TYPE OF SURGERIES

Birth defects

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Swellings on any part of the body

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Orthopedic

Camptodactyly

  • Camptodactyly

Description of disability:

Camptodactyly refers to abnormal bending of the middle joint of a finger. While it is most common in the little finger, it may also be present in any other finger or fingers. Camptodactyly does not usually cause any functional problems in day to day activities.

Camptodactyly  causes one or more fingers to be permanently bent. It involves fixed flexion deformity of the proximal interphalangeal joints. The fifth finger is always affected.

Camptodactyly can be caused by a genetic disorder. In that case, it is an autosomal dominant trait that is known for its incomplete genetic expressivity. This means that when a person has the genes for it, the condition may appear in both hands, one, or neither.

Treatment: 

If a contracture is less than 30 degrees, it may not interfere with normal functioning. The common treatment is splinting and occupational therapy. Surgery is the last option for most cases as the result may not be satisfactory.

Operative treatment includes FDS tenotomy and/or FDS transfer.  Indication is progressive deformity leading to functional impairment. The technique  must address all abnormal anatomy,  passive (correctable) deformities  FDS tenotomy, or  FDS transfer to radial lateral band if full active PIP extension can be achieved with MCP flexion. The next method is osteotomy vs. arthrodesis. The indications are  severe fixed deformities. This has variable outcomes.

Post operative care: 

Routine postoperative care with immobilization of the part, elevation and rest is advised.


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