Camptodactyly is a congenital difference with flexion contracture of the proximal interphalangeal (PIP) joint. Camptodactyly limited to one finger is believed to be due to an anomaly of the lumbrical muscle that inserts into the flexor digitorum superficialis (FDS) tendon instead of the extensor expansion, whereas multiple finger camptodactyly is believed to be a result of shortage of soft tissues on the flexor surface of the fingers. It is important to differentiate camptodactyly from other causes of extension lag at the PIP joint. It is difficult to obtain good results after the release of flexion contractures in camptodactyly. The main goal of surgery is to prevent progressive contracture with appropriate postoperative therapy using night splinting and stretching. We should strive for a considered approach based on a thorough understanding of the pathophysiology of camptodactyly. Level V (Therapeutic).
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http://dx.doi.org/10.1142/S2424835524300032 | DOI Listing |
J Hand Surg Glob Online
November 2024
Department of Orthopaedics, The University of North Carolina School of Medicine, Chapel Hill, NC.
Purpose: Terminal extensor tenotomy or Dolphin tenotomy, is a described treatment for the management of distal interphalangeal (DIP) joint hyperextension in chronic boutonniere deformity. The purpose of this study was to investigate the effects of incremental partial Dolphin tenotomy in correcting boutonniere deformity, with a focus on evaluating the improvement in DIP joint hyperextension deformity and documenting the development of iatrogenic mallet finger.
Methods: Thirty-eight fingers from 10 cadaveric hands were used.
J Hand Surg Glob Online
November 2024
Florida Orthopaedic Institute, Tampa, FL.
Purpose: The purpose of this study was to evaluate the biomechanical properties of SutureTape as an alternative technique for arthrodesis of the metacarpophalangeal (MCP) and proximal interphalangeal (PIP) joint arthrodesis when compared with surgical steel wire.
Methods: A total of 32 fingers (index, long, ring, and small) from two matched pair cadaveric hands were used. K-wire and surgical steel wire were used for MCP and PIP joint arthrodesis of the control group (group I), whereas K-wire and SutureTape were used for the experimental group (group II).
Praxis (Bern 1994)
December 2024
Klinik für Rheumatologie, Universitätsspital Zürich, Zürich.
A 47-year-old female presented with arthritis in the left hand's PIP III. Her symptoms were negative for connective tissue disease or spondyloarthritis, but she had HIV and hepatitis B. Initial tests showed no systemic inflammation or abnormal antibodies, and radiology revealed no bony changes.
View Article and Find Full Text PDFRheumatology (Oxford)
December 2024
Department of Biology, Indian Institute of Science, Education and Research (IISER), Pune, India.
Background: Convolutional neural networks (CNNs) are increasingly used to classify medical images, few studies utilize smartphone photographs. We assessed CNNs for differentiating patients from controls and detecting joint inflammation.
Methods: We included consecutive patients with early inflammatory arthritis and healthy controls, all examined by a rheumatologist (15% by two).
Rheumatol Int
December 2024
Department of Radiology, University Clinic for Innovative Patient Pathways, Silkeborg Regional Hospital, Silkeborg, Denmark.
Objective: To describe agreement in detection of joint swelling as the mandatory key of the diagnostic algorithm used in rheumatoid arthritis (RA). This was done by comparing clinical examinations, ultrasonography (US), Magnetic Resonance Imaging (MRI) and patient self-evaluation of the joints in the wrist and fingers (metacarpophalangeal joints (MCP) and proximal interphalangeal joints (PIP)) in an early untreated RA cohort.
Methods: 14 patients (8 women and 6 men, mean age ± standard deviation: 54.
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