Brachydactyly type D

Last updated
Brachydactyly type D
Other namesClubbed thumb, [1] thumb head, [2] short thumb, [3] [1] potter's thumb, [1] royal thumb, murderer's thumb, [1] toe thumb, [4] hammer thumb, stubbed thumb, [5] stub thumb [6] [7]
Brachydaktylie Typ D einseitig.jpg
Unilateral brachydactyly type D in a 15-year-old female
X-ray of a normal thumb next to a thumb with Brachydactyly type D.jpg
X-ray of a normal thumb (left) and a thumb with brachydactyly type D (right) showing distal phalange brachyphalangy of said thumb.
Specialty Medical genetics
Case of Brachydactyly type D in both hands of a 16 year old male. CaseOfTypeD.jpg
Case of Brachydactyly type D in both hands of a 16 year old male.

Brachydactyly type D, also known as short thumb, [3] [1] stub thumb, [6] [7] or clubbed thumb, [6] [7] is a genetic trait clinically recognised by a thumb being relatively short and round with an accompanying wider nail bed. The distal phalanx of affected thumbs is approximately two-thirds the length of full-length thumbs. It is the most common type of brachydactyly, or shortness of digits, affecting approximately 2–3% of the population, and is associated with the HOXD13 gene, located on chromosome 2q31.1. [8]

Contents

Physiology

Brachydactyly type D is a skeletal condition which exhibits a 'partial fusion or premature closing of the epiphysis with the distal phalanx of the thumb', according to Goodman et alia (1965). [7] J.K. Breithenbecher (1923) found that distal phalanges of stub thumbs were one-half the length of full-length thumbs, while R.M. Stecher (1957) claimed that it is approximately two-thirds. The condition may either be unilateral (affecting one thumb) or bilateral (affecting both). [7]

Genetics

A genetic trait, brachydactyly type D exhibits autosomal dominance and is commonly developed or inherited independently of other hereditary traits. The condition is associated with the HOXD13 gene, which is central in digital formation and growth. [6]

Various other studies supported an autosomal dominant pattern with reduced penetrance. [9]

Hereditary trait

A 1965 scientific study in Israel found that 3.05% of Israeli Arabs had one or two stub thumbs, compared with 1.57% among Ashkenazi as well as non-Ashkenazi Jews. [7] However, as the survey's Arab test persons were mainly recruited from a handful of large and closely related clans living in a particular village, said percentage should be "considered with some reservation," according to Goodman et al. (1965).

Cases of stub thumbs have also been found in Eastern Nepal for Jirel ethnic individuals from their participation in various epidemiologic studies. Some studies included taking radiographs of hands and wrists to examine their skeletal structure. Of the studied sample (which included 2,130 participants; 969 male and 1,161 female), 3.55% were found to have brachydactyly type D. [10]

Terminology

The condition is known under numerous names. The most commonly used name is clubbed thumb, or club thumb. [11] [12] American researcher R.A. Hefner used the terms "short thumb" and "brachymegalodactylism" in 1924, [3] and "short thumb" has continued to be used in a few other studies since then, including the study that defined Rubinstein–Taybi syndrome in 1963. [1] "Stub thumb" is the common term preferred by the online database Online Mendelian Inheritance in Man [6] and was first used in a 1965 study. [7] Stub thumbs have also been called murderer's thumb (allegedly among fortune tellers), [7] wookie thumb, hammer thumb, bohemian thumb, toe thumb, and potter's thumb. [6]

The term "clubbed thumb" should not be confused with nail clubbing, which is a clinical sign associated with a number of diseases.[ citation needed ]

Related Research Articles

<span class="mw-page-title-main">Brachydactyly</span> Medical condition of hands and feet

Brachydactyly is a medical term which literally means 'short finger'. The shortness is relative to the length of other long bones and other parts of the body. Brachydactyly is an inherited, dominant trait. It most often occurs as an isolated dysmelia, but can also occur with other anomalies as part of many congenital syndromes. Brachydactyly may also be a signal that one is at risk for congenital heart disease due to the association between congenital heart disease and Carpenter syndrome and the link between Carpenter syndrome and brachydactyly.

<span class="mw-page-title-main">Polydactyly</span> Physical anomaly involving extra fingers or toes

Polydactyly or polydactylism, also known as hyperdactyly, is an anomaly in humans and animals resulting in supernumerary fingers and/or toes. Polydactyly is the opposite of oligodactyly.

<span class="mw-page-title-main">Thumb</span> First digit of the hand

The thumb is the first digit of the hand, next to the index finger. When a person is standing in the medical anatomical position, the thumb is the outermost digit. The Medical Latin English noun for thumb is pollex, and the corresponding adjective for thumb is pollical.

<span class="mw-page-title-main">Cri du chat syndrome</span> Human medical condition

Cri du chat syndrome is a rare genetic disorder due to a partial chromosome deletion on chromosome 5. Its name is a French term referring to the characteristic cat-like cry of affected children. It was first described by Jérôme Lejeune in 1963. The condition affects an estimated 1 in 50,000 live births across all ethnicities and is more common in females by a 4:3 ratio.

Julia Bell MA Dubl (1901) MRCS LRCP (1920) MRCP (1926) FRCP (1938) was one of the pioneers of eugenics and human genetics. Her early career as a statistical assistant to Karl Pearson (1857–1936) marked the beginning of a lifelong professional association with the Galton Laboratory for National Eugenics at University College London. Bell's work as a human geneticist was based on her statistical investigations into the inheritance of anomalies and diseases of the eye, nervous diseases, muscular dystrophies, and digital anomalies.

<span class="mw-page-title-main">Greig cephalopolysyndactyly syndrome</span> Medical condition

Greig cephalopolysyndactyly syndrome is a disorder that affects development of the limbs, head, and face. The features of this syndrome are highly variable, ranging from very mild to severe. People with this condition typically have one or more extra fingers or toes (polydactyly) or an abnormally wide thumb or big toe (hallux).

<span class="mw-page-title-main">Currarino syndrome</span> Medical condition

Currarino syndrome is an inherited congenital disorder where either the sacrum is not formed properly, or there is a mass in the presacral space in front of the sacrum, and there are malformations of the anus or rectum. It occurs in approximately 1 in 100,000 people.

<span class="mw-page-title-main">HOXD13</span> Protein

Homeobox protein Hox-D13 is a protein that in humans is encoded by the HOXD13 gene. This gene belongs to the homeobox family of genes. The homeobox genes encode a highly conserved family of transcription factors that play an important role in morphogenesis in all multicellular organisms.

<span class="mw-page-title-main">Orofaciodigital syndrome 1</span> Medical condition

Orofaciodigital syndrome 1 (OFD1), also called Papillon-Léage and Psaume syndrome, is an X-linked congenital disorder characterized by malformations of the face, oral cavity, and digits with polycystic kidney disease and variable involvement of the central nervous system.

<span class="mw-page-title-main">Cooks syndrome</span> Medical condition

Cooks syndrome is a hereditary disorder which is characterized in the hands by bilateral nail hypoplasia on the thumb, index finger, and middle finger, absence of fingernails (anonychia) on the ring finger and little finger, lengthening of the thumbs, and bulbousness of the fingers. In the feet, it is characterized by absence of toenails and absence/hypoplasia of the distal phalanges. In the second study of this disorder, it was found that the intermediate phalanges, proximal phalanges, and metacarpals were unaffected.

<span class="mw-page-title-main">Hereditary neuropathy with liability to pressure palsy</span> Medical condition

Hereditary neuropathy with liability to pressure palsy (HNPP) is a peripheral neuropathy, a condition that affects the nerves. Pressure on the nerves can cause tingling sensations, numbness, pain, weakness, muscle atrophy and even paralysis of the affected area. In normal individuals, these symptoms disappear quickly, but in sufferers of HNPP even a short period of pressure can cause the symptoms to occur. Palsies can last from minutes or days to weeks or even months.

Nasodigitoacoustic syndrome, also called Keipert syndrome, is a rare congenital syndrome first described by J.A. Keipert and colleagues in 1973. The syndrome is characterized by a misshaped nose, broad thumbs and halluces, brachydactyly, sensorineural hearing loss, facial features such as hypertelorism, and developmental delay.

<span class="mw-page-title-main">Polysyndactyly</span> Medical condition

Polysyndactyly is a congenital anomaly, combining polydactyly and syndactyly, in which affected individuals have an extra finger or toe that is connected, via fusing or webbing, to an adjacent digit.

<span class="mw-page-title-main">Familial opposable triphalangeal thumbs duplication</span> Medical condition

Familial opposable triphalangeal thumb duplication is a limb malformation syndrome and a type of pre-axial polydactyly, characterized by having duplicated opposable triphalangeal thumbs. This condition can be a symptom of other genetic disorders, such as Holt–Oram syndrome and Fanconi anemia. This trait is autosomal dominant and often runs in families. Sometimes big toe duplication, post-axial polydactyly, and syndactyly of the hand and feet can occur alongside this malformation Approximately 20 families with the condition have been described in medical literature.

Hirschsprung's disease-type D brachydactyly syndrome is a very rare genetic disorder which is characterized by the partial absence of nerves in the intestines and hypoplasia of the thumb's distal phalange. It has been described in 4 males from a 2-generation American family. The inheritance pattern was hypothesized to be either X-linked recessive or autosomal dominant with reduced penetrance.

Brachydactyly-long thumb syndrome is a very rare genetic disorder which is characterized by symmetric brachydactyly of the fingers accompanied by an abnormally long thumb, hypomobility of the shoulder and metacarpo-phalangeal joints, and heart conduction defects. Small feet and hands, small shoulders accompanied with short clavicles, clinodactyly, pectus excavatum, mild limb shortening, cardiomegaly, and pulmonic stenosis murmur have also been reported. It was first discovered when D W Hollister et al. described 4 affected members belonging to a 3-generation family. No new cases have been reported since 1981. This disorder is inherited in an autosomal dominant manner.

<span class="mw-page-title-main">Kirner's deformity</span> Medical condition

Kirner's deformity, also known as dystelephangy, is an uncommon genetic hand malformation which is characterized by a radial and volar curvature of the distal phalange of the fifth (pinky) finger. It is merely cosmetic and doesn't affect hand function.

<span class="mw-page-title-main">Anonychia-onychodystrophy with brachydactyly type B and ectrodactyly</span> Medical condition

Anonychia-onychodystrophy with brachydactyly type B and ectrodactyly is a very rare autosomal dominant disorder which is characterized by onychodystrophy, anonychia, fifth finger brachydactyly, thumb digitalization, and missing to underdeveloped distal phalanges of the fingers. It has been described in multiple members of a 5-generation English family.

Triphalangeal thumbs-brachyectrodactyly syndrome is a very rare limb malformation syndrome of genetic origin which is characterized by polydactyly, syndactyly, brachydactyly, ectrodactyly, triphalangeal thumb and polyphalangism. Onychodystrophy and anonychia are also seen often. 27 cases from seven families from Mexico and the United States have been described in medical literature. It is inherited in an autosomal dominan manner and thought to be caused by mutations in the HOXD13 gene, in chromosome 2.

<span class="mw-page-title-main">Heart-hand syndrome, Slovenian type</span> Medical condition

Heart-hand syndrome, Slovenian type is a rare autosomal dominant genetic disorder belonging to the heart-hand syndromes.

References

  1. 1 2 3 4 5 6 Rubinstein, Jack H. (1963-06-01). "Broad Thumbs and Toes and Facial Abnormalities: A Possible Mental Retardation Syndrome". American Journal of Diseases of Children. 105 (6): 588–608. doi:10.1001/archpedi.1963.02080040590010. ISSN   0002-922X. PMID   13983033.
  2. Macklin, Madge T. (December 1960). "Inheritance of Glioma: The Genetic Aspects of Cerebral Glioma and Its Relation to Status Dysraphicus". American Journal of Human Genetics. 12 (4 Pt 1): 448–449. ISSN   0002-9297. PMC   1932168 .
  3. 1 2 3 Hefner, R. A. (1924-10-01). "INHERITED ABNORMALITIES OF THE FINGERSII. Short Thumbs (Brachymegalodactylism)". Journal of Heredity. 15 (10): 433–439. doi:10.1093/oxfordjournals.jhered.a102395. ISSN   0022-1503.
  4. Shannon-Karasik, Caroline (2018-12-05). "Apparently Megan Fox Has 'Toe Thumbs'—Do You?". Women's Health. Retrieved 2019-08-17.
  5. Learman, Yaffa; Katznelson, Mariassa Bat-Miriam; Bonné-Tamir, BatSheva; Engel, Joel; Hertz, Marjorie; Goodman, Richard M.; Opitz, John M. (1981). "Symphalangism with multiple anomalies of the hands and feet: A new genetic trait". American Journal of Medical Genetics. 10 (3): 245–55. doi:10.1002/ajmg.1320100308. ISSN   1096-8628. PMID   6272576.
  6. 1 2 3 4 5 6 "OMIM Entry - # 113200 - BRACHYDACTYLY, TYPE D; BDD". omim.org. Retrieved 2019-08-17.
  7. 1 2 3 4 5 6 7 8 GOODMAN RM; ADAM A; SHEBA C (1965). "A Genetic Study of Stub Thumbs Among Various Ethnic Groups in Israel". Journal of Medical Genetics. 2 (2): 116–21. doi:10.1136/jmg.2.2.116. PMC   1012845 . PMID   14295653.
  8. Temtamy, Samia A; Aglan, Mona S (2008-06-13). "Brachydactyly". Orphanet Journal of Rare Diseases. 3: 15. doi: 10.1186/1750-1172-3-15 . ISSN   1750-1172. PMC   2441618 . PMID   18554391.
  9. Temtamy, Samia A; Aglan, Mona S (2008-06-13). "Brachydactyly". Orphanet Journal of Rare Diseases. 3: 15. doi: 10.1186/1750-1172-3-15 . ISSN   1750-1172. PMC   2441618 . PMID   18554391.
  10. Williams, Kimberly D. (2013-09-10). "Non-Syndromic Brachydactyly Type D and Type E Mapped to 7p15 in Healthy Children and Adults from the Jirel Ethnic Group in Eastern Nepal". American Journal of Human Biology. 25 (6): 743–750. doi:10.1002/ajhb.22441. PMC   3968259 . PMID   24022874.
  11. "Google Ngram Viewer". books.google.com. Retrieved 2019-08-17.
  12. "Google Trends". Google Trends. Archived from the original on 2021-10-31. Retrieved 2019-08-17.