Abstract
Fixing the thumb in a position of palmar abduction is an operation of last resort. It is reserved for those cases of paralysis in which there are no transferable muscles, where there are spastic paralysis and adduction contracture, and where there is severely scarred thumb-web space but in which there is still some chance for useful hand function if the thumb can be placed in an abducted position (Figs. 48-1 A Figs. 48-1 B Figs. 48-1 C-I).
A 17-year-old high school football player had an old injury to the left metacarpophalangeal thumb joint, with instability of the radial collateralligament and volar subluxation of the proximal phalanx on the metacarpal. In addition, there was joint space narrowing on the ulnar side of the joint and subchondral cyst formation in the ulnar condyle of the thumb metacarpal. In the preceding year, this condition had interfered with his manual activities, particularly with pinching and grasping and especially with catching a football. He was a wide receiver. He requested surgical intervention.
A 17-year-old high school football player had an old injury to the left metacarpophalangeal thumb joint, with instability of the radial collateralligament and volar subluxation of the proximal phalanx on the metacarpal. In addition, there was joint space narrowing on the ulnar side of the joint and subchondral cyst formation in the ulnar condyle of the thumb metacarpal. In the preceding year, this condition had interfered with his manual activities, particularly with pinching and grasping and especially with catching a football. He was a wide receiver. He requested surgical intervention.
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© 1986 Springer-Verlag New York Inc.
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Freeland, A.E., Jabaley, M.E., Hughes, J.L. (1986). Thumb Metacarpophalangeal Joint Arthrodesis. In: Stable Fixation of the Hand and Wrist. Springer, New York, NY. https://doi.org/10.1007/978-1-4613-8640-7_48
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DOI: https://doi.org/10.1007/978-1-4613-8640-7_48
Publisher Name: Springer, New York, NY
Print ISBN: 978-1-4613-8642-1
Online ISBN: 978-1-4613-8640-7
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