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Surgical Correction of Clinodactyly: Two Straightforward Techniques

Strauss, Nicole L. MD; Goldfarb, Charles A. MD

Techniques in Hand & Upper Extremity Surgery: March 2010 - Volume 14 - Issue 1 - p 54-57
doi: 10.1097/BTH.0b013e3181d44078
Pediatric Upper Extremity Symposium, Part 1 - Congenital

Clinodactyly, a deviation of the thumb or finger in the coronal plane, is rarely functionally limiting and in most cases is treated nonoperatively. Those with functional limitations, typically associated with angulation greater than 25 degrees, may benefit from surgical correction. We have used 2 different surgical procedures, a physiolysis in younger children and an opening-wedge osteotomy in older children, to manage this deformity in selected children with a functional limitation.

Shriners Hospital for Children and Department of Orthopaedic Surgery, St. Louis Children's Hospital at Washington University School of Medicine, St Louis, MO

Address correspondence and reprint requests to Charles A. Goldfarb, MD, Department of Orthopaedic Surgery, Washington University School of Medicine, 660 South Euclid Avenue, Campus Box 8233 St. Louis, MO 63110. E-mail: oldfarbc@wustl.edu.

© 2010 Lippincott Williams & Wilkins, Inc.