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

Research output: Contribution to journalArticlepeer-review

15 Scopus citations

Abstract

Study design Retrospective Cohort Introduction Important 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. Methods 8 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. Results Pollicized 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. Conclusions Most children should obtain adequate dexterity despite weakness after pollicization except older or severely involved children. Level of evidence IV

Original languageEnglish (US)
Pages (from-to)158-166
Number of pages9
JournalJournal of Hand Therapy
Volume28
Issue number2
DOIs
StatePublished - Apr 1 2015

Keywords

  • Dexterity
  • Functional outcome
  • Pollicization
  • Surgical outcome
  • Thumb

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation

Fingerprint Dive into the research topics of 'Long term functional outcomes after early childhood pollicization'. Together they form a unique fingerprint.

Cite this