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Camptodactyly

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Pediatric Hand Surgery

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Abstract

Camptodactyly is a relatively rare hand anomaly that involves varying degrees of congenital or acquired flexion contracture of the fingers at the proximal interphalangeal (PIP) joint, unilaterally or bilaterally. The cause of the deformity is obscure. Specific anatomic abnormalities have been implicated. Camptodactyly can also be divided into simple and complex types. Simple camptodactyly consists only of the flexion deformity of the PIP joint, whereas in complex camptodactyly, there are also other deformities such as syndactyly or combinations of clinodactyly and camptodactyly. Treatment can be either conservative, surgical or a combination regimen in which only certain patients undergo surgery, depending on its clinical severity. Nonoperative treatment is favoured in most cases whereby the PIP contracture is less than 40 degrees, and it includes passive stretching and splinting. Outcomes are variable but more favourable with early intervention.

Surgery should be reserved for patients with a preoperative PIP joint contracture of more than 60°.

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Authors and Affiliations

  1. Milan, Italy

    Chiara Parolo & Elisa Rosanda

  2. Department of Hand Surgery and Rehabilitation, S. Giuseppe Hospital IRCCS MultiMedica, Milan University, Milan, Italy

    Giorgio Pajardi

Authors
  1. Chiara Parolo
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  2. Elisa Rosanda
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  3. Giorgio Pajardi
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Correspondence to Chiara Parolo .

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Editors and Affiliations

  1. Department of Hand Surgery and Rehabilitation, S. Giuseppe MultiMedica Hospital, Milan University, Milano, Italy

    Giorgio Pajardi

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Parolo, C., Rosanda, E., Pajardi, G. (2023). Camptodactyly. In: Pajardi, G. (eds) Pediatric Hand Surgery. Springer, Cham. https://doi.org/10.1007/978-3-031-30984-7_5

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  • DOI: https://doi.org/10.1007/978-3-031-30984-7_5

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-30983-0

  • Online ISBN: 978-3-031-30984-7

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