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KMID : 1143020220270040292
Archives of Hand and Microsurgery
2022 Volume.27 No. 4 p.292 ~ p.295
Vascular malformation in the hand causing adduction contracture of the thumb: a case report
Park Hyun-Woo

Park Il-Jung
Kim Ju-Yeong
Kang Soo-Hwan
Oh Seung-Bae
Kim Laurie
Park Jong-Woo
Abstract
Vascular malformations of the muscle are rare non-proliferative vascular lesions, and few case reports have described intramuscular vascular malformations in the upper extremities. Vascular malformations of the muscle may produce musculoskeletal deformities due to muscle contracture. Symptomatic intramuscular vascular malformations are commonly treated with surgery and interventional management. We report a vascular malformation that could not be completely resected. It caused adduction contracture of the thumb in the hand. Sclerotherapy was performed before surgery, but the contracture did not improve. Thus, we additionally performed adductor tenotomy. There was no evidence of recurrence during 6 months of follow-up.
KEYWORD
Hand, Thumb contracture, Vascular malformations, Sclerotherapy, Tenotomy
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