Video 2 – Operating steps

Video 2 displays the six following operating steps. (1) Release of the skin pterygium using z-plasties or a local transposition flap and full-thickness skin graft. (2) Release of the underlying fascia and subcutaneous tissues. (3) Transverse flexor digitorum superficialis (FDS) tenotomy at the level of the Camper chiasm. (4) Sliding volar plate release. (5) Correction of a PIP extension lag, if identified by the Bouvier maneuver

- If mild, postoperative relative motion splinting is sufficient.

- If severe, an intrinsic transfer using the released FDS tendon is required.

(6) Fowler distal extensor tenotomy in the presence of a hyper-extended DIP joint

From "Evaluation of a Stepwise Surgical Approach to Camptodactyly." 135(3). Keywords: Hand; Camptodactyly; Flexion contacture; Surgical management;