Congenital Clinodactyly: Treatment Options for Finger Issues

Q: Congenital Clinodactyly: Treatment Options for Finger Issues

Hello： It is important to first determine the cause of the neck deformity or mobility impairment. <br>Any surgery on the hand may result in a reduction of range of motion. <br>It is recommended to consult a hand surgeon to decide on the appropriate treatment. <br>Thank you.

The inward angulation of the tip of the little finger by 10 to 15 degrees is likely indicative of congenital clinodactyly?

The first issue is that I have been playing the piano since childhood, and now that I have grown up, I feel that the second joint of my little finger is stiff.
The first joint at the front can hardly bend, and due to the inward bending, its length is insufficient.
I would like to rekindle my interest in learning the guitar, but the current stiffness in my little finger and hand is frustrating.
I wonder if this congenital condition of my little finger bending inward can be surgically corrected to alleviate the stiffness and restore its function.
The second issue is that due to long hours of sitting at a desk using the computer, the area around my right wrist has developed smooth, yellow-red calluses.
When I bend it inward, it feels stiff, and sometimes I experience sharp pain intermittently.
Additionally, my fingers feel stiff when I grip tightly.
Is there a way to improve this condition? Would surgery be necessary?
If surgery is required, I would like to inquire about the medical costs and recovery time.
Thank you in advance, doctor.

Attached are images of my fingers for reference:
Image 1: My finger looks similar to this, with the first joint bone protruding.

[https://www.kuhp.kyoto-u.ac.jp/~keisei/image/four_limbs/clinodactyly_xp.jpg]
Image 2: My right hand is similar to the left image, where the protrusion is less noticeable.
However, my left little finger is more pronounced, showing a bald spot.

[https://www.kuhp.kyoto-u.ac.jp/~keisei/image/four_limbs/clinodactyly_prepostope.jpg]

Yang Canxian, 20~29 year old female. Ask Date: 2017/06/11

Dr. Wang Shouji reply Orthopedics

Hello: It is important to first determine the cause of the neck deformity or mobility impairment.
Any surgery on the hand may result in a reduction of range of motion.
It is recommended to consult a hand surgeon to decide on the appropriate treatment.
Thank you.

Reply Date: 2017/06/11

More Info

Congenital clinodactyly is a condition characterized by the inward bending of a finger, typically the fifth digit (little finger). This condition can be due to a variety of genetic factors and can lead to functional limitations, particularly in activities requiring fine motor skills, such as playing musical instruments like the guitar.

Treatment Options for Congenital Clinodactyly
1. Non-Surgical Approaches:
- Physical Therapy: Engaging in physical therapy can help improve the range of motion and strengthen the muscles around the affected finger. This may include specific exercises designed to enhance flexibility and dexterity.

- Occupational Therapy: An occupational therapist can provide strategies and adaptive tools to help you manage daily activities and hobbies, such as playing the guitar, despite the limitations caused by clinodactyly.

2. Surgical Options:
- If the condition significantly impairs function or causes discomfort, surgical intervention may be considered. The surgery typically involves straightening the finger and may include the release of any tight ligaments or tendons that contribute to the bending.
- The specific surgical procedure will depend on the severity of the condition and the individual’s anatomy. It is essential to consult with a hand surgeon who specializes in congenital hand conditions to discuss the best surgical options tailored to your needs.

3. Recovery and Rehabilitation:
- Post-surgery, rehabilitation is crucial. This may involve a period of immobilization followed by physical therapy to regain strength and flexibility. The recovery time can vary depending on the complexity of the surgery but generally ranges from a few weeks to several months.

- During this time, you will likely be advised to avoid strenuous activities, including playing the guitar, until you have fully healed.

Addressing Wrist Pain and Calluses
Regarding your wrist pain and the development of calluses, this could be indicative of repetitive strain or overuse, particularly if you spend long hours at a computer. Here are some recommendations:
1. Ergonomic Adjustments:
- Ensure that your workstation is ergonomically set up to minimize strain on your wrists. This includes using a chair that supports your back, keeping your wrists in a neutral position, and using a keyboard and mouse that are comfortable.

2. Stretching and Strengthening Exercises:
- Regularly perform wrist stretches and strengthening exercises to improve flexibility and reduce discomfort. This can help alleviate the "catching" sensation you experience.

3. Medical Evaluation:
- If your symptoms persist or worsen, it would be wise to consult a healthcare professional. They may recommend imaging studies to rule out any underlying conditions such as tendinitis or carpal tunnel syndrome.

4. Surgical Considerations:
- Surgery is typically a last resort for wrist issues, often reserved for cases where conservative treatments have failed. If surgery is deemed necessary, the specifics will depend on the diagnosis and the extent of the damage.

Conclusion
In summary, congenital clinodactyly can be addressed through a combination of non-surgical and surgical approaches, depending on the severity of the condition and its impact on your daily life. For your wrist issues, ergonomic adjustments and physical therapy may provide relief, but a medical evaluation is recommended if symptoms persist. Always consult with a qualified healthcare provider to discuss your specific situation, potential treatment options, and associated costs. This will ensure that you receive the most appropriate care tailored to your needs.

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