Clinodactyly A Review of a Series of Cases
- 1 October 1979
- journal article
- review article
- Published by SAGE Publications in The Hand
- Vol. os-11 (3), 269-280
- https://doi.org/10.1016/s0072-968x(79)80049-2
Abstract
A review of 50 patients with clinodactyly is presented in which six patients required surgery for a combination of functional and cosmetic problems. It is suggested that patients with a delta phalanx at the proximal phalangeal level should have a reversed wedge osteotomy early, while those with brachymesophalangism requiring surgery have a closing wedge osteotomy performed late. Delta phalanges in the triphalangeal thumb should be excised early and the joint reconstructed. An ulnar abduction deformity was noted in a minority of patients with clinodactyly. This deformity is relieved when the clinodactyly is corrected.Keywords
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