Related Experiment Video

Updated: Jan 27, 2026

Single-Port Robotic-assisted Transaxillary Breast-conserving Surgery: A Prospective, Single-arm, Non-randomized Phase IIa Clinical Trial
03:07

Single-Port Robotic-assisted Transaxillary Breast-conserving Surgery: A Prospective, Single-arm, Non-randomized Phase IIa Clinical Trial

Published on: August 19, 2025

871

Surgery and Conservative Management of Camptodactyly in Pediatric Patients: A Systematic Review

Annie M Q Wang1, Min Kim2, Emily S Ho3

  • 1The University of British Columbia, Vancouver, Canada.

Hand (New York, N.Y.)
|March 23, 2019
PubMed

Insights

Camptodactyly treatment, including surgery and conservative options, can reduce hand flexion contractures in children. However, evidence quality is low, with inconsistent definitions and outcomes reported.

Area of Science:

  • Pediatric Orthopedics
  • Hand Surgery
  • Medical Research Methodology

Background:

  • Camptodactyly is a pediatric hand deformity with controversial treatment approaches.
  • Lack of standardized definitions and outcome reporting hinders evidence-based care.

Purpose of the Study:

  • To clarify camptodactyly definitions and management indications.
  • To summarize treatment outcomes and risks for pediatric patients.
  • To improve patient care through evidence synthesis.

Main Methods:

  • Systematic review of articles in all languages up to January 2017.
  • Searched MEDLINE, PubMed, EMBASE, AMED, and CINAHL databases.
  • Included 16 studies (7 case series, 9 retrospective cohort studies) focusing on idiopathic camptodactyly.

Main Results:

  • Low-quality evidence suggests both surgical and conservative treatments reduce flexion contractures (20°-85° to 5°-37°).
  • Surgery is generally reserved for contractures >30° or failed conservative care.
  • Surgical management typically involves more complications than conservative approaches.

Conclusions:

  • Current evidence is insufficient to guide treatment decisions for camptodactyly regarding function and appearance.
  • Further research is needed to develop decision aids for shared decision-making between clinicians and families.
  • Standardization of definitions and outcome reporting is crucial for future studies.

Keywords:
camptodactylyhand surgeryhand therapypediatric handsystematic review

More Related Videos

Whole-body PET/MRI of Pediatric Patients: The Details That Matter10:02

Whole-body PET/MRI of Pediatric Patients: The Details That Matter

Published on: December 19, 2017

15.3K
Interictal High Frequency Oscillations Detected with Simultaneous Magnetoencephalography and Electroencephalography as Biomarker of Pediatric Epilepsy10:22

Interictal High Frequency Oscillations Detected with Simultaneous Magnetoencephalography and Electroencephalography as Biomarker of Pediatric Epilepsy

Published on: December 6, 2016

21.1K

Related Concept Videos

Pharmacokinetics in Pediatric Patients: Drug Excretion01:26

Pharmacokinetics in Pediatric Patients: Drug Excretion

In pediatric medicine, understanding the renal function and drug elimination nuances is crucial for administering safe and effective treatments. Newborns, in particular, display markedly slower renal functions than adults, profoundly affecting how drugs are cleared from their bodies. This slower drug clearance requires clinicians to extend the dosing intervals for many medications to prevent drug accumulation and toxicity while ensuring therapeutic efficacy.One key area where these adjustments...
225
Pharmacokinetics in Pediatric Patients: Drug Distribution01:17

Pharmacokinetics in Pediatric Patients: Drug Distribution

Drug distribution in the pediatric population exhibits unique challenges and considerations due to the physiological differences between children, particularly neonates and infants, and adults. A crucial aspect of pediatric pharmacology is understanding how these differences impact the pharmacokinetics of various drugs, necessitating age-specific dosing strategies to ensure efficacy and safety.Neonates and infants have a higher total body water content, ~75%–90% of their body weight,...
285
Pharmacokinetics in Pediatric Patients: Drug Metabolism01:24

Pharmacokinetics in Pediatric Patients: Drug Metabolism

In pediatric care, understanding the nuances of hepatic drug metabolism is crucial, as it significantly differs from that of adults. This divergence is primarily due to the developmental stage of drug-metabolizing enzymes, which affects how medications are processed in the body. In neonates, for instance, the activity of Phase I enzymes—critical for the initial breakdown of drugs—is markedly reduced, functioning at just 20–40% of the levels seen in adults. This reduction poses...
212
Pharmacokinetics in Pediatric Patients: Overview and Drug Absorption01:23

Pharmacokinetics in Pediatric Patients: Overview and Drug Absorption

Understanding the physiological differences in the pediatric population is crucial for effective pharmacotherapy. Neonates, infants, and children exhibit significant variations in gastric pH, gastric emptying time, intestinal transit time, and biliary function. These variations profoundly affect oral drug absorption, necessitating a nuanced approach to pediatric dosing.Neonates present with a unique physiological profile, having a gastric pH greater than 4 and faster and more irregular gastric...
271
What is Conservation Biology?01:57

What is Conservation Biology?

Conservation biology is a scientific field that focuses on the preservation of biodiversity in order to protect ecosystems while meeting the needs of the human population. Humans require properly functioning ecosystems to maintain our supply of natural resources, including food, medicines, and building materials.
24.3K
Conservation of Small Populations02:04

Conservation of Small Populations

Small population sizes put a species at extreme risk of extinction due to a lack of variation, and a consequent decrease in adaptability. This weakens the chances of survival under pressures such as climate change, competition from other species, or new diseases. Large populations are more likely to survive pressures such as these, as such populations are more likely to harbor individuals that have genetic variants that are adaptive under new stresses. Small populations are much less...
17.1K