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Camptodactyly: Assessment of Treatment (Retrospective Analysis of 22 Cases)
Saulo Fontes Almeida, MD; Anderson Vieira Monteiro, Medical, MD; Rubia Carla da Silva Lanes, MD; Eduardo Farias Vasquez, MD; Sandro A. Adeodato, MD; Carlos Alberto Neto, MD; Werner Leite, MD; Fabio A. Lima, MD
Hand Surgery Center, Instituto Nacional de Traumato Ortopedia, Rio de Janeiro, Brazil

The camptodactyly is a congenital deformity characterized by a bending posture in the proximal interphalangeal joint, usually found in the little finger. It affects about 1% of the population.

The primary cause for this deformity is still under debate, there is no consensus in the literature.

The problem with this deformity lies in the fact of the existence of various forms of clinical presentation, which means that there is no single model of effective treatment.

The aim of this study was to evaluate 22 patients treated between January 2004 and May 2011, from a pre-established protocol, and perform a critical analysis of the results achieved by separating the cases in their respective subgroups.

We related the altered anatomical structures found in patients who underwent surgery. In the flexible forms, in general, the results were quite satisfactory.

In the rigid forms, our observations indicate benefits with the gain of joint extension and deformity correction, however, the range of motion with active flexion in the proximal interfalangeal joint was always partial.

In some cases, time course showed some loss in correction previously achieved, which reinforces the constant vigilance needed in the follow-up period, with systematic use of orthesys until the final stage of skeletal growth.

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