A review of 50 patients with clinodactyly is presented in which six patients required surgery for a combination of functional and cosmetic problems. It is suggested that patients with a delta phalanx at the proximal phalangeal level should have a reversed wedge osteotomy early, while those with brachymesophalangism requiring surgery have a closing wedge osteotomy performed late. Delta phalanges in the triphalangeal thumb should be excised early and the joint reconstructed. An ulnar abduction deformity was noted in a minority of patients with clinodactyly. This deformity is relieved when the clinodactyly is corrected.
Get full access to this article
View all access options for this article.
References
1.
BLUNDELLJONES G. (1964) Delta Phalanx.The Journal of Bone and Joint Surgery.46B: 226–228.
2.
DUTTAP. (1965). The Inheritance of the Radially Curved Little Finger.Acta Genetica et Statistica Medica.15: 170–176.
3.
FLATTA. E. (1977) The care of Congenital Hand Anomalies —St. Louis, C. V. Mosby, Company. pp 154–163.
4.
FREEMANE. A., and SHELDONJ. H. (1938). Cranio-Carpo-Tarsal Dystrophy. An Undescribed Congenital Malformation.Archives of Disease in Childhood.13: 277–283.
5.
FÜRSTJ. (1900). Ein Fall von Verkürzten und Zweigliedrigen Fingern begleitet von Brustmuskeldefecten und anderen Missbildungen.Zeitschrift für Morphologie und Anthropologie2: 56–76.
6.
FUJITAH., HoK., YAMAMOTOK. (1964). Brachymesophalangia and clinodactyly of the fifth finger in Japanese children.Acta Paediatrica Japonica (overseas)6: 26–30.
7.
HERSHA. H., DeMARINISF., STECHERR. M., (1953). On the Inheritance and Development of Clinodactyly.The American Journal of Human Genetics Development5: 257–268.
8.
JAEGERM., REFIORH. J. (1971). The Congenital Triangular Deformity of the Tubular Bones of the Hand and Foot.Clinical Orthopaedics and Related Research.81: 139–151.
9.
KIRNERJ. (1927). Doppleseitige Verkrümmengen des Kleinfingerendgliedes also selbständiges. Krankheitsbild.Fortschritte auf dem Gebiete der Röntgenstrahlen vol.36: 804–806.
10.
LISTERG., Personal Communication.
11.
POZNANSKIA. K., PRATTG. B., MANSONG., WEISSL. (1969). Clinodactyly, Kirner's Deformity, and Other Crooked Fingers.Radiology, 93: 573–582.
12.
SCHMIDF., and MOLLH.Atlas der Normalen und Pathologischen Handskeletentwicklung.Springer-verlag. Berlin. (1960).
13.
SUGIURAY. (1961) Brachyphalangia of the fifth finger in Japanese children.Ijishinpo (Japanese Medical Journal). No. 1927. 45–48 . Japanese.
14.
SMITHT. T. (1896). Peculiarity in the shape of the hand in idiots of the mongol type.Paediatrics2: 315–320.
15.
THEANDERG., and CARSTAMN. (1974). Longitudinally Bracketed Diaphysis.Annales de Radiologie.17: 355–360. (In Semaine Des Hôpitaux De Paris).
16.
WATSONH. K., and BOYESJ. H. (1967) Congenital Angular Deformity of the Digits. Delta Phalanx.The Journal of Bone and Joint Surgery, 49a: 333–338.
17.
WELCHJ. P., and TEMTAMYS. (1966) Hereditary Contractures of the Fingers (Camptodactyly).Journal of Medical Genetics3: 104–113.
18.
WOODV. E., and FLATTA. E. (1977). Congenital triangular bones in the hand.The Journal of Hand Surgery2: 179–193.
