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Related Concept Videos

Bones of the Upper Limb: Radius01:09

Bones of the Upper Limb: Radius

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The radius is longer of the two bones that make up the human antebrachium or forearm. At the proximal end, the radius articulates with the capitulum of the humerus and the radial notch of the ulna to form the elbow joint. At the distal end, the radius articulates with the ulna via the ulnar notch, forming the distal radioulnar joint. Distally, the radius also attaches to the carpal wrist bones (scaphoid and lunate) to form the radiocarpal joint.
The radius has a nail-shaped head, and a...
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Vascularized Composite Hand Allograft Procurement and Preparation for Distal and Proximal Forearm Allotransplantation: A Stepwise Approach
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Reconstruction for Type IV Radial Polydactyly.

Lindley B Wall1, Charles A Goldfarb1

  • 1Department of Orthopaedic Surgery, St. Louis Children's Hospital and Shriners Hospital for Children, Washington University School of Medicine, St. Louis, MO.

The Journal of Hand Surgery
|August 8, 2015
PubMed
Summary
This summary is machine-generated.

Type IV radial polydactyly involves an extra thumb phalanx. Surgical reconstruction focuses on thumb alignment and stability, with generally satisfying outcomes but potential need for future interventions.

Keywords:
Radial polydactylyWasselreconstruction

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Area of Science:

  • Orthopedic surgery
  • Hand surgery
  • Congenital hand differences

Background:

  • Type IV radial polydactyly is a congenital hand difference characterized by a thumb with duplicated proximal and distal phalanges.
  • Accurate assessment is crucial for effective surgical planning and reconstruction.

Purpose of the Study:

  • To describe the assessment and surgical reconstruction of Type IV radial polydactyly.
  • To evaluate the outcomes and potential complications of surgical intervention.

Main Methods:

  • Surgical reconstruction involves excising the smaller, typically radial, thumb.
  • Restoration of thumb stability and alignment is achieved by addressing tendon insertions and joint orientation.

Main Results:

  • Surgical outcomes for Type IV radial polydactyly reconstruction are generally satisfying.
  • Complications are uncommon, but long-term issues like malalignment or instability may necessitate further surgery.

Conclusions:

  • Surgical reconstruction of Type IV radial polydactyly can yield good results.
  • Ongoing monitoring is important to address potential long-term thumb malalignment or instability.