Kamptodaktilija: literatūros apžvalga ir klinikinis atvejis

Abstract

Camptodactyly is a congenital hand deformity characterized by a fixed flexion contracture, most commonly affecting the fifth finger. This literature review and case report highlight the clinical manifestations, and treatment options for camptodactyly. Occurring in approximately 1% of the population, the condition may be unilateral or bilateral and varies widely in severity [1–3]. Camptodactyly often appears at birth or during puberty, linked to genetic mutations, usually sporadic or autosomal dominant in nature [4, 5] painless, non-neurogenic flexion deformity at the proximal interphalangeal joint of the little finger, which may occur in isolation or in various developmental dysmorphology syndromes. In a ten-year survey of almost 10,000 consecutive neurology outpatient referrals, using a passive case finding strategy, camptodactyly was observed with a frequency of 0.43%. All were cases of isolated camptodactyly, and all but one were asymptomatic. Camptodactyly was more often bilateral, often asymmetric, than unilateral. A family history was common, sometimes with intrafamilial heterogeneity (symmetry, degree of angulation. Treatment remains controversial, with non-surgical options preferred for mild cases. Surgical intervention is considered when functionality is impaired. In this case, a patient with bilateral fifth finger contractures since birth managed the condition without surgery [3, 6]. This report aims to illustrate current understanding of camptodactyly’s natural course and discusses therapeutic strategies for better clinical outcomes.Kamptodaktilija – įgimta rankos deformacija, pasireiškianti fiksuota lenkiamąja kontraktūra, dažniausiai paveikianti penktąjį pirštą. Šioje literatūros apžvalgoje ir klinikinio atvejo aprašyme nagrinėjamas kamptodaktilijos klinikinis pasireiškimas ir gydymo galimybės. Liga pasireiškia 1 proc. populiacijos, gali būti vienpusė ar abipusė [1–3]. Kamptodaktilija dažniausiai nustatoma gimus arba paauglystėje. Etiologija susijusi su genetiniais pakitimais, įprastai atsirandančiais atsitiktinai arba paveldimais autosominiu dominantiniu būdu [4, 5]painless, non-neurogenic flexion deformity at the proximal interphalangeal joint of the little finger, which may occur in isolation or in various developmental dysmorphology syndromes. In a ten-year survey of almost 10,000 consecutive neurology outpatient referrals, using a passive case finding strategy, camptodactyly was observed with a frequency of 0.43%. All were cases of isolated camptodactyly, and all but one were asymptomatic. Camptodactyly was more often bilateral, often asymmetric, than unilateral. A family history was common, sometimes with intrafamilial heterogeneity (symmetry, degree of angulation. Kamptodaktilijos gydymas išlieka diskutuotinas. Lengvesniais atvejais teikiama pirmenybė konservatyviam gydymui. Kontraktūroms ribojant plaštakos funkciją, taikomas chirurginis gydymas. Straipsnyje pateikiamas atvejis, iliustruojantis kamptodaktilijos diagnostiką ir gydymą