{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T01:03:15Z","timestamp":1760144595593,"version":"build-2065373602"},"reference-count":16,"publisher":"MDPI AG","issue":"5","license":[{"start":{"date-parts":[[2024,5,4]],"date-time":"2024-05-04T00:00:00Z","timestamp":1714780800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Life"],"abstract":"<jats:p>Ulnar dimelia, also known as \u201cmirror hand disorder\u201d, is a rare developmental disorder affecting the upper limb. Primarily, it involves the duplication of fingers, carpal bones, metacarpals, or ulna along the sagittal axis, and is often accompanied by the absence of the radius or thumb. The anomaly presents challenges in both bone and soft tissue development, impacting limb functionality and affecting a child\u2019s quality of life. We present the case of a one-year-old girl with unilateral ulnar dimelia. Surgical intervention was considered to address functional and aesthetic concerns. The surgery involved creating an opposable thumb from preaxial fingers through a carefully tailored approach. Post surgical therapy included physiotherapy and psychotherapy to ensure both physical functionality and psychological adjustment. The surgical procedure successfully provided an adequate grip pattern, and the patient demonstrated age-appropriate use of the modified hand at the six-month follow-up. Comparison with similar cases highlights the diversity in ulnar dimelia presentations and the need for customised surgical solutions. The timing of surgery is typically recommended between one and two years, considering both anatomical readiness and the advantages of cerebral plasticity in young patients.<\/jats:p>","DOI":"10.3390\/life14050588","type":"journal-article","created":{"date-parts":[[2024,5,6]],"date-time":"2024-05-06T15:05:01Z","timestamp":1715007901000},"page":"588","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Mirror Hand Disorder\u2019s Surgical Management with Metacarpal Wedging"],"prefix":"10.3390","volume":"14","author":[{"given":"Zsombor","family":"M\u00e1rton","sequence":"first","affiliation":[{"name":"Department of Anatomy, Medical School, University of P\u00e9cs, 12 Szigeti Street, H7624 P\u00e9cs, Hungary"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tam\u00e1s","family":"Kassai","sequence":"additional","affiliation":[{"name":"Department of Pediatric Traumatology, P\u00e9terfy Hospital, Manninger Jen\u0151 National Trauma Center, 17 Fi\u00famei Street, H1081 Budapest, Hungary"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6705-3292","authenticated-orcid":false,"given":"Aba","family":"L\u0151rincz","sequence":"additional","affiliation":[{"name":"Department of Thermophysiology, Institute for Translational Medicine, Medical School, University of P\u00e9cs, 12 Szigeti Street, H7624 P\u00e9cs, Hungary"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3348-5385","authenticated-orcid":false,"given":"Gerg\u0151","family":"J\u00f3zsa","sequence":"additional","affiliation":[{"name":"Department of Thermophysiology, Institute for Translational Medicine, Medical School, University of P\u00e9cs, 12 Szigeti Street, H7624 P\u00e9cs, Hungary"},{"name":"Division of Surgery, Traumatology, Urology, and Otorhinolaryngology, Department of Pediatrics, Clinical Complex, University of P\u00e9cs, 7 J\u00f3zsef Attila Street, H7623 P\u00e9cs, Hungary"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2024,5,4]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"534","DOI":"10.1016\/S0266-7681(98)80140-X","article-title":"Classification of the mirror hand-multiple hand spectrum","volume":"23","author":"Nandagopal","year":"1998","journal-title":"J. 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Hand Surg."}],"container-title":["Life"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2075-1729\/14\/5\/588\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T14:39:40Z","timestamp":1760107180000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2075-1729\/14\/5\/588"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,5,4]]},"references-count":16,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2024,5]]}},"alternative-id":["life14050588"],"URL":"https:\/\/doi.org\/10.3390\/life14050588","relation":{},"ISSN":["2075-1729"],"issn-type":[{"type":"electronic","value":"2075-1729"}],"subject":[],"published":{"date-parts":[[2024,5,4]]}}}