Thumb Sign In Marfan Syndrome
Thumb sign in marfan syndrome. Images in clinical medicine. The patients of Marfan syndrome may have positive thumb sign and wrist sign also known as Steinberg sign and WalkerMurdoch sign respectively. A The wrist.
N Engl J Med. A patient with Marfan syndrome with an associated wrist and thumb sign. She had Marfanoid habitus in the form of soft elastic skin high arched palate thumb sign Steinbergs sign and an increased arm span to height ratio Fig.
1Boston University School of Medicine MA 02118 USA. Similarly Wrist sign is because of thin wrist and loner fingers Figure B. The wrist sign is positive when the thumb overlaps the distal phalanx of the small finger while grasping the contralateral wrist.
The thumbs protrude from the clenched fists of a 24-year-old man who presented with congestive heart. However there is a long list of other significant hand signs in Marfan syndrome. Also the combination of the wrist AND thumb sign represents the most significant body sign in Marfan syndrome.
Wrist AND thumb sign 3 Wrist OR thumb sign 1 Pectus Carinatum deformity 2 Pectus excavatum or chest asymmetry 1 Hindfoot deformity 2 Plain flat foot pes planus 1 Pneumothorax 2 Dural ectasia 2 Protrusio acetabulae 2 Reduced upper segment lower segment and increased armspan height without severe scoliosis 1 Scoliosis 20 degrees or thoracolumbar. As shown below the thumb protruded from the clenched fist and the wrist sign was also evident. Marfan syndrome also called Marfans syndrome is a genetic disorder of human connective tissueIt has various expressions ranging from mild to severe effects.
The thumb sign is positive when the entire distal phalanx of the adducted thumb extends beyond the ulnar border of the palm with or without the assistance of the patient or examiner to achieve maximal adduction. In order to confirm the clinical impression of arachnodactyly in patients with the Marfan syndrome Steinberg 1 in 1966 popularized the thumb sign which was first described by Parker and Hare 2 in 1945. Positive wrist sign means that the thumb and fifth finger of the hand overlap with each other.
The patients appearance was suggestive for Marfan syndrome and complete physical examination in addition to the known aortic root disease further strengthened the suspicion by demonstrating arachnodactyly including thumb and wrist signs and several other suggestive features pectus excavatum pes planus thoracolumbar kyphosis and suggestive facial features. The WS is positive if the distal phalanges of the thumb and 5 th finger overlap when encircling the opposite wrist.
A patient with Marfan syndrome with an associated wrist and thumb sign.
The patients appearance was suggestive for Marfan syndrome and complete physical examination in addition to the known aortic root disease further strengthened the suspicion by demonstrating arachnodactyly including thumb and wrist signs and several other suggestive features pectus excavatum pes planus thoracolumbar kyphosis and suggestive facial features. Positive wrist sign means that the thumb and fifth finger of the hand overlap with each other. A finding in patients with Marfan syndrome and other inherited connective tissue disorders. Images in clinical medicine. The wrist sign is positive when the tip of the thumb covers the entire fingernail of the fifth finger when wrapped around the contralateral wrist. Thumb sign in Marfan syndrome is because of combina-tion of hypermobility of thumb and longer thumb than usual Figure A. The thumb sign is positive if the distal phalanx of the thumb can be opposed beyond the ulnar border of the palm Segens Medical Dictionary. A patient with Marfan syndrome with an associated wrist and thumb sign. A The wrist.
However there is a long list of other significant hand signs in Marfan syndrome. A 16 year old male presented with dilatation of the ascending aorta 41 mm and mitral valve prolapse. Positive thumb sign means that the distal phalanx of the adducted thumb extends beyond the ulnar border of the palm. The Thumb Sign in Marfans Syndrome. In order to confirm the clinical impression of arachnodactyly in patients with the Marfan syndrome Steinberg 1 in 1966 popularized the thumb sign which was first described by Parker and Hare 2 in 1945. The hand in Marfan syndrome can usually be recognized at first glance by the presence of long slender fingers aka. The wrist sign is positive when the thumb overlaps the distal phalanx of the small finger while grasping the contralateral wrist.
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