Camptodactyly: a unifying theory and approach to surgical treatment

The Journal of Hand Surgery
P J Smith, A O Grobbelaar

Abstract

Camptodactyly is an isolated congenital flexion deformity of the proximal interphalangeal (PIP) joint. Surgical experience with 16 patients (18 fingers) between June 1983 and December 1994 is reported. Skin, fascia (retinaculum cutis), tendon sheaths, flexor digitorum superficialis tendon, lumbricals and interossei (particularly the lateral bands), joint surfaces, neck of the proximal phalanx, and central slip insertion were involved in all cases, although the degree of involvement can vary. Surgery must address all of these structures. Postoperative splinting is important. Fifteen patients had good or excellent results after surgery, with a mean gain in motion of 57 degrees (range, 0 degrees-90 degrees). Surgery should be aimed at prevention of progressive deterioration and is probably not indicated in minor degrees of the deformity. Surgery should be reserved for patients with a preoperative PIP joint contracture of more than 60 degrees.

References

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Citations

Jan 16, 2014·Hand : Official Journal of the American Association for Hand Surgery·Kristy L Hamilton, David T Netscher
Mar 8, 2013·Clinical Imaging·Nurith HillerVered Molho-Pessach
Dec 20, 2000·The Journal of Hand Surgery·H R McCarroll
Apr 22, 2009·Hand Clinics·Charles A Goldfarb
Mar 30, 2007·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Kazuyuki TokiokaKazuki Osawa
Aug 25, 2009·The Journal of Hand Surgery·Charles A Goldfarb
Mar 10, 2017·Journal of Pediatric Orthopedics·Brady T EvansDonald S Bae
May 3, 2006·Plastic and Reconstructive Surgery·Guy FoucherGiorgio Pivato
Jul 11, 2009·Plastic and Reconstructive Surgery·Steven J BatesNeil F Jones
Feb 27, 2015·Plastic and Reconstructive Surgery·Kristy L Hamilton, David T Netscher
Mar 1, 2014·Revista Brasileira De Ortopedia·Saulo Fontes AlmeidaRúbia Carla da Silva Lanes
Oct 28, 2015·Plastic and Reconstructive Surgery·David T NetscherLior Paz
Mar 27, 2019·Skeletal Radiology·Alexander FavrilTjeerd Jager
Nov 26, 2020·Journal of Clinical Medicine·Byoung Kyu ParkKun Bo Park

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