Surgical treatment of the thumb in the Rubinstein-Taybi syndrome.

  title={Surgical treatment of the thumb in the Rubinstein-Taybi syndrome.},
  author={Virchel E Wood and J. H. Rubinstein},
  journal={Journal of hand surgery},
  volume={12 2},
In a review of 530 individuals with Rubinstein-Taybi syndrome, 182 (34%) were found to have thumbs in severe radial angulation ("hitch-hiker thumbs"), which prevented opposition and functional gripping strength. Surgery has been performed on 35 thumbs (from 20 patients), usually to correct a delta phalanx deformity. The preferred approach was a closing wedge osteotomy, with a Z-plasty on the concave side to straighten the thumb. In eight and possibly 11 of the 35 thumbs, the angulation… CONTINUE READING