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Investigations

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

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Investigations in camptodactyly should include a plain X-ray of the involved digit. The lateral film gives the most valuable information. There are characteristic features:

  • wedge-shaped head of proximal phalanx
  • pronounced subcondylar recess on volar side of proximal phalanx caused by indentation from flexed middle phalanx
  • base of middle phalanx appears flat
  • loss of joint space
  • palmar subluxation of middle phalanx
  • ulnar inclination of PIPJ on antero-posterior view

There may be compensatory hyperextension changes at the metacarpophalangeal and distal interphalangeal joints.


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