Campodactyly
Campodactyly is a rare condition where a finger is fixed in a bent position at the middle joint and cannot fully straighten.
Best Campodactyly Treatment in India
Camptodactyly is a rare condition seen in children where a finger is fixed in a bent position at the middle joint and the child cannot fully straighten it.
How common is campodactyly in children?
It affectsin less than 1 percent of the population.
Which finger is commonly affected in campodactyly?
Camptodactyly is most often seen in the little finger followed by ring finger and can occur in one or both hands.
What causes campodactyly in children?
It occurs as a result of -
- imbalance of the muscles of hand and
- abnormal insertion of intrinsic muscles to the affected fingers
- contracted skin
- tight tendons and ligaments.
- Abormal shape of bone
This condition can be present in many syndromes such as Holt-oram syndrome and Poland syndrome
How does the Campodactyly present?
There are three groups of presentation seen in campodactyly:
- The newborn baby with campodactyly of mostly the 5th and/or 4th finger and sometimes all fingers.
- The adolescent, mostly female, with sudden onset or increasing campodactyly of mostly 5th finger following growth spurt.
- Severe campodactyly associated with other malformations.
How is Campodactyly diagnosed?
The 5th finger is most affected, followed by 4th finger
The functional defect is mostly limited, and therefore cosmetic appearance is mainly the concern.
Three groups of presentation
- Painless Bending at the middle joint of the finger occurs (A consequence of the imbalance of flexors and extensors)
- A stiff joint (Deformation of intra-articular bone ends)
- Skin is deficient.
- There is difficulty in straightening of the finger (With increasing age extensor mechanism becomes more insufficient, leading to further lag in extension)
Campodactyly usually stops being progressive with skeletal maturity
In severe forms, functional deficit can be substantial, especially when more fingers are affected.
How is Campodactyly treated?
The functional defect is mostly limited, and therefore cosmetic appearance is mainly the concern in adults. In children, parents should be counselled properly as it usually does not give rise to severe deformity if measures are adopted well in time.
- Mild deformity in campodactyly should not be treated with surgery. Physical therapy, stretching and splinting should be tried initially in such fingers.
- If the deformity is severe, the best treatment for such campodactyly finger is by surgery but the decision of surgery is important in children as all campodactyly fingers shouldnot be operated on.
Initially physical therapy and splinting should be tried in all the children and Children should also be selected based on expected compliance to hand therapy after the surgery.
The older patient with stiff Joint is a bad candidate for surgery and release of the Joint.
How does splints help in Campodactyly?
A splint is applied for all the children and adults with campodactyly even in whom the joint is not supple and is stiff. The splint stresses the Joint gradually to as much extension as possible. The duration of splinting therapy before further surgical treatment varies from 3 to 12 months.
- A reduction to less than 30 degrees contracture after splintingis considered good enough to refrain from surgery.
- Persistent joint contracture more than 60 degrees after splintingis an indication for surgery.
How is the surgery for Campodactly done at Kayakriti?
Surgery is done on acampodactyly finger when it -
- Is Non-responsive to splints and physical therapy
- Has Progressive deformity of the finger over time leading to functional impairment.
- Has Joint contracture of more than 30 - 60 degrees
If the joint is supple - Surgical treatment is done with Skin Z plasty, Arthrolysis, Tenotomies and Tendon transfer.
If the joint is not supple and stiff and the contracture is more than 60 degrees-Osteotomies or rarely Arthrodesis is done.
Groin flap from the abdomen or medial plantar free flap cover is the best form of treatment for the skin shortage in campodactyly.
Recovery after surgery for Campodactyly
- Postoperative care consists of a splint for 6 weeks.
- A k-wire is inserted in the finger for 2 weeks for the Joint to be straight following the release
- Compliance to hand therapy is essential.
- In young children, long term splinting of the stiff Joint during night-time results in a good outcome
What are the Complications seen after campodactyly surgery?
- Insufficient possibility to extend the joint even after surgical treatment
- Residual curvature of the finger
- Osteoarthritis of the joint
- Recurrence of contracture
- Stiffness and pain
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Best plastic surgeon, Dr. Amit Agarwal is an American Board Certified, extensively trained, and best Plastic & Aesthetic surgeon in Lucknow. He is the Chief Plastic Surgeon heading the Department of Plastic, Microvascular, and Craniofacial surgery at Vivekananda Polyclinic and Institute of Medical Sciences, Lucknow, U.P, India. He maintains a busy practice at Avadh and Nishat Hospital and his own center - Kayakriti Plastic Surgery & Dental Center. He was formerly a Consultant in the Department of Plastic Surgery and Burns at the prestigious SGPGI, Lucknow.
MS, DNB (General Surgery) MCh, DNB (Plastic Surgery),
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If you have flat or small breast and you want to improve your breast and hip contour ratio then you are a good candidate for it. The answer will be best provided after the first consultation with Dr Amit Agarwal.
Acute pain will be there for almost a week which gradually reduces and there will be soreness and swelling which may take up to 3 weeks to subside.
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Yes, you have to wear it round the clock unless we suggest you to remove it.
This surgery does not affect the ducts or the areas of the breast involved in milk production. Thus, it does not affect the breast feeding.
This surgery does not affect the ducts or the areas of the breast involved in milk production. Thus, it does not affect the breast feeding.
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