Indications for surgery
The indications for surgery in clinodactyly include:
- interference with function, for example:
- abutting neighbouring digit or crossing over of digits with palmar flexion
- severe or multiple associated congenital hand anomalies eg syndactyly, polydactyly or macrodactyly
- relentless progression despite splintage
- deformity of digital axis of more than 50 degrees
- failure of splintage and hand therapy
Surgery for cosmetic correction is not advised due to the complications associated with surgical intervention, which include scarring and stiffness of the affected digit. If possible, surgery is deferred until skeletal maturity is reached due to the possibility of recurrence.
Reference
- Goldfarb CA, Wall LB. Osteotomy for clinodactyly. J Hand Surg Am. 2015 Jun;40(6):1220-4.
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