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The windblown hand - diagnosis, clinical picture and pathogenesis.
Journal article

The windblown hand - diagnosis, clinical picture and pathogenesis.

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  • 2004-05-27
Published in:
  • Handchirurgie, Mikrochirurgie, plastische Chirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Handchirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Mikrochirurgie der Peripheren Nerven und Gefasse : Organ der V.... - 2004
Abnormalities, Multiple
Adult
Animals
Contracture
Craniofacial Abnormalities
Disease Progression
Foot Deformities, Congenital
Functional Laterality
Hand Deformities, Congenital
Humans
Infant
Metacarpophalangeal Joint
Pedigree
Phylogeny
Syndrome
Thumb
English The syndrome of the windblown hand deformity is a complex constellation of malformations affecting not only the head and the feet but also the hands in a quite distinct manner. In the hand, it involves congenital bilateral flexion contracture with ulnar deviation of the metacarpophalangeal joints. The thumb is characteristically adducted (reaching the palm; "thumb-in-palm deformity") with flexion of the MP joint and hyperextension of the IP joint. The etiology is basically unknown. We present two theories based on knowledge derived from the disciplines of evolution biology and embryology. We believe that the atavistic appearance of phylogenetically primitive muscle groups in conjunction with an impaired rotation of the extremities during embryological development account for this malformation syndrome.
Language
  • English
Open access status
closed
Identifiers
Persistent URL
https://folia.unifr.ch/global/documents/186548
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