76505004: Thumb structure (body structure)

SNOMED CT Concept\Body structure (body structure)\Anatomical or acquired body structure (body structure)\Anatomical structure\Body region structure\...

\Structure of half of body lateral to midsagittal plane (body structure)\Limb structure\...

\Limb part (body structure)\Upper limb part\Structure of regional part of upper limb (body structure)\Structure of free upper limb\Structure of wrist and/or hand (body structure)\Hand structure\Hand part\Region of hand\Digit of hand structure\Thumb structure
\Limb part (body structure)\Digit structure\Digit of hand structure\Thumb structure

\Upper extremity, including shoulder, arm, forearm, wrist, and hand\Upper limb part\Structure of regional part of upper limb (body structure)\Structure of free upper limb\Structure of wrist and/or hand (body structure)\Hand structure\Hand part\Region of hand\Digit of hand structure\Thumb structure

Status: current, Not sufficiently defined by necessary conditions definition status (core metadata concept). Date: 31-Jan 2002. Module: SNOMED CT core

Descriptions:

Expanded Value Set

Outbound Relationships	Type	Target	Active	Characteristic	Refinability	Group	Values
Thumb structure	Is a	Digit of hand structure	true	Inferred relationship	Some
Thumb structure	partie de	Entire hand	false	Additional relationship	Some
Thumb structure	Laterality	Side (qualifier value)	true	Inferred relationship	Some

Inbound Relationships	Type	Active	Source	Characteristic	Refinability	Group
Bony swelling of thumb	Finding site	False	Thumb structure	Inferred relationship	Some	1
Replantation of thumb between carpometacarpal and metacarpophalangeal joints after complete amputation (procedure)	Procedure site - Direct (attribute)	False	Thumb structure	Inferred relationship	Some	1
Pollicisation of finger	Procedure site - Direct (attribute)	True	Thumb structure	Inferred relationship	Some	1
Reconstruction of thumb with toe	Procedure site - Direct (attribute)	True	Thumb structure	Inferred relationship	Some	1
Replantation of thumb between distal tip and metacarpophalangeal joint after complete amputation (procedure)	Procedure site - Direct (attribute)	True	Thumb structure	Inferred relationship	Some	1
Replantation of thumb between carpometacarpal and metacarpophalangeal joints after complete amputation (procedure)	Procedure site - Direct (attribute)	True	Thumb structure	Inferred relationship	Some	1
Congenital malformation of thumb (disorder)	Finding site	False	Thumb structure	Inferred relationship	Some	1
Polydactyly of thumb	Finding site	False	Thumb structure	Inferred relationship	Some	1
Acrocephalosyndactyly type V (disorder)	Finding site	False	Thumb structure	Inferred relationship	Some	1
Acrocephalosyndactyly type V (disorder)	Finding site	False	Thumb structure	Inferred relationship	Some	1
Deep laceration of thumb (disorder)	Finding site	False	Thumb structure	Inferred relationship	Some	1
Polydactyly of thumb	Finding site	False	Thumb structure	Inferred relationship	Some	1
Congenital malformation of thumb (disorder)	Finding site	True	Thumb structure	Inferred relationship	Some	1
Debridement of thumb (procedure)	Procedure site - Direct (attribute)	False	Thumb structure	Inferred relationship	Some	1
Superficial laceration of thumb (disorder)	Finding site	False	Thumb structure	Inferred relationship	Some	1
Fluoroscopy of thumb (procedure)	Procedure site - Direct (attribute)	False	Thumb structure	Inferred relationship	Some	1
Deep laceration of thumb (disorder)	Finding site	True	Thumb structure	Inferred relationship	Some	1
Debridement of thumb (procedure)	Procedure site - Direct (attribute)	True	Thumb structure	Inferred relationship	Some	1
Reamputation of thumb (procedure)	Procedure site - Direct (attribute)	True	Thumb structure	Inferred relationship	Some	1
Fluoroscopy of thumb (procedure)	Procedure site - Direct (attribute)	True	Thumb structure	Inferred relationship	Some	1
Cellulitis of thumb	Finding site	True	Thumb structure	Inferred relationship	Some	1
Congenital absence of thumb	Finding site	False	Thumb structure	Inferred relationship	Some	2
Hypoplastic thumb-Blauth 5	Finding site	False	Thumb structure	Inferred relationship	Some	2
Hypoplastic thumb-Blauth 5	Finding site	False	Thumb structure	Inferred relationship	Some	3
Hypoplastic thumb-Blauth 2	Finding site	False	Thumb structure	Inferred relationship	Some	2
Hypoplastic thumb-Blauth 2	Finding site	False	Thumb structure	Inferred relationship	Some	3
Hypoplastic thumb-Blauth 3	Finding site	False	Thumb structure	Inferred relationship	Some	2
Hypoplastic thumb-Blauth 3	Finding site	False	Thumb structure	Inferred relationship	Some	3
Hypoplastic thumb-Blauth 4 (disorder)	Finding site	False	Thumb structure	Inferred relationship	Some	2
Hypoplastic thumb-Blauth 4 (disorder)	Finding site	False	Thumb structure	Inferred relationship	Some	3
Hypoplasia of thumb	Finding site	False	Thumb structure	Inferred relationship	Some	2
Hypoplasia of thumb	Finding site	False	Thumb structure	Inferred relationship	Some	3
Hypoplastic thumb-Blauth 1	Finding site	False	Thumb structure	Inferred relationship	Some	2
Hypoplastic thumb-Blauth 1	Finding site	False	Thumb structure	Inferred relationship	Some	3
Bifid thumb	Finding site	False	Thumb structure	Inferred relationship	Some	2
Congenital malformation of thumb (disorder)	Finding site	False	Thumb structure	Inferred relationship	Some	2
Acrocephalosyndactyly type V (disorder)	Finding site	False	Thumb structure	Inferred relationship	Some	2
Brachysyndactyly of thumb	Finding site	False	Thumb structure	Inferred relationship	Some	4
Syndactyly of thumb (disorder)	Finding site	False	Thumb structure	Inferred relationship	Some	2
Acrosyndactyly of thumb (disorder)	Finding site	True	Thumb structure	Inferred relationship	Some	1
Bifid thumb	Finding site	True	Thumb structure	Inferred relationship	Some	1
Thumb onychia	Finding site	False	Thumb structure	Inferred relationship	Some	1
Abscess of thumb (disorder)	Finding site	True	Thumb structure	Inferred relationship	Some	1
Stabilization of hypoplastic thumb	Procedure site - Direct (attribute)	False	Thumb structure	Inferred relationship	Some	3
Repositioning of thumb for cleft hand	Procedure site - Direct (attribute)	False	Thumb structure	Inferred relationship	Some	3
Brachysyndactyly of thumb	Finding site	False	Thumb structure	Inferred relationship	Some	2
Syndactyly of thumb (disorder)	Finding site	True	Thumb structure	Inferred relationship	Some	1
Operation on thumb (procedure)	Procedure site - Direct (attribute)	True	Thumb structure	Inferred relationship	Some	1
Polydactyly of thumb	Finding site	False	Thumb structure	Inferred relationship	Some	2
Mallet thumb with closed tendon injury	Finding site	False	Thumb structure	Inferred relationship	Some	2
Reconstruction of thumb with skin flap	Procedure site - Direct (attribute)	False	Thumb structure	Inferred relationship	Some	1
Triphalangeal thumb	Finding site	False	Thumb structure	Inferred relationship	Some	4
Polydactyly of a triphalangeal thumb or PPD2 is a form of preaxial polydactyly of fingers, a limb malformation syndrome, that is characterized by the presence of a usually opposable triphalangeal thumb with or without additional duplication of one or more skeletal components of the thumb. The thumb appearance can differ widely in shape (wedge to rectangular) or it can be deviated in the radio-ulnar plane (clinodactyly). PPD2 is also associated with systemic syndromes, including Holt-Oram syndrome and Fanconi anemia.	Finding site	False	Thumb structure	Inferred relationship	Some	2
A type of arthrogryposis characterized by congenital cleft palate, microcephaly, craniostenosis and arthrogryposis (limitation of extension of elbows, flexed adducted thumbs, camptodactyly and clubfeet). Additional features include facial dysmorphism (myopathic stiff face, antimongoloid slanting, external ophthalmoplegia, telecanthus, low-set large malrotated ears, open mouth, microgenia and high arched palate). Velopharyngeal insufficiency with difficulties in swallowing, increased secretion of the nose and throat, prominent occiput, generalized muscular hypotonia with mild cyanosis and no spontaneous movements, seizures, torticollis, areflexia, intellectual disability, hypertrichosis of the lower extremities, and scleredema are also observed. The disease often leads to early death. Transmission is autosomal recessive. No new cases have been described since 1983.	Finding site	False	Thumb structure	Inferred relationship	Some	5
Stapes ankylosis with broad thumbs and toes is a very rare genetic bone disorder characterized by ankylosis of stapes, broad thumbs and halluces, conductive hearing loss and hyperopia.	Finding site	False	Thumb structure	Inferred relationship	Some	5
Radial hypoplasia-triphalangeal thumbs-hypospadias-maxillary diastema syndrome is characterized by symmetric, nonopposable triphalangeal thumbs and radial hypoplasia. It has been described in eight patients (five females and three males) spanning generations of a family. The affected males also presented with hypospadias. The syndrome is inherited as an autosomal dominant trait.	Finding site	False	Thumb structure	Inferred relationship	Some	6
Triphalangeal thumb	Finding site	False	Thumb structure	Inferred relationship	Some	1
Polydactyly of a triphalangeal thumb or PPD2 is a form of preaxial polydactyly of fingers, a limb malformation syndrome, that is characterized by the presence of a usually opposable triphalangeal thumb with or without additional duplication of one or more skeletal components of the thumb. The thumb appearance can differ widely in shape (wedge to rectangular) or it can be deviated in the radio-ulnar plane (clinodactyly). PPD2 is also associated with systemic syndromes, including Holt-Oram syndrome and Fanconi anemia.	Finding site	False	Thumb structure	Inferred relationship	Some	1
Radial hypoplasia-triphalangeal thumbs-hypospadias-maxillary diastema syndrome is characterized by symmetric, nonopposable triphalangeal thumbs and radial hypoplasia. It has been described in eight patients (five females and three males) spanning generations of a family. The affected males also presented with hypospadias. The syndrome is inherited as an autosomal dominant trait.	Finding site	False	Thumb structure	Inferred relationship	Some	1
Trigonocephaly-broad thumbs syndrome is characterized by neonatal trigonocephaly and multiple anomalies including craniosynostosis, shallow orbits, unusual nose, deviation of the terminal phalanges of fingers 1, 2, and 5, and broad toes with duplication of the terminal phalanx. It has been described in a mother and her son. It is transmitted as an autosomal dominant trait.	Finding site	True	Thumb structure	Inferred relationship	Some	6
A rare genetic syndrome with limb duplication, polydactyly, syndactyly, and/or hyperphalangy characterized by duplication anomalies such as triphalangeal thumbs, phalangeal duplication of other digits, and polydactyly, associated with highly variable combinations of ectrodactyly, brachydactyly, and syndactyly of hands and/or feet. Severe nail dysplasia or absence of nails is also observed.	Finding site	False	Thumb structure	Inferred relationship	Some	2
A rare genetic syndrome with limb duplication, polydactyly, syndactyly, and/or hyperphalangy characterized by duplication anomalies such as triphalangeal thumbs, phalangeal duplication of other digits, and polydactyly, associated with highly variable combinations of ectrodactyly, brachydactyly, and syndactyly of hands and/or feet. Severe nail dysplasia or absence of nails is also observed.	Finding site	False	Thumb structure	Inferred relationship	Some	3
Triphalangeal thumb and polysyndactyly syndrome (disorder)	Finding site	False	Thumb structure	Inferred relationship	Some	3
Juberg-Hayward syndrome is a polymalformative syndrome that associates multiple skeletal anomalies with microcephaly, facial dysmorphism, urogenital anomalies and intellectual deficit.	Finding site	True	Thumb structure	Inferred relationship	Some	3
Juberg-Hayward syndrome is a polymalformative syndrome that associates multiple skeletal anomalies with microcephaly, facial dysmorphism, urogenital anomalies and intellectual deficit.	Finding site	False	Thumb structure	Inferred relationship	Some	4
A rare genetic disease characterized by the association of unilateral complete or partial lung agenesis, complex congenital cardiac anomalies such as atrial septal defect, total anomalous pulmonary venous return, or patent ductus arteriosus, and ipsilateral or bilateral thumb abnormalities. Presence of facial dysmorphism and other malformative features has also been reported.	Finding site	False	Thumb structure	Inferred relationship	Some	5
A rare genetic disease characterized by the association of unilateral complete or partial lung agenesis, complex congenital cardiac anomalies such as atrial septal defect, total anomalous pulmonary venous return, or patent ductus arteriosus, and ipsilateral or bilateral thumb abnormalities. Presence of facial dysmorphism and other malformative features has also been reported.	Finding site	True	Thumb structure	Inferred relationship	Some	3
A rare, genetic, multiple congenital anomalies syndrome defined by global developmental delay and severe intellectual disability, epilepsy, hypoplasia/aplasia of the nails of the thumb and great toe, and facial dysmorphism.	Finding site	False	Thumb structure	Inferred relationship	Some	4
Polydactyly of biphalangeal thumb (disorder)	Finding site	True	Thumb structure	Inferred relationship	Some	1
Triphalangeal thumb and dislocation of patella syndrome (disorder)	Finding site	False	Thumb structure	Inferred relationship	Some	2
A rare autosomal dominant heart-hand syndrome that is characterized by bisymmetric brachydactyly accompanied by long thumbs, joint anomalies (restriction of motion at the shoulder and metacarpophalangeal joints) and cardiac conduction defects. Additional features include small hands and feet, clinodactyly, narrow shoulders with short clavicles, pectus excavatum and mild shortness of the limbs, cardiomegaly and murmur of pulmonic stenosis. There have been no new reports since 1981.	Finding site	False	Thumb structure	Inferred relationship	Some	7
Structure of left thumb (body structure)	Is a	True	Thumb structure	Inferred relationship	Some
Structure of right thumb (body structure)	Is a	True	Thumb structure	Inferred relationship	Some
Laceration of blood vessel of thumb (disorder)	Finding site	False	Thumb structure	Inferred relationship	Some	2
Fixed extension deformity of the thumb	Finding site	False	Thumb structure	Inferred relationship	Some	2
Rotational deformity of thumb	Finding site	False	Thumb structure	Inferred relationship	Some	2
Infantile spasms-broad thumbs syndrome is a rare neurologic disorder characterized by profound developmental delay, facial dysmorphism (i.e. microcephaly, large anterior fontanel, hypertelorism, downslanting palpebral fissures, beaked nose, micrognathia), broad thumbs and flexion and/or extension spasms. Bilateral cataracts, hypertrophic cardiomyopathy and hydrocele have also been reported. EEG shows hypsarrhythmic features and MRI may reveal partial agenesis of the corpus callosum, mild brain atrophy and/or ventriculomegaly. There have been no further descriptions in the literature since 1990.	Finding site	True	Thumb structure	Inferred relationship	Some	1
Structure of nail unit of thumb (body structure)	Is a	False	Thumb structure	Inferred relationship	Some
Thumb deformity-alopecia-pigmentation anomaly syndrome is a rare, genetic, congenital limb malformation syndrome characterized by short stature, sparse scalp hair, hypoplastic, proximally placed thumbs, and skin hyperpigmentation with areas of raindrop depigmentation. Presence of a single, upper central incisor has also been reported. There have been no further descriptions in the literature since 1988.	Finding site	True	Thumb structure	Inferred relationship	Some	3
Radial hypoplasia-triphalangeal thumbs-hypospadias-maxillary diastema syndrome is characterized by symmetric, nonopposable triphalangeal thumbs and radial hypoplasia. It has been described in eight patients (five females and three males) spanning generations of a family. The affected males also presented with hypospadias. The syndrome is inherited as an autosomal dominant trait.	Finding site	False	Thumb structure	Inferred relationship	Some	4
Stapes ankylosis with broad thumbs and toes is a very rare genetic bone disorder characterized by ankylosis of stapes, broad thumbs and halluces, conductive hearing loss and hyperopia.	Finding site	True	Thumb structure	Inferred relationship	Some	2
A rare, genetic, multiple congenital anomalies syndrome defined by global developmental delay and severe intellectual disability, epilepsy, hypoplasia/aplasia of the nails of the thumb and great toe, and facial dysmorphism.	Finding site	True	Thumb structure	Inferred relationship	Some	2
Triphalangeal thumb and polysyndactyly syndrome (disorder)	Finding site	False	Thumb structure	Inferred relationship	Some	1
A type of arthrogryposis characterized by congenital cleft palate, microcephaly, craniostenosis and arthrogryposis (limitation of extension of elbows, flexed adducted thumbs, camptodactyly and clubfeet). Additional features include facial dysmorphism (myopathic stiff face, antimongoloid slanting, external ophthalmoplegia, telecanthus, low-set large malrotated ears, open mouth, microgenia and high arched palate). Velopharyngeal insufficiency with difficulties in swallowing, increased secretion of the nose and throat, prominent occiput, generalized muscular hypotonia with mild cyanosis and no spontaneous movements, seizures, torticollis, areflexia, intellectual disability, hypertrichosis of the lower extremities, and scleredema are also observed. The disease often leads to early death. Transmission is autosomal recessive. No new cases have been described since 1983.	Finding site	True	Thumb structure	Inferred relationship	Some	1
A rare autosomal dominant heart-hand syndrome that is characterized by bisymmetric brachydactyly accompanied by long thumbs, joint anomalies (restriction of motion at the shoulder and metacarpophalangeal joints) and cardiac conduction defects. Additional features include small hands and feet, clinodactyly, narrow shoulders with short clavicles, pectus excavatum and mild shortness of the limbs, cardiomegaly and murmur of pulmonic stenosis. There have been no new reports since 1981.	Finding site	True	Thumb structure	Inferred relationship	Some	2
Triphalangeal thumb and dislocation of patella syndrome (disorder)	Finding site	False	Thumb structure	Inferred relationship	Some	1
Plain X-ray of thumb (procedure)	Procedure site - Direct (attribute)	True	Thumb structure	Inferred relationship	Some	1
Infected thumb	Finding site	True	Thumb structure	Inferred relationship	Some	1
Structure of thumb joint region	Is a	True	Thumb structure	Inferred relationship	Some
Contusion of blood vessel of thumb (disorder)	Finding site	False	Thumb structure	Inferred relationship	Some	2
Laceration of thumb with foreign body (disorder)	Finding site	True	Thumb structure	Inferred relationship	Some	2
Laceration of thumb with foreign body (disorder)	Finding site	True	Thumb structure	Inferred relationship	Some	1
Open bite of thumb (disorder)	Finding site	True	Thumb structure	Inferred relationship	Some	1
Puncture wound of thumb with foreign body (disorder)	Finding site	True	Thumb structure	Inferred relationship	Some	2
Puncture wound of thumb with foreign body (disorder)	Finding site	True	Thumb structure	Inferred relationship	Some	1
Puncture wound of thumb without foreign body (disorder)	Finding site	True	Thumb structure	Inferred relationship	Some	1
An X-linked clinical subtype of L1 syndrome with characteristics of mild to moderate intellectual disability, delayed development of speech, hypotonia progressing to spasticity or spastic paraplegia, adducted thumbs and mild to moderate distension of the cerebral ventricles.	Finding site	True	Thumb structure	Inferred relationship	Some	3
Traumatic amputation of thumb with complication	Finding site	False	Thumb structure	Inferred relationship	Some	2
Malignant neoplasm of connective and soft tissue of thumb	Finding site	False	Thumb structure	Inferred relationship	Some	3
Injury of blood vessel of thumb (disorder)	Finding site	False	Thumb structure	Inferred relationship	Some	2
Radial polydactyly	Finding site	True	Thumb structure	Inferred relationship	Some	1

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Reference Sets

Lateralizable body structure reference set (foundation metadata concept)

Anatomy structure and entire association reference set (foundation metadata concept)

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Id	Description	Lang	Type	Status	Case?	Module
127053016	Thumb	en	Synonym (core metadata concept)	Active	Entire term case insensitive (core metadata concept)	SNOMED CT core
503301016	Thumb structure	en	Synonym (core metadata concept)	Active	Entire term case insensitive (core metadata concept)	SNOMED CT core
817233017	Thumb structure (body structure)	en	Fully specified name	Active	Entire term case insensitive (core metadata concept)	SNOMED CT core
873001000172113	doigt I de la main	fr	Synonym (core metadata concept)	Active	Entire term case sensitive (core metadata concept)	SNOMED CT Switzerland NRC maintained Module
984611000172116	pollex	fr	Synonym (core metadata concept)	Active	Entire term case insensitive (core metadata concept)	SNOMED CT Switzerland NRC maintained Module
1000711000172111	pouce	fr	Synonym (core metadata concept)	Active	Entire term case insensitive (core metadata concept)	SNOMED CT Switzerland NRC maintained Module
1017861000172115	structure du pouce	fr	Synonym (core metadata concept)	Active	Entire term case insensitive (core metadata concept)	SNOMED CT Switzerland NRC maintained Module