Triphalangeal thumb: A thumb that has an additional bone (known as a phalanx) that can range in dimension and shape. Renomedullary interstitial cells, situated mainly within the renal papilla, secrete an inactive substance medullipin I. Typically, the number of injections is 8-10 within the frst year, 2 or three in the course of the second yr, 1 to 2 through the third year, and 0 to 1 in the fourth and ffth years of treatment
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