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CC BY 4.0 · Rev Bras Ortop (Sao Paulo) 2024; 59(04): e564-e571
DOI: 10.1055/s-0044-1786199
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Conservative Treatment of Camptodactyly with use of Orthoses: A Retrospective Cohort

Article in several languages: português | English
Maria da Conceição Soares de Oliveira 
1   Divisão de Pesquisa, Área de Reabilitação, Instituto Nacional de Traumatologia e Ortopedia Jamil Haddad (INTO), Rio de Janeiro, RJ, Brasil
,
Felipe Soares Figueiredo 
2   Instituto Nacional de Traumatologia e Ortopedia Jamil Haddad (INTO), Rio de Janeiro, RJ, Brasil
,
Diego Pinheiro Aguiar 
2   Instituto Nacional de Traumatologia e Ortopedia Jamil Haddad (INTO), Rio de Janeiro, RJ, Brasil
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Financial Support The authors declare that they did not receive funding from agencies in the public, private, or not-for-profit sectors for the conduction of the present study.
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Abstract

Objective To evaluate the outcomes of conservative treatment using static orthoses manufactured by the Occupational Therapy Sector of our institution in participants with camptodactyly types I, II, and III in their rigid or flexible forms, to describe the demographic and clinical data, and to analyze the number of dropouts during the treatment period.

Methods The Ethics in Human Research Committee approved the project under protocol number CAAE 20300419.3.0000.5273. All medical records used in the research were made available by our institution. In the present retrospective study, we did not use the informed consent form due to the impossibility of contacting the high number of participants. The study included medical records of 38 participants treated at the Occupational Therapy Outpatient Clinic from 2013 to 2019.

Results Of the 54 fingers treated with orthoses, 38 were completely corrected. The rates of correction were as follows: type I in its rigid form – 100% type I in its flexible form – 81.2%; type II in its rigid form – 0%; type II in its flexible form – 100%; type III in its rigid form – 47.6%; and type III in its flexible form – 100%. Of the 93 fingers included in this study, 42% abandoned the treatment.

Conclusion Static orthoses are a safe alternative to surgical procedures, with low execution complexity for camptodactyly treatment.

Keywords

finger joint - hand deformities, congenital - occupational therapy - orthosis - rehabilitation

Work carried out at the Professional Master's Program in Musculoskeletal Sciences, Instituto Nacional de Traumatologia e Ortopedia Jamil Hadad (INTO), Rio de Janeiro, RJ, Brazil.




Publication History

Received: 09 July 2023

Accepted: 15 January 2024

Article published online:
04 September 2024

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