Different Modalities in Management of Congenial Clasped Thumb
试验速览
- 阶段
- 不适用
- 入组人数
- 20
- 主要终点
- improved hand grip degree
研究概览
简要总结
Congenital clasped thumb is a rare progressive flexion and adduction deformity presenting with heterogenous congenital abnormalities.(1, 2) It is confused with trigger finger deformity due to fixated flexion deformity of the thumb. In congenital trigger finger entrapment is present at A1 pulley level due to fusiform enlargement of flexor pollicis longus tendon
详细描述
The main problem is the deficient extensor tendon mechanism of thumb due to functional and structural causes. \
Although in congenital clasp finger deformity there are thumb flexion deformity due to extensor tendon insufficiency and muscle and skin contractions at flexor and thenar regions.
In congenital clasped thumb success of treatment depends on lesion type. Although successful results have been obtained with splinting and conservative treatment, several reconstruction methods are used due to secondarily developed contractures in neglected cases. Tendon transfers are useful in hypermobile thumb cases who have both extensor and opponents tendon deficiency.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 2 Years 至 8 Years（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Congenital clasped thumb
- •Cerebral palsy
- •Arthrogryposis
- •Under age of eight years old.
排除标准
- •1- Congenital trigger thumb. 2- Neglected adducted thumb. 3- Post traumatic extensor tendon injury. 4- Neglected congenital clasped thumb.
结局指标
主要结局
improved hand grip degree
时间窗: 3 months
Measure the degree of thumb motion and improve function of the thumb to restore function of the hand abduction of the thumb more than 40 degree
次要结局
未报告次要终点
研究者
Tamer Abdelkader Abdelwahed Mohammed
principal investigator
Al-Azhar University