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Evaluation of treatment for camptodactyly: retrospective analysis on 40 fingers()()
OBJECTIVE: to retrospectively assess the results from cases treated in the hand surgery service, starting from a preestablished protocol; and to conduct a critical analysis on the results achieved, with separation of the cases into their respective subgroups. METHODS: twenty-three patients and a tot...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4511658/ https://www.ncbi.nlm.nih.gov/pubmed/26229789 http://dx.doi.org/10.1016/j.rboe.2014.03.002 |
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author | Almeida, Saulo Fontes Monteiro, Anderson Vieira Lanes, Rúbia Carla da Silva |
author_facet | Almeida, Saulo Fontes Monteiro, Anderson Vieira Lanes, Rúbia Carla da Silva |
author_sort | Almeida, Saulo Fontes |
collection | PubMed |
description | OBJECTIVE: to retrospectively assess the results from cases treated in the hand surgery service, starting from a preestablished protocol; and to conduct a critical analysis on the results achieved, with separation of the cases into their respective subgroups. METHODS: twenty-three patients and a total of 40 fingers were evaluated between January 2004 and December 2011. We correlated the altered anatomical structures found in the cases that underwent the surgical procedure and its results, with regard to both conservative and surgical treatment, emphasizing the main indications. RESULTS: the results were analyzed using the Sierget method of the Mayo Clinic. CONCLUSION: we observed that the cases of camptodactyly of the little finger alone in the flexible form (>60°) that underwent surgical treatment uniformly presented excellent results. In the rigid forms, our observations indicated that there were benefits comprising gains of extension and correction of the deformity. However, the range of motion with active flexion in the proximal interphalangeal joint was always partial. With evolution over time, some cases presented some loss of the gain previously achieved, which corroborates the need for continual vigilance during the follow-up, with systematic use of braces until the final phase of skeletal growth. |
format | Online Article Text |
id | pubmed-4511658 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-45116582015-07-30 Evaluation of treatment for camptodactyly: retrospective analysis on 40 fingers()() Almeida, Saulo Fontes Monteiro, Anderson Vieira Lanes, Rúbia Carla da Silva Rev Bras Ortop Original Article OBJECTIVE: to retrospectively assess the results from cases treated in the hand surgery service, starting from a preestablished protocol; and to conduct a critical analysis on the results achieved, with separation of the cases into their respective subgroups. METHODS: twenty-three patients and a total of 40 fingers were evaluated between January 2004 and December 2011. We correlated the altered anatomical structures found in the cases that underwent the surgical procedure and its results, with regard to both conservative and surgical treatment, emphasizing the main indications. RESULTS: the results were analyzed using the Sierget method of the Mayo Clinic. CONCLUSION: we observed that the cases of camptodactyly of the little finger alone in the flexible form (>60°) that underwent surgical treatment uniformly presented excellent results. In the rigid forms, our observations indicated that there were benefits comprising gains of extension and correction of the deformity. However, the range of motion with active flexion in the proximal interphalangeal joint was always partial. With evolution over time, some cases presented some loss of the gain previously achieved, which corroborates the need for continual vigilance during the follow-up, with systematic use of braces until the final phase of skeletal growth. Elsevier 2014-03-15 /pmc/articles/PMC4511658/ /pubmed/26229789 http://dx.doi.org/10.1016/j.rboe.2014.03.002 Text en © 2014 Sociedade Brasileira de Ortopedia e Traumatologia. Published by Elsevier Editora Ltda. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Original Article Almeida, Saulo Fontes Monteiro, Anderson Vieira Lanes, Rúbia Carla da Silva Evaluation of treatment for camptodactyly: retrospective analysis on 40 fingers()() |
title | Evaluation of treatment for camptodactyly: retrospective analysis on 40 fingers()() |
title_full | Evaluation of treatment for camptodactyly: retrospective analysis on 40 fingers()() |
title_fullStr | Evaluation of treatment for camptodactyly: retrospective analysis on 40 fingers()() |
title_full_unstemmed | Evaluation of treatment for camptodactyly: retrospective analysis on 40 fingers()() |
title_short | Evaluation of treatment for camptodactyly: retrospective analysis on 40 fingers()() |
title_sort | evaluation of treatment for camptodactyly: retrospective analysis on 40 fingers()() |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4511658/ https://www.ncbi.nlm.nih.gov/pubmed/26229789 http://dx.doi.org/10.1016/j.rboe.2014.03.002 |
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