Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
150 Doctors are Online

Suggest treatment for venous malformation on thumb

User rating for this question
Excellent
Answered by

Orthopaedic Surgeon
Practicing since : 1999
Answered : 705 Questions
Question
Our son has an abnormal vascular vein. we have done a type of therapy where we injected a salution in his thumb. and it didn't seem to work do you have any suggestions for us.
Posted Tue, 5 Aug 2014 in General Health
 
 
Answered by Dr. Karl Logan 58 minutes later
Brief Answer:
Arteriovenous malformation.

Detailed Answer:
Hi,

Thanks for your question and the photograph.

Is this an venous malformation. If so it sounds although an attempt was made at sclerotherpy to block the enlarged veins.

The 1st thing to say is that if this lesion is not enlarging or causing any functional problems then it can be left alone.

Sometimes medical treatment can be of benefit to reduce the side of certain arteriovenous malformations, one drug that is sometimes used is a beta blocker.

If sclerotherapy fails then the only other option is surgical removal.

I hope this answers your question.

Best wishes
Above answer was peer-reviewed by
 
Follow-up: Suggest treatment for venous malformation on thumb 47 minutes later
Could surgery possibly stunt the growth of his thumb? we did the sclerotherpy and it made them go from 2 mm in size to 9 mm in size is that normal. He is 9 months old and I am just really concerned and hoping we didn't do the wrong decision by doing sclerotherpy.
 
 
Answered by Dr. Karl Logan 11 minutes later
Brief Answer:
Treatment modalities discussed.

Detailed Answer:
Hi thanks for your follow up question.

Surgery to the soft tissues in the thumb will cause some scarring but should not stunt the growth of the thumb.

With AVM's it is not always possible to remove all of the abnormal tissue and so there is a significant risk of recurrence.

The sclerotherapy is unlikely to have made the AVM grow bigger and it may be worth consideration of repeating this treatment before moving onto more aggressive interventions.

Best wishes
Above answer was peer-reviewed by
 
Follow-up: Suggest treatment for venous malformation on thumb 4 minutes later
Thank you very much we just wanted to make sure we where doing what's best for our little guy. and from what you are saying we are.

Thank you :)
 
 
Answered by Dr. Karl Logan 40 minutes later
Brief Answer:
Your welcome

Detailed Answer:
Your Welcome.

Best wishes
Above answer was peer-reviewed by
 
Share on Facebook
Share on Twitter
Share on Google+

The user accepted the expert's answer

Ask a Doctor Now

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor