevis muscle

The abductor pollicis brevis muscle is a thin subcutaneous muscle located laterally in the thenar eminence of the hand, and is one of the intrinsic muscles of the hand. Summary origin: mainly from the flexor retinaculum few fibers originate from the tubercles of scaphoid and trapezium and ten...
Article

Zone classification of flexor tendon injury

The zone classification of flexor tendon injuries divides injuries into five zones based on anatomical location. It is the most widely used flexor tendon injury classification system (c. 2007) 1. Classification Flexor tendon injuries were classified into five zones by Kleinart and Verdan in 19...
Article

Anterior oblique ligament of the thumb

The anterior oblique ligament of the thumb is one of several carpometacarpal ligaments of the thumb and also one of its main stabilizers 1. Terminology The anterior oblique ligament of the thumb is also known as the ‘beak ligament’. It can be divided into a superficial and a deep component and...
Article

Dorsal deltoid ligament complex of the thumb

The dorsal deltoid ligament complex of the thumb encases the first carpometacarpal joint from the dorsal and radial aspect and is considered a primary stabilizer of the first carpometacarpal joint. Gross anatomy The dorsal deltoid ligament complex of the thumb consists of the following three c...

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