Congenital flexion-leading contracture of the 1st finger of the hand: causes, symptoms, diagnosis, treatment
Last reviewed: 23.04.2024
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ICD-10 code
Q74.3 Congenital flexion-leading contracture of the 1st finger of the hand.
Symptoms of congenital flexion-reducing contracture of the 1st finger of the hand
Congenital flexion-leading contracture of the first finger of the hand in overwhelming majority of cases is found in patients with congenital multiple or distal type of arthrogryposis. In this case, clinically observed flexion contracture in the metacarpophalangeal joint of the big toe and bringing the first ray to the palm, the soft tissue deficit along the palmar surface of the hand in the projection of the first interdigital and interstipar spaces.
Classification
On the basis of the degree of flexion and contracture, the possibility of correction of deformation, soft tissue deficit along the palmar surface of the first finger of the hand and the thenar area, the condition of flexor muscles and extensors, and the amplitude of active extension, three degrees of severity of deformation are identified. Congenital flexion-leading contracture of the first finger of the hand in a number of cases in patients with arthrogryposis is combined with ulnar deviation of II-V fingers at the level of metacarpophalangeal joints and flexural contractures in the interphalangeal and metacarpophalangeal joints, which is caused by imbalance of short muscles of the hand.
Treatment of congenital flexion-reducing contracture of the first finger of the hand
In cases of congenital flexion-reducing contracture of the first finger of the hand and ulnar deviation of the fingers, during the first months of life the child was shown conservative treatment, including massage. LFK, thermal procedures (salt warmers, paraffin, ozocerite), stage correction with removable tires. The early onset of conservative therapy significantly reduces the severity of the pathology and in some cases excludes further surgical interventions. With a low efficiency of conservative treatment at the age of 10-12 months, surgical treatment, including combined dermal plasty, as well as interference on the tendon-muscle apparatus of the hand is recommended.
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