The Bilhaut-Cloquet procedure for Wassel types III, IV and VII thumb duplication
ABSTRACT Five cases of Wassel types III, IV and VII thumb duplication underwent a Bilhaut-Cloquet procedure. A stable and mobile metacarpophalangeal joint was achieved in all cases. Interphalangeal joint motion was limited but this joint was stable in all cases. The nail ridge in these thumbs was minimal. A strong, stable thumb of normal size and good appearance can result from the Bilhaut-Cloquet procedure. When one nail is 70% of normal width, a modified procedure using the whole of one nail will avoid the nail ridge, but the nail will still differ from normal.
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ABSTRACT: This article, presented in three sections, review the most common upper limb malformations and their treatments. In this section two there's a discussion about failure of formation and duplication of the parts. The bibliography is continuous since section one.Revista Brasileira de Ortopedia 02/2013; 48(1):3-10. DOI:10.1016/j.rboe.2012.10.001
Revista Brasileira de Ortopedia 01/2013; 48(1):3-10. DOI:10.1016/j.rbo.2012.10.003
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ABSTRACT: Radial polydactyly, the most common digital duplication in Asian and white populations, has a wide range of manifestations. Its classification is useful for planning and assessing surgical treatment. Our patient had four thumbs, duplicated radial carpal bones, and a bifurcated radius. This presentation is not covered by any of the current classifications. To the best of our knowledge, this is the first case of such characteristics reported to date. Consequently, we propose some modifications in the nomenclature and classification of radial polydactyly.Medical journal of the Islamic Republic of Iran 01/2014; 28:81.