We consider surgical reconstruction of the 5- finger hand to improve function (and also appearance). The digit on the thumb side of the hand is shortened and rotated to create the function of a thumb. Sometime an entire bone can be removed or other times the metacarpal bone in the hand is simply shortened. Here is an example of a 5- finger hand.
|5- finger hand|
|Another view of 5- finger hand prior to reconstruction|
|Final view of 5- finger hand|
There are a few reports of treatment of the 5- finger hand, most recommending pollicization. http://www.ncbi.nlm.nih.gov/pubmed/21093346 and http://www.ncbi.nlm.nih.gov/pubmed/5506242
|Pollicization in 5- finger hand|
|Another view of pollicization in 5- finger hand. Note, the new thumb is slightly long (based on discussion with family and possible additional surgery later).|