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The Journal of Hand Surgery
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Research Article| Volume 2, ISSUE 3, P179-193, May 1977

Congenital triangular bones in the hand

  • Virchel E. Wood
    Correspondence
    Reprint requests: Virchel E. Wood, M.D., Loma Linda University Medical Center, Loma Linda, Calif. 92354.
    Affiliations
    From the Department of Orthopedic Surgery and Rehabilitation, Loma Linda University Medical Center, Loma Linda, Calif.

    The Division of Hand Surgery, the Department of Orthopaedic Surgery, University of Iowa, Iowa City, Iowa.
    Search for articles by this author
  • Adrian E. Flatt
    Affiliations
    From the Department of Orthopedic Surgery and Rehabilitation, Loma Linda University Medical Center, Loma Linda, Calif.

    The Division of Hand Surgery, the Department of Orthopaedic Surgery, University of Iowa, Iowa City, Iowa.
    Search for articles by this author
DOI:https://doi.org/10.1016/S0363-5023(77)80068-3
Congenital triangular bones in the hand
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      From the literature we found reports of 105 patients whom we judged had a triangular deformity of one of the bones of the hand or foot. We found 49 patients of our own with 84 delta-shaped phalanges limited strictly to the hand. This represents an incidence of 3.5 percent of our congenital abnormalities of the upper extremity. The deformity is associated with many abnormalities; syndactyly, Polydactyly, symphalangism, triphalangeal thumb, cleft hand, and hypoplastic hand are the most frequent. Triangular deformity of the bone of the index finger usually is associated with Apert's syndrome. Triangular deformity of the proximal phalanx of the ring finger often is found with central Polydactyly. Our average follow-up time on these 49 patients was 14 years, giving us a chance to establish some guidelines and general rules about the natural history and treatment of the delta bone.
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      References

        • Witt A.N.
        • Cotta H
        • Jaeger M.
        Die argeborenen Fehlbildungen der Hand und ihre operative Behandlung. Georg Thieme-Verlag, Stuttgart1966
        • Watson H. K
        • Boyes J.H.
        Congenital angular deformity of the digits.
        J. Bone Joint Surg. 1967; 49A: 333
        • Schoenenberg H.
        Missbildungen der Gliedmassen-Extremitaetenfehlbildungen.
        in: Opitz H. Schmid F. Handbuch der Kinderheilkunde. bd. VI. Springer Verlag, Berlin-Heidelberg-New York1967
        • Theander G.
        • Carstam N.
        Longitudinally bracketed diaphysis.
        Ann. Radiol. 1974; 17: 355-360
        • Stover C.N.
        • Hayes J. T
        • Holt J.F.
        Diastrophic dwarfism.
        Am. J. Roentgenol. Radium Ther. Nucl. Med. 1963; 89: 914
        • Werthemann A.
        Die Entwicklungsstoerungen der Extremitaeten.
        in: Lubarsch O. Henke F. Roessle R. Handbuch der Speziellen pathologischn Anatomie und Histologie. Springer-Verlag, Berlin1952
        • Jaeger M
        • Refior H.J.
        The congenital triangular deformity of the tubular bones of the hand and foot.
        Clin. Orthop. 1971; 81: 139-150
        • Jones G.B.
        Delta phalanx.
        J. Bone Joint Surg. 1964; 46B: 226-228
        • Pol R.
        Brachydaklyie—Klinodaktylie—Hyperphalangie und ihre Grundlogen.
        Virchows Arch. Anat. Physiol. N. 1921; 229: 388-530
        • Schatzki P.
        Ueber verdeckte Syndaktyle Polydaktylie und ueber “Triangelbildung” in der menschlichen Hand.
        Arch. Orthop. Unfallchir. 1934; 34: 637
        • Barsky A.J.
        Congenital anomalies of the hand.
        J. Bone Joint Surg. 1951; 33A: 54

      12. Cocchi, U.: Erbschaeden mit Knochenveraenderungen, Schinz, H. R., Baensch, W. E., Friedl, E., et al., editors: Lehrbuch der Roentgendiagnostik, Bd. I, 6, Stuttgart, George Thieme Verlag.

        • Hersh A.H.
        • DeMarinis F
        • Stecher R.M.
        On the inheritance and development of clinodactyly.
        Am. J. Hum. Genet. 1953; 5: 257-268
        • Lenz W.
        Zur diagnose und Aetiologie der Akrocephalo-syndaktylie.
        Z. Kinderheilkd. 1957; 79: 546
        • Taybi H.
        Diastrophic dwarfism.
        Radiology. 1963; 80: 1
        • Unger H.
        Missbildungen.
        in: Matzen P.F. Lehrbuch der Orthopaedie. Bd. II. VEB Volk und Gesundheit., Berlin1967
        • Cenani A.
        • Lenz W.
        Totale Syndaktylie und totale radioulnare Synostose bei zwei Bruedern.
        Z. Kinderheilkd. 1967; 101: 181
        • Amuso S.J.
        Diastrophic dwarfism.
        J. Bone Joint Surg. 1968; 50A: 113
        • Carstam N
        • Theander G.
        Surgical treatment of clinodactyly caused by longitudinally bracketed diaphysis (delta phalanx).
        Scand. J. Plast. Reconstr. Surg. 1975; 9: 199-202
        • Sella E.J.
        Delta phalanx.
        Conn. Med. 1972; 36: 437
        • Poznanski A.K.
        • Garn S. M
        • Holt J.F.
        The thumb in the congenital malformation syndromes.
        Radiology. 1971; 100: 115-124
        • Poznanski A.K.
        Rubinstein taybi syndrome (broad thumb syndrome).
        The hand in radiologic diagnosis. W. B. Saunders Company, Philadelphia1974: 369-370

      23. Rubinstein, J. H.: The broad thumb syndrome—progress report 1968. Birth Defects, Original Article Series, 5: 25–41; Malformation syndrome, Part II, Vol. 4, No. 2. Baltimore, 1969, The Williams & Wilkins Company.

        • Poznanski A.K.
        • Pratt G.B.
        • Manson G.
        • et al.
        Clinodactyly, camptodactyly, Kirner's deformity and other crooked fingers.
        Radiology. 1969; 93: 573-582
        • Fuerst
        Ein fall von verkverzten und zweigliedrigen fingern begleitet von brustmuskeldefekten usw.
        Z. Morphol. Anthropol. 1900; : 2
        • Wood V.E.
        The treatment of central Polydactyly.
        Clin. Orthop. 1971; 74: 196-205
        • Wood V. E
        Treatment of the triphalangeal thumb and review of the literature.
        Clin. Orthop. 1976; 120: 180-200
        • Hoover G.H.
        • Flatt A. E
        • Weiss M.W.
        The hand and Apert's syndrome.
        J. Bone Joint Surg. 1970; 52A: 878-895

      Article info

      Publication history

      Received in revised form: September 27, 1976
      Received: February 9, 1976

      Identification

      DOI: https://doi.org/10.1016/S0363-5023(77)80068-3

      Copyright

      © 1977 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.

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