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Journal of Hand Surgery (British and European Volume)
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Articles

Management of Simple Camptodactyly

J. J. SIEGERT
W. P. COONEY
J. H. DOBYNS

From the Section of Surgery of the Hand, Mayo Clinic and Mayo Foundation, Rochester, Minnesota, U.S.A

Correspondence: William P. Cooney, M.D., Mayo Clinic, 200 First Street SW, Rochester, Minnesota 55905, U.S.A.

From a review of 57 patients with flexion deformity of the fingers (camptodactyly), 21 patients with 38 digits treated operatively had 18% good or excellent results, whereas 14 patients (41 digits) treated conservatively had 66% good or excellent results. Mild deformities responded well to splints and stretching. Moderate deformities treated operatively gained extension but at the loss of finger flexion. Severe deformities had improvement in extension (averaging 19° in operative cases and 27° in conservative), but there was significant loss of flexion in the operative group. Overall, 16 of 21 patients had loss of flexion after operative treatment. Conservative treatment of camptodactyly is recommended for digits with less than 60° lack of extension. Operative treatment should be reserved for failed conservative treatment. Early joint motion post-operatively appears essential and surgical procedures that immobilise the P.I.P. joints should be avoided.

Journal of Hand Surgery (British and European Volume), Vol. 15, No. 2, 181-189 (1990)
DOI: 10.1016/0266-7681(90)90122-K
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