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Journal of Hand Surgery (British and European Volume)
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Articles

Operative Findings in Camptodactyly of the Little Finger

T. OGINO
H. KATO

From the Department of Physical Therapy, School of Allied Health Professions, Sapporo Medical College and Department of Orthopedic Surgery, Kushiro Rousai Hospital, Japan

Correspondence: Toshihiko Ogino, MD, Department of Physical Therapy, School of Allied Health Professions, Sapporo Medical College, Chuuouku, Minami-3, Nishi-17, Sapporo, 060 Japan.

In five of six cases of camptodactyly in which an abnormality of the flexor tendon was examined at operation, the flexor digitorum superficialis tendon was hypoplastic and there was no continuity of the normal tendon between the muscle belly and bony insertion. The proximal end of the flexor digitorum superficialis tendon was attached to the palmar aponeurosis and the flexor tendon sheath of the ring finger in two patients, to the palmar aponeurosis in one, to the undersurface of the transverse carpal ligament in one and to the flexor tendon sheath of the ring finger in one. The tenodesis effect of the abnormal tendon of the flexor digitorum superficialis is considered to play an important role in the cause and rapid increase of the deformity of camptodactyly.

Journal of Hand Surgery (British and European Volume), Vol. 17, No. 6, 661-664 (1992)
DOI: 10.1016/0266-7681(92)90196-9
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