Evidence map›Paper›PMID 25835252›Full record

ArticleJournal of hand therapy : official journal of the American Society of Hand Therapists

Long term functional outcomes after early childhood pollicization.

Nina Lightdale-Miric, Nicole M Mueske, Emily L Lawrence, Jennifer Loiselle, Jamie Berggren, Sudarshan Dayanidhi, Milan Stevanovic, Francisco J Valero-Cuevas, Tishya A L Wren

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of hand therapy : official journal of the American Society of Hand Therapists. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
2.1field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 23 citations in OpenAlex.

  1. Article
  2. Article
  3. Thumb Hypoplasia.Eplasty · 2015
    Article
  4. Innovative evaluation of dexterity in pediatrics.Journal of hand therapy : official journal of the American Society of Hand Therapists
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 1 country.

Nina Lightdale-MiricChildren's Orthopaedic Center, Children's Hospital Los Angeles, Los Angeles, CA, USA; Orthopaedic Surgery Department, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.
Nicole M MueskeChildren's Orthopaedic Center, Children's Hospital Los Angeles, Los Angeles, CA, USA.
Emily L LawrenceDepartment of Biomedical Engineering, Viterbi School of Engineering, University of Southern California, Los Angeles, CA, USA.
Jennifer LoiselleDivision of Rehabilitation Medicine, Children's Hospital Los Angeles, Los Angeles, CA, USA.
Jamie BerggrenDivision of Rehabilitation Medicine, Children's Hospital Los Angeles, Los Angeles, CA, USA.
Sudarshan DayanidhiMuscle Physiology Laboratory, Department of Orthopaedic Surgery, University of California, San Diego, La Jolla, CA, USA.
Milan StevanovicChildren's Orthopaedic Center, Children's Hospital Los Angeles, Los Angeles, CA, USA.
Francisco J Valero-CuevasDepartment of Biomedical Engineering, Viterbi School of Engineering, University of Southern California, Los Angeles, CA, USA; Division of Biokinesiology and Physical Therapy, University of Southern California, Los Angeles, CA, USA.
Tishya A L WrenChildren's Orthopaedic Center, Children's Hospital Los Angeles, Los Angeles, CA, USA; Orthopaedic Surgery Department, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA; Department of Biomedical Engineering, Viterbi School of Engineering, University of Southern California, Los Angeles, CA, USA. Electronic address: twren@chla.usc.edu.
Children's Hospital of Los Angeles · USUniversity of Southern California · USUniversity of California San Diego · US

Funding

Southern California Clinical and Translational Science InstituteUL1TR000130 · NCATS · UNIVERSITY OF SOUTHERN CALIFORNIA · PI BUCHANAN, THOMAS A · 2012 to 2015
$36.0M
Structure &function of the fingers tendinous apparatusR01AR052345 · NIAMS · UNIVERSITY OF SOUTHERN CALIFORNIA · PI VALERO-CUEVAS, FRANCISCO J · 2005 to 2017
$3.7M
Control of finger movement and force for precision pinchR01AR050520 · NIAMS · UNIVERSITY OF SOUTHERN CALIFORNIA · PI VALERO-CUEVAS, FRANCISCO J · 2004 to 2014
$2.9M
NCATS NIH HHS UL1 TR000130NCATS NIH HHS UL1TR000130NIAMS NIH HHS AR050520NIAMS NIH HHS AR052345NIAMS NIH HHS R01 AR050520NIAMS NIH HHS R01 AR052345PHS HHS H133E080024
6 · The paper itself

Abstract

STUDY

designRetrospective Cohort

introductionImportant outcomes of polliciation to treat thumb hypoplasia/aplasia include strength, function, dexterity, and quality of life. PURPOSE OF THE STUDY: To evaluate outcomes and examine predictors of outcome after early childhood pollicization.

methods8 children (10 hands) were evaluated 3-15 years after surgery. Physical examination, questionnaires, grip and pinch strength, Box and Blocks, 9-hole pegboard, and strength-dexterity (S-D) tests were performed.

resultsPollicized hands had poor strength and performance on functional tests. Six of 10 pollicized hands had normal dexterity scores but less stability in maintaining a steady-state force. Predictors of poorer outcomes included older age at surgery, reduced metacarpophalangeal and interphalangeal range of motion, and radial absence. DISCUSSION: Pollicization resulted in poor strength and overall function, but normal dexterity was often achieved using altered control strategies.

conclusionsMost children should obtain adequate dexterity despite weakness after pollicization except older or severely involved children. LEVEL OF EVIDENCE: IV.

Indexed as

Quality of LifeAdolescentChildChild, PreschoolFemaleFingersFunctional LateralityHand DeformitiesHand StrengthHumansMaleMotor SkillsOutcome Assessment, Health CareRetrospective StudiesSurveys and QuestionnairesTask Performance and AnalysisDexterityFunctional outcomePollicizationSurgical outcomeThumb

Identifiers

PMID25835252
PMCPMC4424177
OpenAlexW2042690362

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.