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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References
- 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
Article info
Publication history
Paper 25
Footnotes
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
Identification
Copyright
© 2014 Published by Elsevier Inc.
