Epiphyseal bar resection and fat interposition for clinodactyly.

Bednar, Michael S; Bindra, Randip R; Light, Terry R · J Hand Surg Am · 2010

case_report · Level V

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Abstract

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.

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