Camptodactyly and Clinodactyly

Tse, Raymond; Ljungquist, Karin L.

doi:10.1007/978-1-4899-7504-1_16

Cited by 2 publications

(10 citation statements)

References 38 publications

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“…The flexed position (Figure A and D) was the most commonly observed among these patients, and could be associated, or not, with ulnar deviation. In addition to wrist alterations, flexion deformities also affected the fingers, a condition that is termed camptodactyly (Tse & Ljungquist, ).…”

Section: Discussionmentioning

confidence: 99%

“…It occurs due to the failure of an embryo to undergo differentiation of parts (Type II), according to the International Federation of Societies for Surgery of the Hand. There is still no consensus regarding its primary cause, but there may be abnormalities in the lumbrical muscles, the superficial digital flexor, the superficial subcutaneous tissue, and the extensor muscle (Almeida, Monteiro, & Lanes, ; Aucourt et al, ; Tse & Ljungquist, ).…”

Section: Discussionmentioning

confidence: 99%

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Orthopedic findings in arthrogryposis and congenital Zika syndrome: A case series

Serpa¹,

Melo

Lins³

et al. 2019

Birth Defects Research

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Background Congenital arthrogryposis (CA) consists of congenital joint contractures that affect at least two joints in different parts of the body. Approximately, 80% of CA cases are neurogenic, with changes to the formation, structure or functioning of the central and/or peripheral nervous systems. Most abnormalities are triggered either by motoneurons decreased activation in the corticospinal tract or by direct motoneurons injury. There had been few reports in the literature correlating congenital infection in humans with arthrogryposis until 2015. CA has recently been described associated with congenital Zika syndrome (CZS). Methods The objective of this study was to investigate and describe accurately the arthrogrypotic alterations in infants diagnosed with CZS and thus, suggest a possible pattern of orthopedic impairment. A total of 198 medical records of infants with CZS were evaluated. According to inclusion and exclusion criteria, 17 infants were included in the present study. Arthrogrypotic joints were orthopedically evaluated in four segments: right, left, upper, and lower limbs. All the four segments were assessed independently. Results Flexed wrists were the most frequently observed manifestation, associated with ulnar deviation (35.29%). Deformities were also commonly found in the third and fourth fingers (64.70%). Hip dislocation was found in 58.82% of the patients and talipes equinovarus and equinovalgus ankles were found in 29.41 and 23.52%. Conclusion There was a particular pattern of joint impairment related to CZS and arthogrypotic alterations of infants evaluated in this study.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Orthopedic findings in arthrogryposis and congenital Zika syndrome: A case series

Serpa¹,

Melo

Lins³

et al. 2019

Birth Defects Research

View full text Add to dashboard Cite

show abstract

“…Clinodactyly refers to the congenital curvature of a digit beyond the metacarpophalangeal (MCP) joint. When the angular deviation is within physiological limits, typically fewer than 5–10°, it is considered a normal variation [ 11 , 12 ]. However, if the coronal angulation exceeds 10°, it is classified as a pathological deformity.…”

Section: Introductionmentioning

confidence: 99%

“…This classification is sufficient to diagnose and find the origin of the malformation; however, it is not suitable for choosing the appropriate treatment option [ 11 , 13 , 14 ]. Cooney’s classification system differentiates between simple and complex clinodactyly and takes into account the curvature (deviation in degrees) and the involvement of surrounding tissues [ 12 , 15 , 16 ]. The most recent classification expanded by Ali et al is based on the severity of angular deviation [ 11 , 12 , 16 , 17 ].…”

Section: Introductionmentioning

confidence: 99%

“…Cooney’s classification system differentiates between simple and complex clinodactyly and takes into account the curvature (deviation in degrees) and the involvement of surrounding tissues [ 12 , 15 , 16 ]. The most recent classification expanded by Ali et al is based on the severity of angular deviation [ 11 , 12 , 16 , 17 ]. The condition most commonly affects the middle phalanx of the fifth digit, as well as the proximal phalanx of the first and second fingers.…”

Section: Introductionmentioning

confidence: 99%

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A Complex Case of Clino-Syndactyly with Fourth Metacarpal Aplasia

Nudelman,

Lőrincz,

Lamberti

et al. 2023

Life

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Syndactyly is the most common congenital malformation of the hand, leading to the fusion of the digits and frequently affecting the ring and middle fingers. The incidence is 1 out of 2500 children, predominantly occurring in boys and Caucasians. Clinically, the malformation may present as a soft tissue or bony fusion, resulting in the union of the fingers characterised as complete or incomplete. This fusion may involve the phalanges but may also extend to the carpal/tarsal bones, even to the metacarpal or metatarsal level, rarely to the distal end of the forearm and lower leg. The malformation is mostly isolated but may occur together with other disorders or malformations such as synostosis, acro-syndactyly, cleft hand, clinodactyly, or polydactyly. Syndromic syndactyly can be observed in cases of Apert syndrome, Poland’s syndrome, Pfeiffer syndrome, and many others. A girl born in June of 2019 was diagnosed with congenital malformation of the right hand at birth—affecting the right middle, ring, and little fingers, respectively. After X-ray imaging, the fusion of the third and fourth proximal phalanges to a common metacarpal was identified, forming a unique diagnosis of clino-syndactyly with metacarpal aplasia. Surgical intervention was advocated for, including a wedge osteotomy to correct the synchondrosis at the phalangeal base and a dorsal flap to close the interdigital space created during the correction of the III and IV. fingers. A trapezoid flap for the release of the syndactyly of the IV and V. fingers was applied. The paper aims to present this surgical correction and its results regarding an atypical case of syndactyly with clinodactyly and metacarpal aplasia.

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Camptodactyly and Clinodactyly

Cited by 2 publications

References 38 publications

Orthopedic findings in arthrogryposis and congenital Zika syndrome: A case series

Orthopedic findings in arthrogryposis and congenital Zika syndrome: A case series

A Complex Case of Clino-Syndactyly with Fourth Metacarpal Aplasia

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