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Surgical Correction for Pediatric Epiblepharon and Trichiasis
Published on: July 8, 2025
Surgical correction of clinodactyly: two straightforward techniques
Nicole L Strauss1, Charles A Goldfarb
1Shriners Hospital for Children and Department of Orthopaedic Surgery, St. Louis Children's Hospital at Washington University School of Medicine, St Louis, MO, USA.
Techniques in Hand & Upper Extremity Surgery
|March 11, 2010
Summary
Clinodactyly, a finger deviation, is usually not limiting and treated without surgery. Surgical correction may help children with significant angulation (over 25 degrees) and functional limitations.
Area of Science:
- Orthopedics
- Pediatric Orthopedics
- Hand Surgery
Background:
- Clinodactyly is a deviation of a digit in the coronal plane.
- It is rarely functionally limiting and typically managed nonoperatively.
- Surgical intervention is considered for cases with significant angulation (>25 degrees) and functional impairment.
Purpose of the Study:
- To describe surgical management for functionally limiting clinodactyly in children.
- To present two distinct surgical techniques based on patient age and deformity characteristics.
Main Methods:
- Physiolysis was used in younger children.
- Opening-wedge osteotomy was performed in older children.
- Both procedures were applied to selected children with functional limitations due to clinodactyly.
Main Results:
- The study utilized two surgical procedures for clinodactyly correction.
- Techniques were tailored to patient age and specific deformity.
- Outcomes related to functional improvement were assessed (details not provided in abstract).
Conclusions:
- Surgical correction is an option for functionally limiting clinodactyly in children.
- Age-appropriate surgical techniques, such as physiolysis and osteotomy, can address this condition.
- Careful patient selection is key for successful surgical management.
