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患者女性,7岁,因先天性双手第1掌骨缺如,拇指呈蒂形与第二掌指关节处侧缘相连接,于1997年11月3日入院手术治疗.患者出生后即发现双手第1掌骨缺如,拇指比其余四指均小,且以软组织呈蒂形连接在第二掌指关节处侧缘上,蒂如十号丝线粗,蒂长约2mm,其余四指发育正常,随着年龄的增长,拇指发育成短粗形,从形态上看有拇指关节、无对掌及曲伸活动,更不能随着其余四指活动而活动,只能在余指帮助下可使拇指关节构成130°角.当双手运动时拇指呈铃铛样摆动,影响活动及学习,在抵抗寒冷方面表现更为突出,曾去沈阳、北京各家医院,经过放射线科检查后,均无移植价值.
Female patient, 7 years old, due to congenital absence of the first metacarpal hands, the thumb was pedicle shape and the second metacarpophalangeal joint lateral margin, was admitted to the hospital on November 3, 1997. The patient was found after both hands 1 lack of metacarpal, the thumb than the other four fingers are small, and the soft tissue was pedicle connected to the second metacarpophalangeal joint edge, pedicle as No. 10 thread thick, pedicle length of about 2mm, the remaining four fingers normal development, with With the growth of age, the thumb develops into a short and thick shape, from the morphological point of thumb joint, no diagonal and Quxian activities, but not with the activities of the other four fingers activity, only with the help of the thumb can make the thumb joint Forming a 130 ° angle.When the hands move the bell bell-like swing, affecting activity and learning, in the performance of the more prominent resistance to the cold, went to Shenyang, Beijing hospitals, after radiological examination, no transplant value.