Nonoperative treatment of camptodactyly

Hori, Munetoshi; Nakamura, Ryogo; Inoue, Goro; Imamura, Takakazu; Horii, Emiko; Tanaka, Yasuhito; Miura, Takayuki

doi:10.1016/s0363-5023(87)80112-0

Cited by 46 publications

(68 citation statements)

References 7 publications

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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%

“…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]. Other authors indicate the advisability of prolonged splinting [3,5,14,16]. The recommended duration of immobilization varies from 8 to 24 h a day [3,5,14,16].…”

Section: Discussionmentioning

confidence: 99%

“…Other authors indicate the advisability of prolonged splinting [3,5,14,16]. The recommended duration of immobilization varies from 8 to 24 h a day [3,5,14,16]. Splinting should be long lasting, practically, to achieve skeletal maturity [3].…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

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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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Treatment of Camptodactyly Using Injection of Botulinum Neurotoxin

Urban¹,

Rutowski²,

Urbán³

et al. 2014

Adv Clin Exp Med

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show abstract

“…c A skin flap including a subcutaneous vein which was harvested from the distal anterior forearm. d Just after transplantation of the skin flap all day until the maximum correction was obtained and subsequently for 8 h a day and reported that the average extension lag of the PIP joint was improved from 40°to 10° [ 7]. Ogino and Kato found that surgery was needed in only 6 of 35 patients who had undergone splinting and passive stretching exercises of the affected joint [18].…”

Section: Discussionmentioning

confidence: 99%

Simultaneous reconstruction of a palmar skin defect and the digital artery with an arterialized venous flap after correction of camptodactyly with severe flexion deformity

Kakinoki

Duncan

Ohta

et al. 2011

HAND

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“…1,5,6 Although recommendations favoring a more aggressive, surgical approach have been proposed, 7,8 many authors agree that surgical treatment should be reserved for patients who do not respond to conservative care, especially when the condition is mild to moderate. 3,5,9 -12 Several authors have devised conservative treatment protocols and achieved satisfactory results, but these studies are limited by treatment modality inconsistencies, 3,5,11 populations with heterogeneous clustering by age, 5,11 limited case numbers, 3 insufficient clinical data, 3,12 statistical shortcomings, 3,5,9 -12 or too short or no follow-up. 3,12 We studied passive stretching exercises without any splinting or casting to treat children less than 3 years old with simple camptodactyly.…”

mentioning

confidence: 99%