Surgical Treatment for a Congenitally Stiff Metacarpophalangeal Joint of the Small Finger: Report of Four Cases

Tsujii, Masaya; Hirata, Hitoshi; Matsumoto, Mamoru; Asanuma, Kunihiro; Uchida, Atsushi

doi:10.1016/j.jhsa.2006.04.008

Cited by 5 publications

(4 citation statements)

References 4 publications

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“…This explains the failure of the initial conservative therapy on the patient. Since capsulectomy often fail in this conditions 4 as well, we decided to use the dynamic external fixation for the patient. sufficient time for patient orientation on the operation, home exercises, time table of treatment, and possible complications.…”

Section: Discussionmentioning

confidence: 99%

“…3 According to Watson et al, 3 this is because the patient with congenital contracture has poor joint development as manifested by an abnormal metacarpal head shape on radiograph. Tsujii and colleagues 4 stated that the poor functional result of the congenital MP joint may be attributed to the flatter metacarpal head and the segmented joint space. Yoshida et al 5 analyzed the relationship between the shape of the metacarpal head and ROM at the thumb, and concluded that the roundness of the metacarpal head has a positive correlation to the degree of motion.…”

Section: Discussionmentioning

confidence: 99%

“…This explains the failure of the initial conservative therapy on the patient. Since capsulectomy often fail in this conditions 4 as well, we decided to use the dynamic external fixation for the patient. Flowers 6 published a study showing the effectiveness of low-load prolonged stress in a time-dependent manner in increasing the ROM in periarticular connective tissue contractures, especially of the ligament and capsule, through the orthotics.…”

Section: Discussionmentioning

confidence: 99%

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Dynamic External Fixator as Treatment for Congenital Little Finger Contracture

Ohira¹,

Hamada

Toyama

et al. 2023

Journal of Hand and Microsurgery

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The surgical soft tissue release of extension contracture at metacarpophalangeal (MP) joint is technically easy; however, the preventive hand therapy after surgery is really difficult in clinical practice. Congenital MP joint contracture, especially little finger, is also difficult to spread its limited range of motion (ROM). Here, we present a patient with a congenital MP joint contracture of the little finger managed with dynamic external fixator (DEF). A 21-year-old male irritated from limited ROM associated with pain of the right little finger of more than 1 year. The symptom started after trauma on his hand while playing lacrosse. Further examination revealed that his MP joint was congenitally contracted. To address this pathology, DEF followed by orthotic therapy was done. Two years after the procedure and therapy, the MP joint ROM of the finger surpassed that of the contralateral unaffected digit without pain and recurrence. The patient was able to return to his sports of lacrosse.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…This explains the failure of the initial conservative therapy on the patient. Since capsulectomy often fail in this conditions 4 as well, we decided to use the dynamic external fixation for the patient. Flowers 6 published a study showing the effectiveness of low-load prolonged stress in a time-dependent manner in increasing the ROM in periarticular connective tissue contractures, especially of the ligament and capsule, through the orthotics.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Dynamic External Fixator as Treatment for Congenital Little Finger Contracture

Ohira¹,

Hamada

Toyama

et al. 2023

Journal of Hand and Microsurgery

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“…In addition, congenital stiffness of fingers without definite cause had been reported. 7 Although the stiff finger has a similar clinical manifestation to joint contracture, different causative factors contribute to the stiffness. Both bone and soft tissue are what ultimately provide mechanical blocks to motion resulting in finger stiffness.…”

Section: Introductionmentioning

confidence: 99%

Management of the Stiff Finger

Yang

McGlinn

Chung

2014

Clinics in Plastic Surgery

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SYNOPSIS The term “stiff finger” refers to a reduction in the range of motion in the finger, and it is a condition that has many different causes and involves a number of different structures. Almost all injuries of the fingers and some diseases can cause finger stiffness. Hand surgeons often face difficulty treating stiff fingers that are affected by irreversible soft tissues fibrosis. Stiff fingers can be divided into flexion and extension deformities. They can also be sub-classified into four categories according to the involved tissues extending from the skin to the joint capsule. Prevention of stiff fingers by judicious mobilization of the joints is prudent to avoid more complicated treatment after established stiffness occurs. Static progressive and dynamic splints have been considered as effective non-operative interventions to treat stiff fingers. Most authors believe force of joint distraction and time duration of stretching are two important factors to consider while applying a splint or cast. We also introduce the concepts of capsulotomy and collateral ligament release and other soft tissue release of the MCP and PIP joint in this article. Future outcomes research is vital to assessing the effectiveness of these surgical procedures and guiding postoperative treatment recommendations.

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Prevalence of Charcot-Marie-Tooth Disease in Patients Who Have Bilateral Cavovarus Feet

Stockman¹

2008

Yearbook of Pediatrics

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Surgical Treatment for a Congenitally Stiff Metacarpophalangeal Joint of the Small Finger: Report of Four Cases

Cited by 5 publications

References 4 publications

Dynamic External Fixator as Treatment for Congenital Little Finger Contracture

Dynamic External Fixator as Treatment for Congenital Little Finger Contracture

Management of the Stiff Finger

Prevalence of Charcot-Marie-Tooth Disease in Patients Who Have Bilateral Cavovarus Feet

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