CASE REPORT: RARE CASE OF NEGLECTED CLINODACTYLY: MANAGED SATISFACTORILY WITH REVERSE WEDGE OSTEOTOMY

Dr Onkar Singh, Dr Satyendra Narayan Singh, Dr Sunil Gaba, Anurag Garg

Abstract


Clinodactyly is defined as curvature of a digit in a radioulnar plane. We present a rare case of Clinodactyly of Index finger
0 and little finger in Right hand of 18 years old boy. This was a neglected case with radial angulation of 35 at proximal
0 phalanx level in Index finger and 10 radial angulation at middle phalanx level in little finger. He had gross functional
limitations in Right hand like inabilty to hold a pen, eat food and weak grip. Since surgery was not performed at
prescribed age of 5-6 years of age, he had developed negative personality traits socially with low self esteem. Reverse
wedge osteotomy and fixation with two hole plate corrected the deformity satisfactorily. Patient regained his self esteem
and also started writing with his right hand. Findings of comparison of childhood X rays with adult X rays could be used
for counselling of patients in future.
Clinodactyly is defined as curvature of a digit in a radioulnar plane. We present a rare case of Clinodactyly of Index finger
0 and little finger in Right hand of 18 years old boy. This was a neglected case with radial angulation of 35 at proximal
0 phalanx level in Index finger and 10 radial angulation at middle phalanx level in little finger. He had gross functional
limitations in Right hand like inabilty to hold a pen, eat food and weak grip. Since surgery was not performed at
prescribed age of 5-6 years of age, he had developed negative personality traits socially with low self esteem. Reverse
wedge osteotomy and fixation with two hole plate corrected the deformity satisfactorily. Patient regained his self esteem
and also started writing with his right hand. Findings of comparison of childhood X rays with adult X rays could be used
for counselling of patients in future.


Keywords


Clinodactyly, C shaped epiphysis, Reverse wedge osteotomy,

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References


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