Dysplasia epiphysealis hemimelica at the metacarpophalangeal joint

Maylack, Fallon H.; Manske, Paul R.; Strecker, William B.

doi:10.1016/0363-5023(88)90270-5

Cited by 16 publications

(3 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Finally, other surgical procedures may be well suited for specific cases of clinodactyly, such as total excision of the abnormal delta phalanx in patients with triphalangeal thumb deformity, distal arthrodesis including the delta phalanx in patients with tiny delta phalanx and severe clinodactyly, 16 a closing wedge osteotomy of the entire kissing delta complex in patients with asymmetric kissing delta bones, 11 and resection of the accessory ossification center in patients with Trevor disease. 12 In our patients, we used the closing wedge osteotomy technique in every patient, and we now think that this was not appropriate. Although we obtained satisfactory correction of the angulation with excellent range of motion in all patients, we believe that an opening wedge osteotomy or distraction osteogenesis would have resulted in a better cosmetic outcome in some patients with concurrent brachydactyly.…”

Section: Discussionmentioning

confidence: 99%

“…2 Involvement of the middle and index fingers is relatively uncommon. Clinodactyly of the index finger is known to occur in syndromes associated with the "kissing delta phalanx" deformity 11 (the angulation occurs because the kissing delta bones are unequal in size), in Trevor disease 12 (the angulation occurs because of an accessory ossification center), and in Mohr-Wriedt brachydactyly 13 (bilateral delta phalanx deformity of both index fingers and second toes). Our cases do not fit into any of these conditions.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Congenital Sporadic Clinodactyly of the Index Finger

Al-Qattan

2007

Annals of Plastic Surgery

View full text Add to dashboard Cite

Congenital sporadic clinodactyly of the index finger is uncommon and has not been specifically investigated in previous reports. In this paper, we report on 10 cases with this deformity to investigate its clinical features and to document the results following a closing wedge osteotomy. The study demonstrated that clinodactyly of the index finger is a unique entity. It is unilateral, with male predominance. It is commonly associated with brachydactyly but is not associated with systemic anomalies or mental retardation. Finally, the study showed that the side of angulation of the index finger is consistently to the radial side. The closing wedge osteotomy technique obtained a satisfactory correction of the angulation in all patients (the mean preoperative angulation was 44 degrees and the mean postoperative angulation was 13 degrees). The cosmetic outcome was considered acceptable in 9 cases. In the remaining patient, the operated index finger appeared too short compared with the other fingers. We now believe that it was not appropriate to do a closing wedge osteotomy for all cases of sporadic clinodactyly of the index finger, and we have designed a new approach of management based on 3 factors: the severity of angulation, the age of the patient, and the relative degree of brachydactyly of the index finger compared with the adjacent middle finger.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Congenital Sporadic Clinodactyly of the Index Finger

Al-Qattan

2007

Annals of Plastic Surgery

View full text Add to dashboard Cite

show abstract

“…Ob die von Maylack und Mitarb. 1988 [13] sowie 1983 von Moore und Mitarb. [14] beschriebenen Veränderungen an den Fingergrundgelenken und Phalangen wirklich alle im Sinne einer Dysplasia epiphysealis hemimelica zu werten sind, erscheint fraglich.…”

Section: Introductionunclassified

Dysplasia epiphysealis hemimelica der Handwurzel

Buck-Gramcko

Hoffmann²,

Wüstner-Hofmann³

2003

Handchir Mikrochir plast Chir

View full text Add to dashboard Cite

Dysplasia epiphysealis hemimelica is a rare benign osteochondromatous disorder which develops in childhood mostly on the epiphyses of the bones in the lower extremities. While the tarsal bones are often involved, it is very rare in the carpus. Four patients are reported. Two were treated operatively with good results. In consequence of the experience of Lamesch, an excision was not performed in the other two cases. The patients were followed up for many years with the findings of some reduction in size and figure. Therefore, it is recommended not to operate this special tumour as long as no functional disturbances will occur.

show abstract

Gelenkflächenplastik eines Kniegelenks bei Dysplasia epiphysealis hemimelica (Trevor’s disease)

Grill

Petje

2007

Orthopädisch-Traumatologische Knacknüsse

View full text Add to dashboard Cite

Dysplasia epiphysealis hemimelica at the metacarpophalangeal joint

Cited by 16 publications

References 19 publications

Congenital Sporadic Clinodactyly of the Index Finger

Congenital Sporadic Clinodactyly of the Index Finger

Dysplasia epiphysealis hemimelica der Handwurzel

Gelenkflächenplastik eines Kniegelenks bei Dysplasia epiphysealis hemimelica (Trevor’s disease)

Contact Info

Product

Resources

About