Wassel VI Duplications: A Report of 2 Cases, Soft-tissue Anatomy, and Reconstructive Approach

Summary:. Preaxial polydactyly represents an embryologic failure of formation and differentiation that is most commonly classified according to the level of bony duplication. The soft-tissue anatomy and approach to reconstruction of a Wassel VI thumb, an uncommon variant in which complete duplicatio...

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Bibliographic Details
Main Authors: Naikhoba C. O. Munabi, MD, Kylie Tanabe, PA-C, David A. Kulber, MD
Format: Article
Language:English
Published: Wolters Kluwer 2018-11-01
Series:Plastic and Reconstructive Surgery, Global Open
Online Access:http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000001996
Description
Summary:Summary:. Preaxial polydactyly represents an embryologic failure of formation and differentiation that is most commonly classified according to the level of bony duplication. The soft-tissue anatomy and approach to reconstruction of a Wassel VI thumb, an uncommon variant in which complete duplication begins at the metacarpals has not been extensively discussed in the literature. Here, we present 2 patients with a Wassel VI duplication and a shared soft-tissue variant of anomalous insertion of the opponens pollicis muscle onto the radial hypoplastic digit. A critical component of thenar reconstruction involves preservation and reinsertion of the opponens muscle into the dominant and preserved metacarpal.
ISSN:2169-7574