DOI QR코드

DOI QR Code

Camptodactyly: An unsolved area of plastic surgery

  • Singh, Veena (Department of Burns & Plastic Surgery, All India Institute of Medical Sciences Patna) ;
  • Haq, Ansarul (Department of Burns & Plastic Surgery, All India Institute of Medical Sciences Patna) ;
  • Priyadarshini, Puja (Department of Burns & Plastic Surgery, All India Institute of Medical Sciences Patna) ;
  • Kumar, Purshottam (Department of General Surgery, All India Institute of Medical Sciences Patna)
  • Received : 2017.04.14
  • Accepted : 2018.06.22
  • Published : 2018.07.15

Abstract

Background Camptodactyly refers to permanent flexion contracture at the proximal interphalangeal joint. Most cases are limited to fifth-finger involvement. Although common, the treatment of camptodactyly is controversial. Many published studies have emphasized conservative treatment, while others have described surgical procedures. The problem with this deformity is that it presents in several forms, which means that there is no single model for effective treatment. The aim of this paper is to present the difficulties encountered with this condition and the management thereof on an individual basis. Methods This is a case series of 14 patients (nine males, five females) who underwent surgical treatment. The results were classified using the method from Mayo Clinic as excellent, good, fair, and poor. Results Fourteen patients with 15 fingers underwent surgery, and the results achieved were as follows: excellent, 0; good, 1; fair, 6; poor, 8. The treatment of camptodactyly still remains controversial, and hence proper planning individualized to each patient is needed to achieve the maximal improvement with realistic goals. Conclusions Although we performed individualised surgery, our careful follow-up was not able to identify any method as superior over another with respect to gain in extension and loss of flexion. We therefore propose that the extensor mechanism should not be disturbed during surgery to treat camptodactyly cases.

Keywords

References

  1. Choi BR, Lim YH, Joo KB, et al. Camptodactyly, arthropathy, coxa vara, pericarditis (CACP) syndrome: a case report. J Korean Med Sci 2004;19:907-10. https://doi.org/10.3346/jkms.2004.19.6.907
  2. Hamilton KL, Netscher DT. Multidigit camptodactyly of the hands and feet: a case study. Hand (N Y) 2013;8:324-9. https://doi.org/10.1007/s11552-013-9497-6
  3. Santosh R, Haobijam N, Barad AK, et al. Absent flexor digitorum profundus (FDP): an unreported component of camptodactyly. J Med Soc 2014;28:120-2. https://doi.org/10.4103/0972-4958.141103
  4. McFarlane RM, Classen DA, Porte AM, et al. The anatomy and treatment of camptodactyly of the small finger. J Hand Surg Am 1992;17:35-44. https://doi.org/10.1016/0363-5023(92)90110-B
  5. Miura T, Nakamura R, Tamura Y. Long-standing extended dynamic splintage and release of an abnormal restraining structure in camptodactyly. J Hand Surg, 1992;17:665-72.
  6. Glicenstein J, Haddad R, Guero S. Surgical treatment of camptodactyly. Ann Chir Main Memb Super 1995;14:264- 71. https://doi.org/10.1016/S0753-9053(05)80405-3
  7. Siegert JJ, Cooney WP, Dobyns JH. Management of simple camptodactyly. J Hand Surg 1990;15:181-9.
  8. Benson LS, Waters PM, Kamil NI, et al. Camptodactyly: classification and results of nonoperative treatment. J Pediatr Orthop 1994;14:814-9. https://doi.org/10.1097/01241398-199414060-00024
  9. Foucher G, Lorea P, Khouri RK, et al. Camptodactyly as a spectrum of congenital deficiencies: a treatment algorithm based on clinical examination. Plast Reconstr Surg 2006; 117:1897-905. https://doi.org/10.1097/01.prs.0000218977.46520.55

Cited by

  1. Dupuytren's contracture: Concise approach to an enigmatic disease vol.5, pp.3, 2019, https://doi.org/10.4103/ijam.ijam_12_19