A Case of VACTERL Association With Thumb Polydactyly Requiring Surgical Treatment.

Kazuki Shimada, Takako Komiya, Kouhei Aoki, Rei Omura, Sohachi Toriyabe, Hajime Matsumura

Abstract readCase Reports

In one paragraph

Article in Journal of hand surgery global online, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed

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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

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0 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Kazuki ShimadaDepartment of Plastic and Reconstructive Surgery, Tokyo Medical University, Tokyo, Japan.

Takako KomiyaDepartment of Plastic and Reconstructive Surgery, Tokyo Medical University, Tokyo, Japan.

Kouhei AokiDepartment of Plastic and Reconstructive Surgery, Tokyo Medical University, Tokyo, Japan.

Rei OmuraDepartment of Plastic and Reconstructive Surgery, Tokyo Medical University, Tokyo, Japan.

Sohachi ToriyabeDepartment of Plastic and Hand Surgery, Sendai Medical Center, Sendai, Japan.

Hajime MatsumuraDepartment of Plastic and Reconstructive Surgery, Tokyo Medical University, Tokyo, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We report a case of a rare type of polydactyly associated with VACTERL association (verebral defects, anal atresia, cardiac defects, tracheo-esophageal fistula,renal anomalies, and limb abnormalities) that was treated surgically in infancy with good results. In this case, the patient had radial and ulnar thumbs of almost equal size, and mild thumb hypoplasia. This thumb is as classified Blauth type Ⅰ thumb hypoplasia and as a type IV triphalangeal thumb in the Rotterdam classification. The radial thumb had one phalanx with no distal phalanx or nail plate, whereas the ulnar thumb had three phalanges, including a distal phalanx and nail plate. On-top plasty was performed, joining the ulnar thumb top to the radial thumb base. One year after surgery, the appearance of thumb is good, and the child can use the affected digit well in daily activities. However, flexion and extension of the interphalangeal joint of the thumb is weak. Follow-up will be continued to monitor growth of the reconstructed thumb.

Indexed as

Case reportSurgical treatmentThumb polydactylyVACTERL association

Identifiers

PMID40497261

DOI10.1016/j.jhsg.2024.10.009

PMCPMC12150080

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