{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,3]],"date-time":"2026-04-03T02:39:29Z","timestamp":1775183969612,"version":"3.50.1"},"reference-count":40,"publisher":"Elsevier BV","issue":"10","license":[{"start":{"date-parts":[[2020,10,1]],"date-time":"2020-10-01T00:00:00Z","timestamp":1601510400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2020,10,1]],"date-time":"2020-10-01T00:00:00Z","timestamp":1601510400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["81272008"],"award-info":[{"award-number":["81272008"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jhandsurg.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The Journal of Hand Surgery"],"published-print":{"date-parts":[[2020,10]]},"DOI":"10.1016\/j.jhsa.2020.04.003","type":"journal-article","created":{"date-parts":[[2020,5,27]],"date-time":"2020-05-27T23:24:05Z","timestamp":1590621845000},"page":"938-946","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":11,"title":["Clinical Characteristics and Distribution of Thumb Polydactyly in South China: A Retrospective Analysis of 483 Hands"],"prefix":"10.1016","volume":"45","author":[{"given":"Shiyuan","family":"Lin","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kai","family":"Tong","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guolei","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shenglu","family":"Cao","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ziyi","family":"Zhong","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gang","family":"Wang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"issue":"2","key":"10.1016\/j.jhsa.2020.04.003_bib1","doi-asserted-by":"crossref","first-page":"190","DOI":"10.1097\/BPO.0b013e3182648ca8","article-title":"Radial polydactyly: proposal for a new classification system based on the 159 duplicated thumbs","volume":"33","author":"Chung","year":"2013","journal-title":"J\u00a0Pediatr Orthop"},{"issue":"5","key":"10.1016\/j.jhsa.2020.04.003_bib2","doi-asserted-by":"crossref","first-page":"482","DOI":"10.1111\/cge.12217","article-title":"Clinical and descriptive genetic study of polydactyly: a Pakistani experience of 313 cases","volume":"85","author":"Malik","year":"2014","journal-title":"Clin Genet"},{"issue":"10","key":"10.1016\/j.jhsa.2020.04.003_bib3","doi-asserted-by":"crossref","first-page":"1420","DOI":"10.1016\/j.bjps.2017.05.031","article-title":"Analysis of surgical results and of residual postoperative deformities in preaxial polydactyly of the hand","volume":"70","author":"de Almeida","year":"2017","journal-title":"J\u00a0Plast Reconstr Aesthet Surg"},{"issue":"4","key":"10.1016\/j.jhsa.2020.04.003_bib4","doi-asserted-by":"crossref","first-page":"181","DOI":"10.1055\/s-0036-1593736","article-title":"The duplicated thumb: a review","volume":"30","author":"Van Wyhe","year":"2016","journal-title":"Semin Plast Surg"},{"issue":"1","key":"10.1016\/j.jhsa.2020.04.003_bib5","first-page":"17","article-title":"Polydactyly: a review","volume":"71","author":"Guo","year":"2013","journal-title":"Bull Hosp Jt Dis (2013)"},{"key":"10.1016\/j.jhsa.2020.04.003_bib6","first-page":"175","article-title":"The results of surgery for polydactyly of the thumb. A review","volume":"64","author":"Wassel","year":"1969","journal-title":"Clin Orthop Relat Res"},{"issue":"3","key":"10.1016\/j.jhsa.2020.04.003_bib7","doi-asserted-by":"crossref","first-page":"274","DOI":"10.1097\/BPB.0000000000000039","article-title":"Polydactyly in the multiethnic \u201cNegev\u201d population at southern Israel","volume":"23","author":"Yeshayahu","year":"2014","journal-title":"J\u00a0Pediatr Orthop B"},{"key":"10.1016\/j.jhsa.2020.04.003_bib8","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1186\/1471-2431-13-26","article-title":"Epidemiology of isolated preaxial polydactyly type I: data from the Polish Registry of Congenital Malformations (PRCM)","volume":"13","author":"Materna-Kiryluk","year":"2013","journal-title":"BMC Pediatr"},{"issue":"2","key":"10.1016\/j.jhsa.2020.04.003_bib9","doi-asserted-by":"crossref","first-page":"91","DOI":"10.2174\/1573396314666180124102012","article-title":"Radial polydactyly. what's new?","volume":"14","author":"Perez-Lopez","year":"2018","journal-title":"Curr Pediatr Rev"},{"issue":"6","key":"10.1016\/j.jhsa.2020.04.003_bib10","doi-asserted-by":"crossref","first-page":"551","DOI":"10.1007\/s11832-013-0534-3","article-title":"Prognostic value of age and Wassel classification in the reconstruction of thumb duplication","volume":"7","author":"Cabrera-Gonz\u00e1lez","year":"2013","journal-title":"J\u00a0Child Orthop"},{"issue":"6","key":"10.1016\/j.jhsa.2020.04.003_bib11","doi-asserted-by":"crossref","first-page":"563","DOI":"10.1016\/S0363-5023(82)80102-0","article-title":"Congenital anomalies of the upper limb among the Chinese population in Hong Kong","volume":"7","author":"Leung","year":"1982","journal-title":"J\u00a0Hand Surg Am"},{"issue":"1","key":"10.1016\/j.jhsa.2020.04.003_bib12","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1016\/j.ocl.2015.08.015","article-title":"Congenital anomalies of the hand\u2014principles of management","volume":"47","author":"Little","year":"2016","journal-title":"Orthop Clin North Am"},{"issue":"3","key":"10.1016\/j.jhsa.2020.04.003_bib13","doi-asserted-by":"crossref","first-page":"478","DOI":"10.1016\/S0363-5023(96)80366-2","article-title":"Long-term results of surgical treatment of thumb polydactyly","volume":"21","author":"Ogino","year":"1996","journal-title":"J\u00a0Hand Surg Am"},{"issue":"2","key":"10.1016\/j.jhsa.2020.04.003_bib14","doi-asserted-by":"crossref","first-page":"135","DOI":"10.1007\/s11832-007-0019-3","article-title":"Results after surgical treatment of thumb duplication: a retrospective review of 33 thumbs","volume":"1","author":"Maillet","year":"2007","journal-title":"J\u00a0Child Orthop"},{"issue":"3","key":"10.1016\/j.jhsa.2020.04.003_bib15","doi-asserted-by":"crossref","first-page":"282","DOI":"10.1007\/s11552-012-9485-2","article-title":"Perception of the esthetic and functional outcomes of duplicate thumb reconstruction","volume":"8","author":"Do","year":"2013","journal-title":"Hand (N Y)"},{"issue":"5","key":"10.1016\/j.jhsa.2020.04.003_bib16","first-page":"388","article-title":"Thumb duplication: an analysis of 72 thumbs [in Turkish]","volume":"40","author":"Ozalp","year":"2006","journal-title":"Acta Orthop Traumatol Turc"},{"issue":"3","key":"10.1016\/j.jhsa.2020.04.003_bib17","doi-asserted-by":"crossref","first-page":"182","DOI":"10.1177\/1753193409352417","article-title":"The distribution of the types of thumb polydactyly in a Middle Eastern population: a study of 228 hands","volume":"35","author":"Al-Qattan","year":"2010","journal-title":"J\u00a0Hand Surg Eur Vol"},{"issue":"3","key":"10.1016\/j.jhsa.2020.04.003_bib18","doi-asserted-by":"crossref","first-page":"373","DOI":"10.1016\/j.jhsa.2007.12.012","article-title":"A\u00a0classification system of radial polydactyly: inclusion of triphalangeal thumb and triplication","volume":"33","author":"Zuidam","year":"2008","journal-title":"J\u00a0Hand Surg Am"},{"key":"10.1016\/j.jhsa.2020.04.003_bib19","first-page":"37","article-title":"Characteristics of the changing population structure in China during the 40 years of reform and opening up","volume":"10","author":"Yin","year":"2018","journal-title":"Popul Fam Plann"},{"issue":"5","key":"10.1016\/j.jhsa.2020.04.003_bib20","doi-asserted-by":"crossref","first-page":"226","DOI":"10.1111\/cga.12163","article-title":"Clinical study of 459 polydactyly cases in China, 2010 to 2014","volume":"56","author":"Xiang","year":"2016","journal-title":"Congenit Anom (Kyoto)"},{"issue":"3","key":"10.1016\/j.jhsa.2020.04.003_bib21","doi-asserted-by":"crossref","first-page":"295","DOI":"10.1177\/230949900601400312","article-title":"Thumb polydactyly: clinical outcome after reconstruction","volume":"14","author":"Yen","year":"2006","journal-title":"J\u00a0Orthop Surg (Hong Kong)"},{"issue":"6","key":"10.1016\/j.jhsa.2020.04.003_bib22","doi-asserted-by":"crossref","first-page":"1740","DOI":"10.1007\/s11999-016-5068-9","article-title":"Classifications in brief: the Wassel classification for radial polydactyly","volume":"475","author":"Manske","year":"2017","journal-title":"Clin Orthop Relat Res"},{"issue":"1","key":"10.1016\/j.jhsa.2020.04.003_bib23","doi-asserted-by":"crossref","first-page":"1","DOI":"10.4055\/cios.2012.4.1.1","article-title":"Thumb duplication: concepts and techniques","volume":"4","author":"Tonkin","year":"2012","journal-title":"Clin Orthop Surg"},{"issue":"2\u20133","key":"10.1016\/j.jhsa.2020.04.003_bib24","first-page":"126","article-title":"Congenital duplication of the thumb","volume":"36","author":"Cooney","year":"2004","journal-title":"Handchir Mikrochir Plast Chir"},{"issue":"5","key":"10.1016\/j.jhsa.2020.04.003_bib25","doi-asserted-by":"crossref","first-page":"436","DOI":"10.1016\/S0363-5023(78)80136-1","article-title":"Polydactyly and the triphalangeal thumb","volume":"3","author":"Wood","year":"1978","journal-title":"J\u00a0Hand Surg Am"},{"issue":"5","key":"10.1016\/j.jhsa.2020.04.003_bib26","doi-asserted-by":"crossref","first-page":"587","DOI":"10.1097\/00006534-197611000-00009","article-title":"Triphalangeal thumb","volume":"58","author":"Miura","year":"1976","journal-title":"Plast Reconstr Surg"},{"issue":"4","key":"10.1016\/j.jhsa.2020.04.003_bib27","first-page":"195","article-title":"Classification of polydactyly of the hand and foot [in German]","volume":"21","author":"Buck-Gramcko","year":"1989","journal-title":"Handchir Mikrochir Plast Chir"},{"issue":"3","key":"10.1016\/j.jhsa.2020.04.003_bib28","doi-asserted-by":"crossref","first-page":"355","DOI":"10.1016\/0266-7681(94)90089-2","article-title":"Duplication of the thumb. A 20-year retrospective review","volume":"19","author":"Naasan","year":"1994","journal-title":"J\u00a0Hand Surg Br"},{"issue":"4","key":"10.1016\/j.jhsa.2020.04.003_bib29","doi-asserted-by":"crossref","first-page":"434","DOI":"10.1097\/00000637-199810000-00016","article-title":"An unusual case of polydactyly of the thumb","volume":"41","author":"Boutros","year":"1998","journal-title":"Ann Plast Surg"},{"issue":"5","key":"10.1016\/j.jhsa.2020.04.003_bib30","doi-asserted-by":"crossref","first-page":"595","DOI":"10.1016\/J.JHSE.2007.04.022","article-title":"Thumb duplication with symphalangism at the metacarpophalangeal joint","volume":"32","author":"Afshar","year":"2007","journal-title":"J\u00a0Hand Surg Eur Vol"},{"issue":"4","key":"10.1016\/j.jhsa.2020.04.003_bib31","doi-asserted-by":"crossref","first-page":"346","DOI":"10.1016\/J.JHSB.2005.04.011","article-title":"Thumb polydactyly with symphalangism","volume":"30","author":"Al-Aithan","year":"2005","journal-title":"J\u00a0Hand Surg Br"},{"issue":"6","key":"10.1016\/j.jhsa.2020.04.003_bib32","doi-asserted-by":"crossref","first-page":"800","DOI":"10.1177\/1753193408092254","article-title":"Thumb polydactyly with symphalangism in young children","volume":"34","author":"Takagi","year":"2009","journal-title":"J\u00a0Hand Surg Eur Vol"},{"issue":"2\u20133","key":"10.1016\/j.jhsa.2020.04.003_bib33","first-page":"141","article-title":"The \"Bilhaut-Cloquet\" technique for treatment of thumb duplication","volume":"36","author":"Samson","year":"2004","journal-title":"Handchir Mikrochir Plast Chir"},{"issue":"1","key":"10.1016\/j.jhsa.2020.04.003_bib34","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1016\/S0749-0712(21)00138-4","article-title":"Thumb duplication","volume":"14","author":"Cohen","year":"1998","journal-title":"Hand Clin"},{"issue":"6","key":"10.1016\/j.jhsa.2020.04.003_bib35","first-page":"272","article-title":"Surgical treatment of duplication of the thumb. Apropos of 106 cases [in French]","volume":"14","author":"Guero","year":"1995","journal-title":"Ann Chir Main Memb Super"},{"issue":"5","key":"10.1016\/j.jhsa.2020.04.003_bib36","doi-asserted-by":"crossref","first-page":"584","DOI":"10.2106\/00004623-198365050-00002","article-title":"Duplication of the thumb. A retrospective review of two hundred and thirty-seven cases","volume":"65","author":"Tada","year":"1983","journal-title":"J\u00a0Bone Joint Surg Am"},{"issue":"2","key":"10.1016\/j.jhsa.2020.04.003_bib37","doi-asserted-by":"crossref","first-page":"158","DOI":"10.1097\/BPO.0000000000000395","article-title":"Radial polydactyly and the incidence of reoperation using a new classification system","volume":"36","author":"Evanson","year":"2016","journal-title":"J\u00a0Pediatr Orthop"},{"key":"10.1016\/j.jhsa.2020.04.003_bib38","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1097\/00003086-199602000-00005","article-title":"Thumb duplication at the metacarpophalangeal joint. Management and a new classification","volume":"323","author":"Hung","year":"1996","journal-title":"Clin Orthop Relat Res"},{"issue":"1","key":"10.1016\/j.jhsa.2020.04.003_bib39","first-page":"79","article-title":"Pre-axial polydactyly: outcome of the surgical treatment","volume":"11","author":"Kemnitz","year":"2002","journal-title":"J\u00a0Pediatr Orthop B"},{"issue":"5","key":"10.1016\/j.jhsa.2020.04.003_bib40","doi-asserted-by":"crossref","first-page":"931","DOI":"10.1002\/dvdy.22609","article-title":"Polydactyly: how many disorders and how many genes? 2010 update","volume":"240","author":"Biesecker","year":"2011","journal-title":"Dev Dyn"}],"container-title":["The Journal of Hand Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0363502320301842?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0363502320301842?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,6]],"date-time":"2025-10-06T22:58:54Z","timestamp":1759791534000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0363502320301842"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,10]]},"references-count":40,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2020,10]]}},"alternative-id":["S0363502320301842"],"URL":"https:\/\/doi.org\/10.1016\/j.jhsa.2020.04.003","relation":{},"ISSN":["0363-5023"],"issn-type":[{"value":"0363-5023","type":"print"}],"subject":[],"published":{"date-parts":[[2020,10]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Clinical Characteristics and Distribution of Thumb Polydactyly in South China: A Retrospective Analysis of 483 Hands","name":"articletitle","label":"Article Title"},{"value":"The Journal of Hand Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jhsa.2020.04.003","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2020 by the American Society for Surgery of the Hand. All rights reserved.","name":"copyright","label":"Copyright"}]}}