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

Volume : VIII, Issue : IX, September - 2019

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 and little finger in Right hand of 18 years old boy. This was a neglected case with radial angulation of 350 at proximal phalanx level in Index finger and 100 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 and little finger in Right hand of 18 years old boy. This was a neglected case with radial angulation of 350 at proximal phalanx level in Index finger and 100 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.