Talpid moles across all northern continents exhibit a remarkably large, sickle-like radial sesamoid bone anterior to their five digits, always coupled with a smaller tibial sesamoid bone. A possible developmental mechanism behind this phenomenon was revealed using molecular markers during limb development in the Iberian mole (Talpa occidentalis) and a shrew (Cryptotis parva), as shrews represent the closest relatives of moles but do not show these conspicuous elements. The mole's radial sesamoid develops later than true digits, as shown by Sox9, and extends into the digit area, developing in relation to an Msx2-domain at the anterior border of the digital plate. Fgf8 expression, marking the apical ectodermal ridge, is comparable in both species. Developmental peculiarities facilitated the inclusion of the mole's radial sesamoid into the digit series; talpid moles circumvent the almost universal pentadactyly constraint by recruiting wrist sesamoids into their digital region using a novel developmental pathway and timing.
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http://dx.doi.org/10.1098/rsbl.2011.0494 | DOI Listing |
Zhonghua Wai Ke Za Zhi
December 2024
Pediatric Orthopedics Department, Beijing Jishuitan Hospital, Capital Medical University,Beijing100035,China.
To explore the interrelationship among three simplified hand and wrist bone age assessment methods and to establish corresponding bone ages for each substage in male children. This retrospective case series study included 169 left hand and wrist X-rays from 152 male children who underwent bone age assessments at the Pediatric Orthopedics and Pediatrics Departments,Beijing Jishuitan Hospital,Capital Medical University from January 2019 to December 2023. The age at the time of X-ray was (13.
View Article and Find Full Text PDFJ Pediatr Orthop
October 2024
Department of Orthopaedic Surgery, Vanderbilt University Medical Center, Nashville, TN.
Background: Greater understanding of the impact of skeletal maturity on outcomes is needed to guide operative treatment of diaphyseal forearm fractures in children and adolescents. The purpose of this study was to compare the complications and outcomes of pediatric diaphyseal forearm fractures treated with intramedullary nailing (IMN) or open reduction internal fixation (ORIF) and to identify a radiographic marker of skeletal maturity that will aid in selecting between treatment options.
Methods: A retrospective review of patients aged 10 to 16 years treated operatively for diaphyseal forearm fractures was performed.
Trauma Case Rep
October 2023
Department of Orthopaedics, University Medical Center Ho Chi Minh City, 201 Nguyen Chi Thanh Street, District 5, Ho Chi Minh City, Viet Nam.
Locked thumb metacarpophalangeal (MCP) joint has been known as a relatively rare condition. We present a case of a 25-year-old male presented with a traumatic locked thumb MCP joint of the right hand. Clinical presentation showed the joint was in a hyperextention position and resistant to active flexion and extension.
View Article and Find Full Text PDFJBJS Case Connect
April 2023
Department of Orthopaedic Surgery, Allegheny Health Network, Pittsburgh, Pennsylvania.
Case: A 54-year-old woman with rheumatoid arthritis presented with a flexor pollicis longus (FPL) rupture at the level of the metacarpophalangeal joint secondary to attritional damage from metacarpophalangeal (MCP) degenerative changes and exostoses from the radial sesamoid. She underwent direct tendon repair with debridement of the MCP joint and radial sesamoidectomy.
Conclusion: Rheumatoid arthritis can potentially lead to rupture of the FPL tendon in locations distal to the carpus, namely at the level of the MCP joint.
Hand Surg Rehabil
April 2023
Department of Hand Reconstructive and Microsurgery, National University Health System (NUHS), Singapore.
Background: The aim of the study was to describe the histology of the thumb MCPJ volar plate.
Methods: Five fresh-frozen thumbs were dissected. The volar plates were harvested from the thumb MCPJ.
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