Camptodactyly correction: A report of two cases

Camptodactyly is a condition where there is a permanent flexion contracture at the proximal interphalangeal joint mostly involving the little finger. This condition has a varied presentation and hence treatment is controversial, whether conservative management or surgical correction. Here, we present two cases of camptodactyly that were managed with surgery.

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Radial Collateral Ligament Injury of the Little Finger Proximal Interphalangeal Joint in Young Pianists

The Journal Of Hand Surgery ◽

10.1016/j.jhsa.2014.04.039 ◽

2014 ◽

Vol 39 (8) ◽

pp. 1535-1539 ◽

Cited By ~ 1

Author(s):

Hyun Sik Gong ◽

Hoyune Esther Cho ◽

Seung Hwan Rhee ◽

Jihyeong Kim ◽

Young Ho Lee ◽

...

Keyword(s):

Proximal Interphalangeal Joint ◽

Interphalangeal Joint ◽

Ligament Injury ◽

Collateral Ligament ◽

Radial Collateral Ligament ◽

Little Finger

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Radiographic Assessment of the Relative Lengths of the Bones of the Fingers of the Human Hand

Journal of Hand Surgery (European Volume) ◽

10.1054/jhsb.2002.0822 ◽

2002 ◽

Vol 27 (6) ◽

pp. 546-548 ◽

Cited By ~ 23

Author(s):

R. HAMILTON ◽

R. A. DUNSMUIR

Keyword(s):

Fibonacci Sequence ◽

Proximal Interphalangeal Joint ◽

Interphalangeal Joint ◽

Human Hand ◽

X Rays ◽

Radiographic Assessment ◽

Finger Tip ◽

Distal Joint ◽

Little Finger

The study assessed whether a relationship existed between the lengths of the phalanges of the fingers of the hand. The centres of rotation of the joints in each finger were determined by dissection of cadaveric hands. Using these data, the distances between the joint centres was determined on anteroposterior hand X-rays taken for clinical purposes. The study has shown that, for all the fingers, there is a ratio of1 for the distance between the metacarpophalangeal and proximal interphalangeal joint and the distance between the proximal interphalangeal joint and the finger tip. The ratio for the distances between the interphalangeal joints and the distal joint and the tip approximates to 1.3 for the index, middle and ring fingers and to 1.0 for the little finger. No evidence was found to support Littler’s hypothesis that the interarticular distances of the finger follow the Fibonacci sequence.

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A Belly Gutter Splint for Proximal Interphalangeal Joint Flexion Contracture

American Journal of Occupational Therapy ◽

10.5014/ajot.45.9.839 ◽

1991 ◽

Vol 45 (9) ◽

pp. 839-843 ◽

Cited By ~ 15

Author(s):

S.-H. Wu

Keyword(s):

Flexion Contracture ◽

Proximal Interphalangeal Joint ◽

Interphalangeal Joint ◽

Joint Flexion

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Outcome review on the percutaneous release of the proximal interphalangeal joint accessory collateral ligaments

Orthopedic Reviews ◽

10.4081/or.2009.e19 ◽

2009 ◽

Vol 1 (1) ◽

pp. 19 ◽

Cited By ~ 4

Author(s):

Sonja Cerovac ◽

John Stanley

Keyword(s):

Intraoperative Complications ◽

Flexion Contracture ◽

Proximal Interphalangeal Joint ◽

Interphalangeal Joint ◽

Long Term Results ◽

Collateral Ligaments ◽

Postoperative Rehabilitation ◽

Percutaneous Release ◽

Joint Flexion

The percutaneous release of accessory collateral ligaments was introduced in 1986 as a safe and quick procedure to be attempted before open, more extensive joint release in the treatment of proximal interphalangeal joint flexion contracture. Our study analyzed the long-term results and patient satisfaction following a percutaneous release in 30 joints after a mean follow-up period of 34 months. In one half of cases the preoperative joint flexion deformity was reduced from 78° to 34°. The best results were observed in patients with osteoarthritis and stiff, immobilized joints. In patients with inflammatory arthritides, marked intraoperative correction was maintained rarely, joint contractures recurred early, and patients were unsatisfied. There were no intraoperative complications. Percutaneous release of the accessory collateral ligaments can produce a long lasting correction of the joint contracture, but careful patient selection and strict postoperative rehabilitation are essential for favorable outcome.

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Management of postburn flexion contracture of the proximal interphalangeal joint of the finger by distraction histiogenesis and release and skin grafting: A comparative study

Indian Journal of Burns ◽

10.4103/ijb.ijb_3_19 ◽

2019 ◽

Vol 27 (1) ◽

pp. 85

Author(s):

Sanjay Kumar ◽

Sharadendu Sharma ◽

Harish Sharma

Keyword(s):

Comparative Study ◽

Skin Grafting ◽

Flexion Contracture ◽

Proximal Interphalangeal Joint ◽

Interphalangeal Joint

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The Proximal Interphalangeal Joint in Dupuytren’s Disease

Journal of Hand Surgery (European Volume) ◽

10.1016/s0266-7681_85_80062-0 ◽

1985 ◽

Vol 10 (3) ◽

pp. 358-364

Author(s):

M. A. TONKIN ◽

F. D. BURKE ◽

J. P. W. VARIAN

Keyword(s):

Surgical Approach ◽

Proximal Phalanx ◽

Flexion Contracture ◽

Proximal Interphalangeal Joint ◽

Interphalangeal Joint ◽

Joint Contracture ◽

Dupuytren’S Disease ◽

Dupuytren's Disease ◽

Average Percentage ◽

Percentage Improvement

In one hundred patients with Dupuytren’s disease, one hundred and fifty-four operations were performed. The average pre-operative proximal interphalangeal joint contracture was 42° and the average percentage improvement in proximal interphalangeal joint extension at postoperative review was 41%. Fourteen amputations were performed (9.1%). The primary deformity is caused by disease involvement of the palmar fascial structures. Secondary changes may prevent correction of the deformity despite excision of the contracted fascia. The anatomy of the joint is reviewed together with the primary and secondary mechanisms of joint contracture in Dupuytren's disease. Arthrodesis, osteotomy of the proximal phalanx and joint replacement are considered as alternatives to amputation when a systematic surgical approach fails to correct the flexion contracture.

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The quantitative role of flexor sheath incision in correcting Dupuytren proximal interphalangeal joint contractures

Journal of Hand Surgery (European Volume) ◽

10.1177/1753193415602189 ◽

2015 ◽

Vol 41 (6) ◽

pp. 609-613 ◽

Cited By ~ 3

Author(s):

P. E. Blazar ◽

E. W. Floyd ◽

B. E. Earp

Keyword(s):

Case Series ◽

Tendon Sheath ◽

Flexion Contracture ◽

Proximal Interphalangeal Joint ◽

Interphalangeal Joint ◽

Dupuytren’S Contracture ◽

Extension Deficit ◽

Level Of Evidence ◽

Joint Contractures ◽

Dupuytren's Contracture

Controversy exists regarding intra-operative treatment of residual proximal interphalangeal joint contractures after Dupuytren’s fasciectomy. We test the hypothesis that a simple release of the digital flexor sheath can correct residual fixed flexion contracture after subtotal fasciectomy. We prospectively enrolled 19 patients (22 digits) with Dupuytren’s contracture of the proximal interphalangeal joint. The average pre-operative extension deficit of the proximal interphalangeal joints was 58° (range 30–90). The flexion contracture of the joint was corrected to an average of 28° after fasciectomy. In most digits (20 of 21), subsequent incision of the flexor sheath further corrected the contracture by an average of 23°, resulting in correction to an average flexion contracture of 4.7° (range 0–40). Our results support that contracture of the tendon sheath is a contributor to Dupuytren’s contracture of the joint and that sheath release is a simple, low morbidity addition to correct Dupuytren’s contractures of the proximal interphalangeal joint. Additional release of the proximal interphalangeal joint after fasciectomy, after release of the flexor sheath, is not necessary in many patients. Level of Evidence: IV (Case Series, Therapeutic)

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