Thumb-in-palm Deformity の治療について

抄録

Thumb-in-palm deformity in which thumb is adducted and flexed in palm is caused by many disorders. This deformity not only prevents the thumb from functioning in pinch but also prevents the hand functioning in grasp and release. And so correction of the thumb-in-palm deformity is very important for function of upper extremity.
We have treated this deformities which are mainly associated with cerebral palsied hand by conservative and surgical treatment at Adachi Gakuen Hospital. Ten patients, 14 hands, in which 7cases were C. P., 2 cases were arthrogryposis multiplex congenita and 1 case was congenital clasped thumb were selected for surgical treatment.
The results of surgical treatment were relatively good in grasp release function, pinch, activity of daily living and appearance in many cases.