This 9 month old baby girl has a congenital duplication of her right thumb. The commonest duplication type is where the proximal phalanx is split in two. Normally there is a dominant and non-dominant thumb. Usually the radial thumb is removed with care taken to preserve the collateral ligaments and reconstruct them when closing the wound of the remaining thumb.
A 9-year-old girl sustained a cricket bat injury over the 3rd Metacarpal, resulting in an osteitis from the compound fracture due to a delayed treatment. The osteitis has been treated but now she has MCPJ stiffness not only in the middle finger but all the fingers. Also a significant extensro lag of the middle finger. She will require a percutaneous capsulotomy of the 3rd and 4th MCPJ's followed by flexor active movements in a dorsal block splint keeping MCP joints at 90 degr