bifid thumb from zero to hero treatment .pptx
- 1. BIFID THUMB
- 2.  Incidence  1-2% of neonate with congenital anomaly  10% with upper extremity anomaly
- 4.  Incidence  Most common polyductyly in Whites and Asians  Second common anomaly in hand  1/3000 birth  Usually  Unilateral  Sporadic  Without other syndromes
- 5. Preaxial (bifid thumb) Postaxial polyductyly Central poltductyly Most common Less common More common in Caucasian Most common in African 50% relationship parents Classification
- 7.  Clinical  Widening of the tip to two complete thumb rays  Hypoplasia (radial side more hypoplastic)  Convergent or divergent  Flat hand  Deviate or delta phalanx
- 8.  Treatment  Surgery  Indication  Cosmetic  Function  Age of surgery  6-12-18 m.  <5 y.  8-10 y. for revision  Kinds of surgery
- 9.  Treatment  Preoperative splinting  Kinds of surgery  Simple excision  Bilhaut-Cloquet  Excision and lig. Reconstruction
- 10. B-Q E-LR Normal width + _ Lig stability + _ Mobility _ + Growth plate injury common uncommon Indication 1-2 >=3
- 11.  Treatment  Bilaut-Cloquet  Meticulous physeal rearrangement
- 13.  Excision and reconstruction  Which thumb
- 20.  Steps of reconstruction
- 25.  ???