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Bilateral Digital Extensor Hypoplasia Correction: A Case Report and Systematic Review

Digital extensor hypoplasia (DEH) is a rare malformation that presents with loss of active finger extension at the metacarpophalangeal (MCP) joints. Descriptions of optimal treatment and outcomes in this population are sparse. We describe successful operative treatment of a child with DEH involving...

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Autores principales: Aivaz, Marudeen, Mantilla-Rivas, Esperanza, Brennan, Ashleigh, Thomas, John, Malphrus, Elizabeth L., Manrique, Monica, Oh, Albert K., Rogers, Gary F.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Thieme Medical Publishers, Inc. 2023
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10049810/
https://www.ncbi.nlm.nih.gov/pubmed/36999153
http://dx.doi.org/10.1055/s-0042-1757311
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author Aivaz, Marudeen
Mantilla-Rivas, Esperanza
Brennan, Ashleigh
Thomas, John
Malphrus, Elizabeth L.
Manrique, Monica
Oh, Albert K.
Rogers, Gary F.
author_facet Aivaz, Marudeen
Mantilla-Rivas, Esperanza
Brennan, Ashleigh
Thomas, John
Malphrus, Elizabeth L.
Manrique, Monica
Oh, Albert K.
Rogers, Gary F.
author_sort Aivaz, Marudeen
collection PubMed
description Digital extensor hypoplasia (DEH) is a rare malformation that presents with loss of active finger extension at the metacarpophalangeal (MCP) joints. Descriptions of optimal treatment and outcomes in this population are sparse. We describe successful operative treatment of a child with DEH involving the extensor digitorum communis, extensor digiti minimi, and the extensor indicis proprius tendons. The 5-year-old male patient was referred for severe limitation on bilateral finger extension since birth. He had been previously diagnosed with arthrogryposis and managed conservatively. Due to lack of improvement, magnetic resonance imaging was done evidencing hypoplasia/aplasia of the extensor tendons. The patient underwent successful tendon transfers using extensor carpi radialis longus to the common extensor tendons, and one hand required an additional tenolysis procedure. 2 years postoperatively, his MCP position and finger extension are markedly improved, and he is able to grip objects without limitation or difficulty. The patient returned to full activity without restriction.
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spelling pubmed-100498102023-03-29 Bilateral Digital Extensor Hypoplasia Correction: A Case Report and Systematic Review Aivaz, Marudeen Mantilla-Rivas, Esperanza Brennan, Ashleigh Thomas, John Malphrus, Elizabeth L. Manrique, Monica Oh, Albert K. Rogers, Gary F. Arch Plast Surg Digital extensor hypoplasia (DEH) is a rare malformation that presents with loss of active finger extension at the metacarpophalangeal (MCP) joints. Descriptions of optimal treatment and outcomes in this population are sparse. We describe successful operative treatment of a child with DEH involving the extensor digitorum communis, extensor digiti minimi, and the extensor indicis proprius tendons. The 5-year-old male patient was referred for severe limitation on bilateral finger extension since birth. He had been previously diagnosed with arthrogryposis and managed conservatively. Due to lack of improvement, magnetic resonance imaging was done evidencing hypoplasia/aplasia of the extensor tendons. The patient underwent successful tendon transfers using extensor carpi radialis longus to the common extensor tendons, and one hand required an additional tenolysis procedure. 2 years postoperatively, his MCP position and finger extension are markedly improved, and he is able to grip objects without limitation or difficulty. The patient returned to full activity without restriction. Thieme Medical Publishers, Inc. 2023-02-01 /pmc/articles/PMC10049810/ /pubmed/36999153 http://dx.doi.org/10.1055/s-0042-1757311 Text en The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. ( https://creativecommons.org/licenses/by/4.0/ ) https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Aivaz, Marudeen
Mantilla-Rivas, Esperanza
Brennan, Ashleigh
Thomas, John
Malphrus, Elizabeth L.
Manrique, Monica
Oh, Albert K.
Rogers, Gary F.
Bilateral Digital Extensor Hypoplasia Correction: A Case Report and Systematic Review
title Bilateral Digital Extensor Hypoplasia Correction: A Case Report and Systematic Review
title_full Bilateral Digital Extensor Hypoplasia Correction: A Case Report and Systematic Review
title_fullStr Bilateral Digital Extensor Hypoplasia Correction: A Case Report and Systematic Review
title_full_unstemmed Bilateral Digital Extensor Hypoplasia Correction: A Case Report and Systematic Review
title_short Bilateral Digital Extensor Hypoplasia Correction: A Case Report and Systematic Review
title_sort bilateral digital extensor hypoplasia correction: a case report and systematic review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10049810/
https://www.ncbi.nlm.nih.gov/pubmed/36999153
http://dx.doi.org/10.1055/s-0042-1757311
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