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Journal of the Korean Society for Surgery of the Hand 1999;4(1):102-107.
Published online January 1, 1999.
The Surgical Treatment of Metacarpal Synostosis - A case Report -
Joon Min Song,Hong Bum Kim,Jae Eung Yoo,Chi Soo Sohn,Jong Seok Park,Hee Kwon,Chang Uk Choi
중수골 골결합의 수술적 치료 -1례 보고-
송준민,김홍범,유재응,손치수,박종석,권희,최창욱
Abstract
Congenital metacarpal synostosis is a rare clinical entity, and several cases have been reported as individual case report. Some of them are complicated by major anomalies of the hand or general congenital malformation syndromes. Synostosis of the metacarpals most often involves the ring and little finger metacarpals. Usually all digits in most of the congenital synostosis between fourth and fifth metacarpal bones are of normal proportion except for the small and ring fingers that are slightly hypoplastic and widely separated at its ends. Cosmesis is the main indication of the surgical treatment rather than the function. She was treated surgically-splitting of fusion, correction of abduction deformity, and metacarpal lengthening of the little finger-but no silastic sheet was used. The abduction of the metacarpal bone was corrected from 26¡Æto 8¡Æand the flexion of the MP joint from 60¡Æto 90¡Æ. We reported a case of congenital metacarpal synostosis between the left 4th and 5th metacarpal bones that we had treated by surgically.
 


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