Doubling Down on Maximizing Functional and Aesthetic Outcomes: Modified Technique for Pediatric Wassel Type I Thumb Duplication: A Case Report
Doubling Down on Maximizing Functional and Aesthetic Outcomes: Modified Technique for Pediatric Wassel Type I Thumb Duplication: A Case Report
Kerry A. Morrison, MD1, Sofia Perez Otero, BS1, Alexandra J. Lin, MD1, Jacques H. Hacquebord, MD2*
Background: Given the rare occurrence, there is a paucity of literature characterizing surgical management of Wassel Type I thumb duplications, especially at an older age where psychosocial factors become a more significant consideration. Case Presentation: We present a 5-year-old girl with right Wassel Type I thumb duplication with delayed initial presentation for treatment. We performed a modified Wassel Type I radial thumb ablation, percutaneous pinning, and nail reconstruction preserving radial nail fold and transferring to ulnar nail plate and fold. Conclusions: This modified approach maximizes functional and aesthetic outcomes and highlights the significance of considering surgical management to improve quality of life in delayed presentations of Wassel Type I thumb duplication.
Keywords: Thumb duplication; Wassel Type I thumb; thumb reconstruction; congenital hand surgery; pediatric hand surgery
Journal of Medical Clinical Case Reports (JMCCR) is a peer-reviewed, open-access journal dedicated to publishing high-quality research that advances scientific knowledge and clinical practice.
