Clinodactyly, a congenital coronal angulation of the finger, is caused by tethered growth from an abnormal longitudinal epiphyseal bracket of the middle phalanx or a trapezoidal shaped phalanx. When severe, this can result in unsatisfactory appearance and functional limitation. Surgical options include physiolysis with fat interposition of the bracketed epiphysis, and closing, reverse, or opening wedge osteotomies of the middle phalanx. Opening wedge osteotomy has the benefit of preserving finger length. This is the first report describing the clinical and radiographic outcomes after opening wedge osteotomy for congenital clinodactyly.
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- Closing wedge osteotomy of abnormal middle phalanx for clinodactyly.J Hand Surg Am. 2009; 34: 914-918
- Epiphyseal bar resection and fat interposition for clinodactyly.J Hand Surg Am. 2010; 35: 834-837
- Physiolysis for correction of clinodactyly in children.J Hand Surg Am. 2002; 27: 659-665
- Surgical correction of clinodactyly: two straightforward techniques.Tech Hand Up Extrem Surg. 2010; 14: 54-57
Clinical Paper Session 04: Pediatrics
Friday, September 19, 2014 • 10:12–10:19 AM
Category: Treatment, Prognosis/Outcomes
Keyword: Hand and Wrist, Congenital and Pediatric Problems
© 2014 Published by Elsevier Inc.