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Updated: Jun 13, 2026
04:08
Metacarpal Small Incision for Carpal Tunnel Syndrome
Published on: April 5, 2024
An unusual bifid first metacarpal.
1Department of Orthopaedics, Maharishi Balmiki Hospital, Pooth Khurd, Delhi 110039, India.
Indian Journal of Orthopaedics
|April 27, 2010
Summary
We present a rare case of bifid first metacarpal in a young girl, a congenital anomaly causing thumb deformity. Surgical intervention led to full functional and cosmetic recovery of the affected thumb.
Area of Science:
- Orthopedics
- Congenital Anomalies
- Hand Surgery
Background:
- Bifid first metacarpal is a recognized congenital anomaly affecting hand development.
- This condition can lead to functional and aesthetic challenges in the thumb.
Purpose of the Study:
- To report an unusual presentation of bifid first metacarpal in a pediatric patient.
- To describe the surgical management and outcomes for this rare anomaly.
Main Methods:
- Case report of a 13-year-old girl with a bifid first metacarpal.
- Clinical presentation included swan neck deformity and a first web space bony prominence.
- Surgical correction was performed.
Main Results:
- The patient had a bifid first metacarpal lacking its own epiphysis.
- Post-surgery, the patient achieved complete functional recovery.
- Cosmetic improvement of the left thumb was also noted.
Conclusions:
- Surgical treatment can effectively address complex bifid first metacarpal cases.
- Restoration of thumb function and aesthetics is achievable with appropriate intervention.
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