Bilateral Anomalous Insertion of Flexor Pollicis Longus

1993 ◽  
Vol 18 (3) ◽  
pp. 312-315 ◽  
Author(s):  
J. NAKAMURA ◽  
E. KUBO

A case of bilateral insertion of flexor pollicis longus to the proximal as well as the distal phalanges is reported. Initially, this case was diagnosed as congenital absence of the flexor pollicis longus, but surgery revealed an intact tendon, with the abnormality only present in the site of insertion. A survey of the literature on congenital abnormalities of flexor pollicis longus failed to reveal any reports of similar abnormalities.

1988 ◽  
Vol 13 (4) ◽  
pp. 474-476
Author(s):  
H. J. HAGAN ◽  
R. S. IDLER

A case is described in which an anomalous insertion of the flexor pollicis longus tendon into the region of the carpal tunnel caused limited active flexion of the thumb in a child. This is the first reported case of this anomaly in which an apparent familial relationship has been noted, and the first reported case in the Caucasian race. Two similar cases in Japanese have been described. Abnormal insertion of a portion of the flexor pollicis longus must be included in the differential diagnosis of inadequate thumb flexion.


1982 ◽  
Vol 70 (5) ◽  
pp. 652
Author(s):  
J. Kenneth Chong ◽  
W F Blair ◽  
G E Omer

1985 ◽  
Vol 10 (2) ◽  
pp. 251-252
Author(s):  
N. J. TREBLE

A rare carpal anomaly is reported in a patient with multiple congenital abnormalities. A literature search reveals few such cases, but a characteristic clinical picture emerges. Patients with this deformity should be carefully examined to exclude other congenital abnormalities.


2018 ◽  
Vol 43 (5) ◽  
pp. 566-567
Author(s):  
A. Kramer ◽  
A. Peleg ◽  
R. Wollstein

2021 ◽  
Vol 9 ◽  
Author(s):  
Sungmin Kim ◽  
Woo Kyoung Kwak ◽  
Sung Taek Jung

Congenital clasped thumb is a progressive flexion and adduction deformity presenting with heterogeneous congenital abnormalities and syndromes. This deformity is usually accompanied by first web space narrowing and metacarpophalangeal joint (MPJ) laxity. Understanding the various features of the clasped thumb and making an accurate diagnosis is essential for treatment. Depending on the classification, treatment can vary from conservative to surgical. We describe the case of a bilateral clasped thumb with various characteristics, which were treated differently according to the disease type. The deformity of the clasped thumb was bilateral, and the patient had MPJ flexion deformity, flexor pollicis longus shortening, first web space narrowing, and MPJ instability, which were confirmed through a stress test. The left thumb was a complex type and was surgically treated, whereas, the right thumb was a flexible type, which was treated with splinting; the treatment showed promising results at 2 years post surgery. Diagnosis of the clasped thumb through thorough history taking, physical examination and considering its characteristics, and appropriate classification of the disease is essential for treatment. Furthermore, a stress test can identify MPJ instability in the congenital clasped thumb.


Orthopedics ◽  
2007 ◽  
Vol 30 (4) ◽  
pp. 318-319 ◽  
Author(s):  
LCDR Robert Tamurian ◽  
LCDR William B. Lutes

2014 ◽  
Vol 24 (3) ◽  
pp. 268 ◽  
Author(s):  
Vikas Chaudhary ◽  
Shahina Bano ◽  
Sanjay Kumar ◽  
Harsha Sehgal ◽  
PranjaliR Parmar

Hand Surgery ◽  
1996 ◽  
Vol 01 (02) ◽  
pp. 191-194
Author(s):  
N.C. Neal ◽  
F.D. Burke

A patient with bilateral absence of flexor pollicis longus received 2 stage tendon transfers with pulley construction strengthening both thumbs and obtaining adequate IP joint motion with improved dexterity.


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