Effect of Passive Stretching on Simple Camptodactyly in Children Younger Than Three Years of Age

Rhee, Seung Hwan; Oh, Won Seok; Lee, Hyukjin; Roh, Young Hak; Lee, Joon Oh; Baek, Goo Hyun

doi:10.1016/j.jhsa.2010.07.032

Cited by 22 publications

(57 citation statements)

References 17 publications

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“…Five papers met the inclusion criteria. 4,[7][8][9][10] Included studies were of low methodological quality. All included studies used a retrospective, pre-post design and a convenience sampling method for participant selection.…”

Section: Resultsmentioning

confidence: 99%

“…No included studies reported on the degree of blinding of assessors or participants. With the exception of Benson et al 8 and Rhee et al, 9 it is unclear if the same practitioner collected data pre-and post intervention.…”

Section: Resultsmentioning

confidence: 99%

“…Other included studies did not outline the use of a classification system, but rather described participants as having either unilateral or bilateral small finger involvement only. 4,10 Rhee et al 9 utilised a combination of the classification systems described by Benson et al 8 and Siegert et al 7 to group study participants. The majority of appraised articles studied simple forms 4,7,9,10 with only one study including participants with more complex forms of the condition.…”

Section: Classification Systemmentioning

confidence: 99%

“…[7][8][9] Adverse outcomes such as scarring and loss of active flexion have been reported in the literature by several authors. [7][8][9] Some authors contend that surgery should be reserved for patients with more severe and progressive forms of the condition but only after conservative management has failed. 4,7,10 Conservative interventions include stretching, splinting and casting.…”

Section: Introductionmentioning

confidence: 99%

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A review of conservative management of camptodactyly in children and adolescents

Lethbridge

Wollin

2014

Hand Therapy

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Introduction: The purpose of this review was to systematically evaluate the best available evidence for the conservative management of children and adolescents diagnosed with camptodactyly and propose recommendations to guide clinical practice. Methods: A search of six electronic databases and manual searches were carried out in January 2014. The search strategy aimed to identify any published clinical practice guidelines as well as articles on the conservative management of camptodactyly for children and adolescents. Included articles were appraised using the McMaster Critical Review Forms for quantitative studies and assigned a level of evidence according to the National Health and Medical Research Council guidelines. Results: No published clinical practice guidelines were located; however, five quantitative articles met the inclusion criteria from the 31 articles identified. The evidence from all included studies was classified according to the National Health and Medical Research Council guidelines as level IV, pre-post study design. All were retrospective. Included studies demonstrate clinically significant changes in passive joint range of motion following conservative treatment protocols. The results of the literature review, combined with clinical experience, were used to develop recommendations to guide clinical practice in the conservative management of children and adolescents with camptodactyly. Discussion: The effectiveness of conservative therapy for camptodactyly is promising but evidence remains weak. More rigorous research is needed and the proposed recommendations could be used to inform future research for the conservative treatment of camptodactyly in children and adolescents.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Classification Systemmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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A review of conservative management of camptodactyly in children and adolescents

Lethbridge

Wollin

2014

Hand Therapy

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“…conservative treatment includes stretching and static or dynamic splinting [3,14,15]. Rhee et al showed the effectiveness of passive stretching without any other form of physiotherapy and splinting in children younger than 3 years of age [15].…”

Section: Discussionmentioning

confidence: 99%

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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Camptodactyly and Clinodactyly

Tse

Ljungquist

2014

Congenital Anomalies of the Upper Extremity

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Effect of Passive Stretching on Simple Camptodactyly in Children Younger Than Three Years of Age

Cited by 22 publications

References 17 publications

A review of conservative management of camptodactyly in children and adolescents

A review of conservative management of camptodactyly in children and adolescents

Treatment of Camptodactyly Using Injection of Botulinum Neurotoxin

Camptodactyly and Clinodactyly

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