Epiphyseal bar resection and fat interposition for clinodactyly.
Clinodactyly, the angulation of a digit in the anteroposterior plane, is often due to a longitudinal epiphyseal bracket on the radial side of the middle phalanx of the little finger. Treatment options include observation, osteotomy, and epiphyseal bar resection. Epiphyseal bar resection is a simple surgery that requires neither postoperative pin fixation nor immobilization. The most appropriate indications are in children 3 to 6 years old with radial deviation of at least 25 degrees. The procedure reliably diminishes the extent of deformity.
Bednar
Michael S
MS
Department of Orthopaedic Surgery and Rehabilitation, Stritch School of Medicine, Loyola University, Chicago, IL, USA. mbednar@lumc.edu
Bindra
Randip R
RR
Light
Terry R
TR
D002648:Child; D002675:Child, Preschool; D004838:Epiphyses / Q000601:surgery*; D005385:Fingers / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D011859:Radiography; D019651:Plastic Surgery Procedures / Q000379:methods