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Percutaneous corrective osteotomy for Kirner's deformity: a case report.
Kazushige Gamo1, Kohji Kuriyama, Ayako Uesugi
1aDepartment of Orthopaedic Surgery, Bell Land General Hospital bDepartment of Orthopaedic Surgery, Hoshigaoka Koseinenkin Hospital cDepartment of Rehabilitation, Shijonawate Gakuen University, Osaka, Japan.
Journal of Pediatric Orthopedics. Part B
|March 5, 2014
Summary
Kirner
Area of Science:
- Orthopedics
- Skeletal Dysplasias
- Pediatric Hand Surgery
Background:
- Kirner's deformity is a rare, progressive condition affecting the distal phalanx of the little finger.
- First described in 1927, it presents as a palmar-radial curvature.
- Etiology remains largely unknown, often presenting in adolescents.
Observation:
- A 15-year-old male presented with bilateral Kirner's deformity affecting both little fingers.
- The deformity manifested as characteristic palmar-radial curvature of the distal phalanges.
- Conservative management options are limited, often leading to functional and aesthetic concerns.
Findings:
- Percutaneous corrective osteotomy was performed on both affected digits.
- The surgical intervention aimed to correct the angular deformity of the distal phalanx.
- Radiographic and clinical assessment confirmed successful correction post-procedure.
Implications:
- Percutaneous corrective osteotomy offers a viable surgical solution for Kirner's deformity.
- This minimally invasive technique can achieve successful long-term outcomes in adolescent patients.
- Further research into the genetic and biomechanical factors of Kirner's deformity is warranted.
