The anatomy and treatment of camptodactyly of the small finger

McFarlane, Robert M.; Classen, Dale A.; Porte, Arthur M.; Botz, Jeanette S.

doi:10.1016/0363-5023(92)90110-b

Cited by 55 publications

(36 citation statements)

References 19 publications

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“…Mcfarlane et al found abnormal lumbrical muscle in all 53 cases treated surgically [13]. according to them, abnormalities within the intrinsic system are the principal causes of camptodactyly [13]. The involvement of the intrinsic muscles was confirmed by other authors [3,9].…”

Section: Discussionmentioning

confidence: 82%

“…The most prevailing anomalies affect the flexor digitorum superficialis and intrinsic musculature (lumbricals, interossei) [3]. Mcfarlane et al found abnormal lumbrical muscle in all 53 cases treated surgically [13]. according to them, abnormalities within the intrinsic system are the principal causes of camptodactyly [13].…”

Section: Discussionmentioning

confidence: 99%

“…at the time of surgery, different skin incisions are performed (Glicenstein's plasty, "Z" skin plasty) and full-thickness skin grafts [3]. In clinical practice, the following operating methods are performed: dissection of fascia and fibrous bands, palmar capsulotomy and release of collateral ligaments, release of the flexor tendon sheath and flexor digitorum superficialis, tendon transfer of the flexor digitour superficialis to extensor apparatus, elongation of the flexor digitour superficialis, resection of pathological changes and insertion of the lumbrical or interosseous muscles [13,[17][18][19]. There are also known attempts at treatment by means of external fixators [3,20].…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Treatment of Camptodactyly Using Injection of Botulinum Neurotoxin

Urban¹,

Rutowski²,

Urbán³

et al. 2014

Adv Clin Exp Med

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Background. camptodactyly is usually painless, not caused by trauma, often appearing bilaterally, gradually progressive flexion contracture of the proximal interphalangeal joint mainly on the 5 th fingers. Objectives. The aim of the study was to analyze the efficacy injecting botulinum neurotoxin in short muscles of the hand responsible for the contraction of the proximal interphalangeal joint. Material and Methods. The clinical material consisted of 12 patients (8 women, 4 men) treated with injections of botulinum neurotoxin in 2009-2012. Patients were monitored respectively for 2 weeks, 3 and 6 months and then every six months after the procedure. The observation period after injection of toxin ranged from 18 to 36 months. Our proposed method of treatment is inducing a temporary paralysis of muscles (lumbrical, interosseous) by means of botulinum neurotoxin (botox). Results. In the majority (10) of patients an improvement and stabilization was achieved just after one injection and there were no disease progression in subsequent controlled studies. These patients continued treatment with usage of redressing extensive splints. In case of the other two patients it was required to repeat the injections. Conclusions. The preliminary results obtained are promising. This method of treatment requires further studies and long-term follow-ups every six months until release of symptoms of the disease will be achieved. The operative treatment is reserved for severe deformities (Adv Clin Exp Med 2014, 23, 3, 399-402).

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Section: Discussionmentioning

confidence: 82%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Treatment of Camptodactyly Using Injection of Botulinum Neurotoxin

Urban¹,

Rutowski²,

Urbán³

et al. 2014

Adv Clin Exp Med

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show abstract

“…The other is an adolescent type in which the deformity is not apparent in infancy but develops rapidly in adolescence and which involves mainly young women [3]. The causes of this pathologic condition are still unknown, but there have been several papers describing the condition that attribute it to the deformation of the articular surface or the joint itself [8,12] to anomalies of the volar plate [5] or musculotendinous units including the lumbrical muscles [13,14], flexor digitorum superficialis tendons [22], or extrinsic and intrinsic mechanisms of the tendons [11]. Our patient was diagnosed as having adolescent-type camptodactyly in both small fingers.…”

Section: Discussionmentioning

confidence: 99%

Simultaneous reconstruction of a palmar skin defect and the digital artery with an arterialized venous flap after correction of camptodactyly with severe flexion deformity

Kakinoki

Duncan

Ohta

et al. 2011

HAND

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“…In camptodactyly, PIP joint contractures may be caused by a variety of factors: intrinsic minus deficits, volar soft tissue shortening, volar capsular tightness, and extrinsic flexor tendon tightness. 9 Rehabilitation, whether the sole management or in coordination with surgical treatment of camptodactyly, requires identification of the underlying cause behind limited finger extension. There may be remaining restraining tissues restricting finger extension or weak, attenuated tissues that may be inadequately functioning and lack the necessary force to achieve full active extension.…”

Section: Rehabilitationmentioning

confidence: 99%