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KMID : 0361619760110030557
Journal of the Korean Orthopaedic Association
1976 Volume.11 No. 3 p.557 ~ p.559
Clinical Experience of Thumb-in-palm Deformity


Abstract
A csse of thumb-in-palm deformity due to burn scar contracture. Recently it is felt that the incidence of thumb-in-palm deformity due to old burn scar contracture is far less than that of other causes; for example carebral palsy, trauma, Co. poisning etc;
This case is a 23 years old male soldier who had sustained burn on the left palm at his age of 4, and the left thumb Aas been gradually contracted, resulting to established thumb-in-palm deformity evantually, There is no active or passive motion in the metacarpho-phalangeal phalangeal joint and carpho-metacarpal joint of left thumb.
The distal phalanx is moderately atrophied and its nail is deformed. On act 6th, 1975 he was operated on soft-jissue releasing with Z-plasty fasciotomy of palmar aponeurosis and myotomy of adductor pollicis and flexor pollicis brevis with split thickness skin graft.
Postoperatively he could have full extension of the left thumb as well as active flexion of metacrpho-phalangeal and interphalangeal joint with slight adducted state.
He is able to take opposition of left thumb at the present trime postoperative four weeks.
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