Document Detail

Closing wedge osteotomy of abnormal middle phalanx for clinodactyly.
MedLine Citation:
PMID:  19362790     Owner:  NLM     Status:  MEDLINE    
PURPOSE: To report a series of clinodactyly patients to report clinical and radiographic outcomes after closing wedge osteotomy and K-wire fixation of abnormal middle phalanges. METHODS: Twenty-five fingers from 17 patients were included in the study. All patients had more than 25 degrees of angulation and were treated with closing wedge osteotomy. Subjective and objective data with radiographic assessment were compared preoperatively and postoperatively. RESULTS: Male gender was predominant in our series (14 of the total 17 patients). Family history was positive for clinodactyly in 4 patients. The appearance of all fingers improved after surgery. Angular deformity was corrected on average from 33 degrees preoperatively to 9 degrees postoperatively. Analysis of radiographs showed deformity correction from 29 degrees preoperatively to 5 degrees postoperatively. Preoperative and postoperative arc of motion measurements were available for 10 patients. Distal interphalangeal joint arc of motion decreased from 84 degrees prior to surgery to 81 degrees after surgery, whereas proximal interphalangeal joint arc of motion was unchanged. CONCLUSIONS: Closing wedge osteotomy of the abnormal middle phalanx for clinodactyly has provided our patients with adequate correction of the deformity, improved hand function, and has provided high satisfaction for parents. This treatment is recommended for moderate (15 degrees to 30 degrees ) and severe (>30 degrees ) deformities.
Munawar Ali; Teresa Jackson; Ghazi M Rayan
Publication Detail:
Type:  Journal Article     Date:  2009-04-11
Journal Detail:
Title:  The Journal of hand surgery     Volume:  34     ISSN:  1531-6564     ISO Abbreviation:  J Hand Surg Am     Publication Date:    2009 May-Jun
Date Detail:
Created Date:  2009-05-04     Completed Date:  2009-07-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7609631     Medline TA:  J Hand Surg Am     Country:  United States    
Other Details:
Languages:  eng     Pagination:  914-8     Citation Subset:  IM    
Hand Surgery Section, Orthopedics Surgery Department, University of Oklahoma and INTEGRIS Baptist Medical Center, Oklahoma City, Oklahoma, USA.
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MeSH Terms
Arthrometry, Articular
Bone Wires*
Child, Preschool
Finger Phalanges / abnormalities*,  radiography,  surgery
Hand Deformities, Congenital / radiography,  surgery*
Osteotomy / methods*
Patient Satisfaction
Postoperative Complications / radiography
Range of Motion, Articular / physiology

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