CAMPTODACTYLY - CLASSIFICATION AND RESULTS OF NONOPERATIVE TREATMENT

被引：29
作者：
BENSON, LS
WALTERS, PM
KAMIL, NI
SIMMONS, BP
UPTON, J
机构：
[1] Department of Orthopaedic Surgery, Northwestern University Medical School, Evanston Hospital, Evanston, IL
[2] Departments of Orthopaedic Surgery Plastic Surgery, Harvard Medical School
[3] Department of Occupational Therapy, Children's Hospital Medical Center
[4] Brigham and Women's Hospital, Boston, MA
来源：
JOURNAL OF PEDIATRIC ORTHOPAEDICS | 1994年 / 14卷 / 06期
关键词：
ADOLESCENT CAMPTODACTYLY; CAMPTODACTYLY; CONTRACTURES; INFANTILE CAMPTODACTYLY; SYNDROMIC CAMPTODACTYLY;
D O I：
10.1097/01241398-199414060-00024
中图分类号：
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];
学科分类号：
摘要：
To assess the relationship between clinical presentation and response to treatment, we reviewed the management of 59 involved proximal interphalangeal (PIP) joints in 22 patients with camptodactyly at a mean follow-up of 33 months. This population represented 24 cases of isolated infantile camptodactyly (type I), five cases of adolescent camptodactyly (type II), and 30 cases of syndromic camptodactyly (type III). Treatment response was assessed through passive range of motion measurements. Splinting and close adherence to an occupational therapy program were particularly effective for type I digits. We also recommend this approach for type II and type III camptodactyly, although severe deformities and well-established contractures are more common in these patients. We reserve operative intervention for only those patients who fail nonoperative management.
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页码：814 / 819
页数：6
相关论文
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