{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:42:07Z","timestamp":1787755327467,"version":"build-2784847793"},"reference-count":16,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\n Case:<\/jats:title>\n A 13-year-old adolescent boy with spastic triplegia was referred to our institution with a thumb-in-palm deformity. An intramuscular slide of the flexor pollicis longus and augmentation of the weak abductor pollicis longus, extensor pollicis longus, and extensor pollicis brevis by tendon transfer were performed. Two years later, the result of the surgery was evaluated as excellent.<\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n There are several factors that will play a decisive role in the final outcome and effectiveness of hand surgery, such as the severity of the neuromuscular disorder, the extent of the deformity, the quality of voluntary muscle control, hand sensibility, and the age and intelligence of the patient.<\/jats:p>\n <\/jats:sec>","DOI":"10.2106\/jbjs.cc.23.00330","type":"journal-article","created":{"date-parts":[[2023,11,9]],"date-time":"2023-11-09T14:01:23Z","timestamp":1699538483000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Surgical Treatment of Thumb-in-Palm Deformity"],"prefix":"10.2106","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4435-4524","authenticated-orcid":false,"given":"Panos","family":"Megremis","sequence":"first","affiliation":[{"name":"Orthopaedic Department, Athens General Children\u2019s Hospital \u201cP. & A. Kyriakou,\u201d Athens, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3684-7273","authenticated-orcid":false,"given":"Orestis","family":"Megremis","sequence":"additional","affiliation":[{"name":"KAT Geniko Nosokomeio Attikes, Athens, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,10]]},"reference":[{"issue":"S1","key":"bib1-20240805","doi-asserted-by":"crossref","first-page":"S125","DOI":"10.21037\/tp.2020.01.01","article-title":"Cerebral palsy in children: a clinical overview","volume":"9","author":"Patel","year":"2020","journal-title":"Transl Pediatr."},{"issue":"5","key":"bib2-20240805","doi-asserted-by":"crossref","first-page":"292","DOI":"10.1111\/j.1469-8749.2000.tb00093.x","article-title":"The Gross Motor Function Classification System for cerebral palsy: a study of reliability and stability over time","volume":"42","author":"Wood","year":"2000","journal-title":"Dev Med Child Neurol."},{"issue":"1","key":"bib3-20240805","doi-asserted-by":"crossref","first-page":"60","DOI":"10.1111\/j.1469-8749.2004.tb00436.x","article-title":"Gross Motor Function Classification System: impact and utility","volume":"46","author":"Morris","year":"2004","journal-title":"Dev Med Child Neurol."},{"issue":"11","key":"bib4-20240805","doi-asserted-by":"crossref","first-page":"1251","DOI":"10.1111\/dmcn.14910","article-title":"Measurement properties of the Gross Motor Function Classification System, Gross Motor Function Classification System-Expanded & Revised, Manual Ability Classification System, and Communication Function Classification System in cerebral palsy: a systematic review with meta-analysis","volume":"63","author":"Piscitelli","year":"2021","journal-title":"Dev Med Child Neurol."},{"issue":"8","key":"bib5-20240805","doi-asserted-by":"crossref","first-page":"785","DOI":"10.1177\/1753193419857067","article-title":"Extensor pollicis longus rerouting for thumb-in-palm deformity in cerebral palsy: a biomechanical analysis","volume":"44","author":"Alewijnse","year":"2019","journal-title":"J Hand Surg Eur Vol."},{"key":"bib6-20240805","doi-asserted-by":"crossref","first-page":"1337","DOI":"10.1016\/j.jhsa.2008.02.032","article-title":"Hand function in cerebral palsy. 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Classification and operative procedures for thumb deformity","volume":"26B","author":"Tonkin","year":"2001","journal-title":"J Hand Surg Br Eur Vol."},{"key":"bib9-20240805","doi-asserted-by":"crossref","first-page":"216","DOI":"10.2106\/00004623-198163020-00006","article-title":"A dynamic approach to the thumb-in-palm deformity in cerebral palsy","volume":"63A","author":"House","year":"1981","journal-title":"J Bone Joint Surg Am."},{"issue":"2","key":"bib10-20240805","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1016\/0266-7681(91)90160-P","article-title":"Surgery of the spastic thumb-in-palm deformity","volume":"16","author":"Matev","year":"1991","journal-title":"J Hand Surg Br."},{"key":"bib11-20240805","doi-asserted-by":"crossref","first-page":"553","DOI":"10.1016\/S0363-5023(85)80082-4","article-title":"Redirection of extensor pollicis longus in the treatment of spastic thumb-in-palm deformity","volume":"10A","author":"Manske","year":"1985","journal-title":"J Hand Surg Am."},{"key":"bib12-20240805","doi-asserted-by":"crossref","first-page":"334","DOI":"10.1016\/S0363-5023(05)80036-X","article-title":"Sesamoid arthrodesis for hyperextension of the thumb metacarpophalangeal joint","volume":"20A","author":"Tonkin","year":"1995","journal-title":"J Hand Surg Am."},{"issue":"253","key":"bib14-20240805","first-page":"75","article-title":"Arthrodesis of the metacarpophalangeal joint of the thumb in children and adults: adjunctive treatment of thumb-in-palm deformity in cerebral palsy","author":"Goldner","year":"1990","journal-title":"Clin Orthop Relat Res."},{"issue":"9","key":"bib16-20240805","doi-asserted-by":"crossref","first-page":"1526","DOI":"10.1016\/j.jhsa.2011.06.014","article-title":"Surgical technique for thumb-in-palm deformity in cerebral palsy","volume":"36","author":"Van Heest","year":"2011","journal-title":"J Hand Surg Am."},{"key":"bib17-20240805","doi-asserted-by":"crossref","first-page":"504","DOI":"10.1097\/BPO.0b013e3181aa2488","article-title":"Surgical management of thumb deformity in children with hemiplegic-type cerebral palsy","volume":"29","author":"Davids","year":"2009","journal-title":"J Pediatr Orthop."},{"key":"bib18-20240805","doi-asserted-by":"crossref","first-page":"529","DOI":"10.2106\/JBJS.M.01577","article-title":"Tendon transfer surgery in upper-extremity cerebral palsy is more effective than botulinum toxin injections or regular, ongoing therapy","volume":"97","author":"Van Heest","year":"2015","journal-title":"J Bone Joint Surg Am."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.23.00330","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:41:16Z","timestamp":1787751676000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.23.00330"}},"subtitle":["A Case Report"],"short-title":[],"issued":{"date-parts":[[2023,10]]},"references-count":16,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2023]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.23.00330","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,10]]}}}