Volume 2008, Issue 2
  • ISSN: 0253-8253
  • EISSN: 2227-0426


Thumb hypoplasia and aplasia are disabling congenital deformities and in the more severe cases (Grades IV and V) the only possibility is pollicisation Some Grade III hypoplasia cases are more severe with absence of the trapezio-metacarpal joint and most of the first metacarpal These cases are best treated by amputation and pollicisation. The authors describe in detail pollicisation of the index and its pitfalls.


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  1. Blauth W. Der hypoplatische Daumen. Arch. Orth. Unfull-chir. 1967; 62::225246.
    [Google Scholar]
  2. Buck-Gramcko D. Congenital malformations. In: Nigst HBuck-Gramcko DMillesi HLister GD, eds. Hand Surgery. Vol. I. New York: Thieme Med Publ 1988;:12. . 3.
    [Google Scholar]
  3. Buck-Gramcko D, Pereira JAR. Proximal toe phalanx transplantation for bony stabilization and lengthening of partially aplastic digits. Ann Hand Surg. 1990; 9::107118.
    [Google Scholar]
  4. Gilberta A, Hildreth D, Albaladejo F. Lesfacteurs influengant le resultat des pollicisations dans les malformations congenitales du pouce. In: Les malformations congenitales du membresuperieur. Monographie du Groupe de Etude de la Main. Expansion Scientifique Frangaise, Paris, 1991.
  5. Muller W. Die angeborenen Fehlbildungen der Menschlichen Hand. Erb und Konstitutionsbiologie der Hand. Thieme-Leipzig 1937.
  6. Manske PR, Mc Carroll HR. Index finger pollicisation for a congenitally absent or nonfunctioning thumb. J Hand Surg. 1985; 10A::606613.
    [Google Scholar]
  7. Tajima T. Classification of thumb hypoplasia. Hand Clinic. 1985; 1:3:577594.
    [Google Scholar]
  • Article Type: Research Article
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