Thumb duplication is a common anomaly treated by most hand surgeons. S
uccessful reconstruction of this disorder requires the surgeon to addr
ess abnormalities of collateral ligaments, tendon, and bone. With grow
th, secondary problems may occur, including bony overgrowth, tendon im
balance, and joint stiffness. Surgeons must be aware of these potentia
l complications when the performance of initial surgery and long-term
follow-up of the child are necessary.