Limits...
Bilateral congenital absence of flexor pollicis longus with thumb hypoplasia and thenar atrophy.

Chaudhary V, Sehgal H, Bano S, Parmar PR, Kumar S - Indian J Radiol Imaging (2014)

Bottom Line: Congenital absence of flexor pollicis longus with or without associated anomalies of thenar muscles and thumb is of rare occurrence.Inability to flex the interphalangeal joint of the thumb and absent dorsal wrinkles and flexion creases of the thumb are important clues to the diagnosis.This article presents an extremely rare case of bilateral congenital absence of flexor pollicis longus tendon with thumb hypoplasia and thenar atrophy.

View Article: PubMed Central - PubMed

Affiliation: Department of Radiodiagnosis, Employees' State Insurance Corporation Model Hospital, Sector-9A, Gurgaon, Haryana, India.

ABSTRACT
Congenital absence of flexor pollicis longus with or without associated anomalies of thenar muscles and thumb is of rare occurrence. Inability to flex the interphalangeal joint of the thumb and absent dorsal wrinkles and flexion creases of the thumb are important clues to the diagnosis. Routine radiography and cross-sectional imaging help to confirm and document the condition. This article presents an extremely rare case of bilateral congenital absence of flexor pollicis longus tendon with thumb hypoplasia and thenar atrophy.

No MeSH data available.


Related in: MedlinePlus

(A) Dorsal view of both thumbs. Minor hypoplasia of both the thumbs and absence of dorsal wrinkles are seen (arrows). (B) Palmar surface of the hands show absent flexion creases (arrows) of bilateral thumbs. Thenar eminence atrophy is also present (asterisk). (C) Functional limitation in holding a pen; note the absence of active flexion of the interphalangeal joints of both the thumbs
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC4126142&req=5

Figure 1: (A) Dorsal view of both thumbs. Minor hypoplasia of both the thumbs and absence of dorsal wrinkles are seen (arrows). (B) Palmar surface of the hands show absent flexion creases (arrows) of bilateral thumbs. Thenar eminence atrophy is also present (asterisk). (C) Functional limitation in holding a pen; note the absence of active flexion of the interphalangeal joints of both the thumbs

Mentions: Local examination revealed minor hypoplasia of the thumbs and absence of dorsal wrinkles [Figure 1a] and flexion creases [Figure 1b] at the IP joints of both the thumbs. Thenar eminence atrophy was present [Figure 1b]. Active flexion at the IP joints of bilateral thumbs was absent. Thumb opposition was also weak. Functional limitation in holding a pen was documented [Figure 1c]. Movements of all other joints of the hand were normal.


Bilateral congenital absence of flexor pollicis longus with thumb hypoplasia and thenar atrophy.

Chaudhary V, Sehgal H, Bano S, Parmar PR, Kumar S - Indian J Radiol Imaging (2014)

(A) Dorsal view of both thumbs. Minor hypoplasia of both the thumbs and absence of dorsal wrinkles are seen (arrows). (B) Palmar surface of the hands show absent flexion creases (arrows) of bilateral thumbs. Thenar eminence atrophy is also present (asterisk). (C) Functional limitation in holding a pen; note the absence of active flexion of the interphalangeal joints of both the thumbs
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4126142&req=5

Figure 1: (A) Dorsal view of both thumbs. Minor hypoplasia of both the thumbs and absence of dorsal wrinkles are seen (arrows). (B) Palmar surface of the hands show absent flexion creases (arrows) of bilateral thumbs. Thenar eminence atrophy is also present (asterisk). (C) Functional limitation in holding a pen; note the absence of active flexion of the interphalangeal joints of both the thumbs
Mentions: Local examination revealed minor hypoplasia of the thumbs and absence of dorsal wrinkles [Figure 1a] and flexion creases [Figure 1b] at the IP joints of both the thumbs. Thenar eminence atrophy was present [Figure 1b]. Active flexion at the IP joints of bilateral thumbs was absent. Thumb opposition was also weak. Functional limitation in holding a pen was documented [Figure 1c]. Movements of all other joints of the hand were normal.

Bottom Line: Congenital absence of flexor pollicis longus with or without associated anomalies of thenar muscles and thumb is of rare occurrence.Inability to flex the interphalangeal joint of the thumb and absent dorsal wrinkles and flexion creases of the thumb are important clues to the diagnosis.This article presents an extremely rare case of bilateral congenital absence of flexor pollicis longus tendon with thumb hypoplasia and thenar atrophy.

View Article: PubMed Central - PubMed

Affiliation: Department of Radiodiagnosis, Employees' State Insurance Corporation Model Hospital, Sector-9A, Gurgaon, Haryana, India.

ABSTRACT
Congenital absence of flexor pollicis longus with or without associated anomalies of thenar muscles and thumb is of rare occurrence. Inability to flex the interphalangeal joint of the thumb and absent dorsal wrinkles and flexion creases of the thumb are important clues to the diagnosis. Routine radiography and cross-sectional imaging help to confirm and document the condition. This article presents an extremely rare case of bilateral congenital absence of flexor pollicis longus tendon with thumb hypoplasia and thenar atrophy.

No MeSH data available.


Related in: MedlinePlus