Different Modalities in Management of Congenital Clasped Thumb

This study aimed to evaluate the management of patients with congenital clasped thumb deformity. This is a prospective cohort study, conducted in multicenter of Al-Azhar University Hospitals. It included 20 pediatric patients below eight years old with congenital clasped thumbs. All the patients’ demographics (age, and sex) and clinical data regarding the presence of other associated anomalies such as congenital talipes equinovarus (C.T.E.V.) and arthrogryposis were recorded. All the patients were exposed to thorough clinical examinations (performed by a pediatrician). The studied patients were classified according to Tsuyuguchi et al. [1] classification into three types. Conservative treatment was sufficient in one case, and surgical treatment was performed for 18 patients using different types of flaps (Elghani flap in 85%, and Ezaki flap in two cases (10.0%)) with an average follow-up of 20 months from the start of January 2019 up to the end of August 2020. Twenty patients were included with a mean age of 5.65±1.84 years and ranged from 2 up to 8 years, 12 (60%) were boys versus 8 (40.0%) were girls. Positive family history was recorded in 20.0% of studied cases. Associated anomalies were reported in 45.0% of our cases. Almost all patients were satisfied with the surgical treatment result. Early proper management of congenital clasped thumb deformity results in good satisfactory outcomes.